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赋予抗艾滋病毒治疗的主观建构意义如何影响治疗依从性实践?

How do subjectively-constructed meanings ascribed to anti-HIV treatments affect treatment-adherent practice?

作者信息

Wong W K Tim, Ussher Jane

机构信息

Gender, Culture and Health Research Unit, PsyHealth, School of Psychology, University of Western Sydney, New South Wales, Australia.

出版信息

Qual Health Res. 2008 Apr;18(4):458-68. doi: 10.1177/1049732308314852.

Abstract

Anti-HIV treatment-adherent practice is a significant issue in HIV medical discourses on effective disease treatment and management. Findings from research studies into treatment (non)adherence have positioned the act as a medical issue that could be remedied by behavioral strategies. The present study, conducted in Sydney, Australia, aims to examine treatment-(non)adherent practice as a subjective expression of meanings ascribed to treatments by employing a narrative analytical approach informed by poststructuralist epistemology. The findings indicate that people with HIV negotiate and position treatments in particular ways that lead to multiple and varied understanding of treatments. The ways treatments are positioned in their everyday lives suggest that meanings ascribed to treatments impact on the way individuals negotiate demands embedded in the medically-constructed practice of adherence.

摘要

坚持抗艾滋病毒治疗在关于有效疾病治疗和管理的艾滋病毒医学论述中是一个重要问题。对治疗依从性(或不依从性)的研究结果已将这一行为定位为一个可通过行为策略加以纠正的医学问题。本研究在澳大利亚悉尼进行,旨在采用后结构主义认识论指导的叙事分析方法,将治疗依从性(或不依从性)行为视为对治疗赋予意义的一种主观表达进行考察。研究结果表明,艾滋病毒感染者以特定方式对治疗进行协商和定位,从而导致对治疗有多种不同的理解。治疗在他们日常生活中的定位方式表明,赋予治疗的意义会影响个体在医学构建的依从性实践中协商各种要求的方式。

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