Peltzer Jill N, Domian Elaine W, Teel Cynthia S
University of Kansas School of Nursing, Kansas City, USA
University of Kansas School of Nursing, Kansas City, USA.
West J Nurs Res. 2016 Feb;38(2):216-30. doi: 10.1177/0193945914552167. Epub 2014 Sep 18.
This hermeneutic phenomenological study explored the lived experiences of young African American HIV-infected women. Eleven women between the ages of 21 and 35 participated. One pattern, Infected Lives, and three themes--Living Alone With HIV, Living With Unresolved Conflicts, and Living With Multiple Layers of Betrayal--emerged. The pattern and themes portray the very complex and challenging experiences faced by these young women living with HIV infection. They have experienced isolation, abandonment, betrayal, and discrimination in their interpersonal and social systems. They often dealt with conflicts of hope and anguish in the relationships with their children, and portraying strength, while feeling fragile. These complexities negatively influence the ability to fully engage in self-care activities. Implications for future research include further investigation about the experiences of psychological distress experienced post-diagnosis, development and evaluation of holistic nursing interventions, and evaluative research on mass media educational campaigns to reduce HIV-related stigma.
这项诠释现象学研究探讨了年轻非裔美国感染艾滋病毒女性的生活经历。11名年龄在21岁至35岁之间的女性参与了研究。出现了一种模式“感染的生活”以及三个主题——“与艾滋病毒独自生活”、“带着未解决的冲突生活”和“带着多重背叛生活”。这种模式和主题描绘了这些感染艾滋病毒的年轻女性所面临的极其复杂和具有挑战性的经历。她们在人际和社会系统中经历了孤立、抛弃、背叛和歧视。她们在与孩子的关系中常常要应对希望与痛苦的冲突,同时在感到脆弱的情况下展现出力量。这些复杂性对充分参与自我护理活动的能力产生了负面影响。对未来研究的启示包括进一步调查确诊后经历的心理困扰、整体护理干预措施的开发与评估,以及关于减少与艾滋病毒相关耻辱感的大众媒体教育运动的评估研究。