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基于社区的艾滋病毒/艾滋病干预措施,以促进艾滋病毒/艾滋病感染者的心理社会福祉:一项文献综述。

Community-based HIV/AIDS interventions to promote psychosocial well-being among people living with HIV/AIDS: a literature review.

作者信息

Wu Liyun, Li Xiaoming

机构信息

School of Social Work, Norfolk State University , 700 Park Avenue, Brown Memorial Hall, Norfolk , VA 23504 , USA.

Pediatric Prevention Research Center, Wayne State University , 4707 St. Antoine, Detroit , MI 48201 , USA.

出版信息

Health Psychol Behav Med. 2013 Jan 1;1(1):31-46. doi: 10.1080/21642850.2013.822798. Epub 2013 Aug 6.

Abstract

: This review explores the current community-based psychosocial interventions among people living with HIV/AIDS (PLWHA) across the globe. : Evaluation studies were retrieved and reviewed regarding study location, characteristics of participants, study design, intervention strategies, outcome indicators, and intervention findings. : The 28 studies spanned a broad range of intervention strategies, including coping skills, treatment and cure, cultural activities, community involvement, knowledge education, voluntary counseling and testing, peer-group support, three-layered service provision, child-directed group intervention, adult mentoring, and support group interventions. Regardless of study designs, all studies reported positive intervention effects, ranging from a reduction in HIV/AIDS stigma, loneliness, marginalization, distress, depression, anger, and anxiety to an increase in self-esteem, self-efficacy, coping skills, and quality of life. : Although the existing studies have limitation with regard to program coverage, intensity, scope, and methodological challenges, they underscore the importance of developing community-based interventions to promote psychosocial well-being among PLWHA. Future studies need to employ more rigorous methodology and integrate contextual and institutional factors when implementing effective interventions.

摘要

本综述探讨了全球范围内针对艾滋病毒/艾滋病感染者(PLWHA)的社区心理社会干预措施。检索并回顾了关于研究地点、参与者特征、研究设计、干预策略、结果指标和干预结果的评估研究。这28项研究涵盖了广泛的干预策略,包括应对技能、治疗与治愈、文化活动、社区参与、知识教育、自愿咨询与检测、同伴支持、三层服务提供、儿童导向型团体干预、成人指导和支持团体干预。无论研究设计如何,所有研究均报告了积极的干预效果,从减少艾滋病毒/艾滋病污名化、孤独感、边缘化、痛苦、抑郁、愤怒和焦虑到提高自尊、自我效能感、应对技能和生活质量。尽管现有研究在项目覆盖范围、强度、范围和方法挑战方面存在局限性,但它们强调了开展社区干预以促进艾滋病毒/艾滋病感染者心理社会福祉的重要性。未来的研究在实施有效干预措施时需要采用更严格的方法,并整合背景和机构因素。

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