Ruffell Simon
Sheffield Health and Social Care NHS Foundation Trust, Sheffield, UK.
BMJ Case Rep. 2017 Jul 14;2017:bcr-2016-218024. doi: 10.1136/bcr-2016-218024.
Our patient is a 58-year-old Ugandan woman. After her husband's death in 1994, the patient was forced to leave her home by her late husband's family and arrangements were made for her mother to provide care until her inevitable death. The patient suffered from multiple mental health disturbances as a result of discrimination. Socially isolated after years of self-neglect, she prepared to overdose. In 2007, she became open regarding her status after receiving psychosocial support from various sources. She opened her home as an HIV clinic with the help of a local doctor, and subsequently the majority of her psychological symptoms were resolved. This case illustrates the negative impact that stigma and discrimination can have on mental and consequently physical health, both acutely and chronically. It also highlights the importance of social and psychological support in maintaining the well-being of patients with HIV globally.
我们的患者是一名58岁的乌干达女性。1994年她丈夫去世后，患者被亡夫的家人逼迫离开家园，随后安排由她的母亲提供照料，直至她最终离世。由于受到歧视，患者出现了多种心理健康问题。多年来自我忽视导致社交孤立后，她准备过量服药。2007年，在获得各方社会心理支持后，她开始公开自己的病情。在一名当地医生的帮助下，她将自己的家作为一家艾滋病诊所开放，随后她的大部分心理症状都得到了解决。这个案例说明了耻辱感和歧视对心理健康以及随之而来的身体健康可能产生的急性和慢性负面影响。它还凸显了社会和心理支持对于全球范围内维持艾滋病患者福祉的重要性。
