Yu Chia-Hui, Chiu Yi-Chi, Cheng Su-Fen, Ko Nai-Ying
MSN, RN, Lecturer, School of Nursing, College of Medicine, Chung Shan Medical University; Director, Department of Medical Quality, Chung Shan Medical University Hospital, and Doctoral Candidate, School of Nursing, National Taipei University of Nursing and Health Sciences, Taiwan, ROC.
MS, Research Assistant, Division of Infectious Diseases, Department of Internal Medicine, Chang Gung Memorial Hospital, Linkou, Taiwan, ROC.
Hu Li Za Zhi. 2018 Jun;65(3):11-16. doi: 10.6224/JN.201806_65(3).03.
HIV infection has been a manageable and chronic illness in Taiwan since the highly active antiretroviral therapy was introduced in 1997. HIV infection is a stigmatized disease due to its perceived association with risky behaviors. HIV often carries a negative image, and people living with HIV(PLWH) face discrimination on multiple fronts. Internalized HIV stigma impacts the spiritual health of people living with HIV in terms of increased levels of shame, self-blame, fear of disclosing HIV status, and isolation and decreased value and connections with God, others, the environment, and the self. Nursing professionals provide holistic care for all people living with HIV and value their lives in order to achieve the harmony of body, mind, and spirit. This article describes the stigma that is currently associated with HIV and how stigma-related discrimination affects the spiritual health of PLWH and then proposes how to reduce discrimination and stigma in order to improve the spiritual health of PLWH through appropriate spiritual care. Reducing HIV stigma and promoting spiritual well-being will enable Taiwan to achieve the 'Three Zeros' of zero discrimination, zero infection, and zero death advocated by the Joint United Nations Programme on HIV/AIDS for ending the AIDS epidemic in 2030.
自1997年引入高效抗逆转录病毒疗法以来,在台湾,艾滋病毒感染已成为一种可控制的慢性疾病。由于人们认为艾滋病毒感染与危险行为有关,它是一种带有污名的疾病。艾滋病毒常常带有负面形象,感染艾滋病毒的人在多个方面面临歧视。内化的艾滋病毒污名会影响艾滋病毒感染者的精神健康,表现为羞耻感、自责感增强,害怕披露艾滋病毒感染状况,以及孤独感,同时与上帝、他人、环境和自我的价值感及联系减少。护理专业人员为所有艾滋病毒感染者提供整体护理并珍视他们的生命,以实现身体、心理和精神的和谐。本文描述了目前与艾滋病毒相关的污名,以及与污名相关的歧视如何影响艾滋病毒感染者的精神健康,然后提出如何减少歧视和污名,以便通过适当的精神护理改善艾滋病毒感染者的精神健康。减少艾滋病毒污名并促进精神健康将使台湾能够实现联合国艾滋病规划署倡导的到2030年终结艾滋病流行的“三个零”目标,即零歧视、零感染和零死亡。