J Assoc Nurses AIDS Care. 2019 Mar-Apr;30(2):218-223. doi: 10.1097/JNC.0000000000000009.
Rehabilitation for people living with HIV (PLWH) can improve physical function and reduce activity limitations common in this population. Institution-based rehabilitation interventions are often difficult to access, particularly in resource-constrained communities. Our study used semistructured interviews to describe the experiences of eight PLWH involved in a novel home-based rehabilitation intervention in KwaZulu-Natal, South Africa. Participants reported a number of physical and mental benefits related to their involvement in this 4-month intervention. They further described a number of extrinsic and intrinsic facilitators that enabled them to continue to exercise and, in some cases, to return to work, 1 year after the intervention. These facilitators helped them face various life challenges, which included stigma related to their HIV status and disability and continued poverty and hunger. The findings of our study support calls for alternative accessible rehabilitation options for PLWH in resource-constrained communities.
艾滋病毒感染者（PLWH）的康复可以改善这一人群常见的身体功能和减少活动受限。机构为基础的康复干预往往难以获得，特别是在资源有限的社区。我们的研究使用半结构化访谈来描述在南非夸祖鲁-纳塔尔省参与一项新的基于家庭的康复干预的 8 名 PLWH 的经历。参与者报告了与他们参与这一为期 4 个月的干预相关的一些身体和精神上的好处。他们进一步描述了一些外在和内在的促进因素，使他们能够继续锻炼，在某些情况下，在干预 1 年后能够重返工作岗位。这些促进因素帮助他们面对各种生活挑战，包括与他们的艾滋病毒状况和残疾以及持续的贫困和饥饿有关的耻辱。我们的研究结果支持呼吁在资源有限的社区为 PLWH 提供替代的、可获得的康复选择。
