Diedricks Teolene G, Myburgh Chris P H, Poggenpoel Marie
Department of Educational Psychology, University of Johannesburg, Johannesburg, South Africa.
Department of Nursing Sciences, University of Johannesburg, Johannesburg, South Africa.
Health SA. 2020 Sep 25;25:1069. doi: 10.4102/hsag.v25i0.1069. eCollection 2020.
The introduction of antiretroviral treatment (ART) has resulted in people with HIV living longer. Antiretroviral treatment demands a lifelong commitment from patients not only in terms of adherence to the medication but also in relation to lifestyle changes in general. This poses a challenge to a student living with HIV (SLHIV) who only spends a few years at university before entering the workplace and relocating. It also means that the care, support and treatment received at the university will no longer be available to them as these services are only offered to enrolled students. It is imperative for practitioners at universities to help SLHIV effectively manage their illness.
The aim of the article is to illustrate the process followed to develop a model that could serve as a frame of reference to facilitate the management of HIV as an integral part of the mental health of SLHIV within a university.
The model is designed for professional practitioners in university settings who support students living with HIV in managing their illness.
A theory-generative, qualitative, exploratory, descriptive and contextual study design was utilised. The central concept was derived from the experiences of practitioners and SLHIV by conducting individual interviews using appreciative inquiry. The common themes and categories identified in the interviews served as a basis for the identification of the central concept for the study. The process included the identification, definition and classification of the central concept and essential attributes. The conceptual framework was then described. Measures to ensure trustworthiness were also adhered to in the study and approval for the study was granted (Ethical clearance #2014-071).
The central concept was identified as the 'facilitation of self-management'. It was defined and classified, and these definitions and classifications were used as the basis for the model. Thereafter, the model was described.
The model can be used as a frame of reference to assist SLHIV in effectively managing their illness.
抗逆转录病毒治疗(ART)的引入使艾滋病毒感染者的寿命延长。抗逆转录病毒治疗要求患者终身坚持,这不仅涉及坚持服药,还关乎总体生活方式的改变。这对感染艾滋病毒的学生(SLHIV)构成了挑战,因为他们在大学仅待几年便会进入职场并搬迁。这也意味着他们在大学所接受的护理、支持和治疗将不再可得,因为这些服务仅提供给在校注册学生。大学从业者必须帮助感染艾滋病毒的学生有效管理其疾病。
本文旨在阐述开发一个模型的过程,该模型可作为参考框架,以促进将艾滋病毒管理作为大学中感染艾滋病毒学生心理健康的一个组成部分。
该模型是为大学环境中支持感染艾滋病毒学生管理疾病的专业从业者设计的。
采用了理论生成性、定性、探索性、描述性和情境性研究设计。通过运用欣赏式探询进行个人访谈,从从业者和感染艾滋病毒的学生的经历中得出核心概念。访谈中确定的共同主题和类别作为确定该研究核心概念的基础。该过程包括核心概念和基本属性的识别、定义和分类。然后描述了概念框架。研究中还遵循了确保可信度的措施,并获得了研究批准(伦理许可#2014 - 071)。
核心概念被确定为“促进自我管理”。对其进行了定义和分类,这些定义和分类被用作模型的基础。此后,对模型进行了描述。
该模型可作为参考框架,协助感染艾滋病毒的学生有效管理其疾病。