School of Nursing (Drs Zuñiga, Cuevas, Jones, García, and Heitkemper and Ms Adiele), College of Liberal Arts (Ms Cebulske), and College of Natural Sciences (Mss Frost and Sannigrahi), University of Texas at Austin.
ANS Adv Nurs Sci. 2022;45(3):256-273. doi: 10.1097/ANS.0000000000000409. Epub 2021 Dec 28.
The purpose of this qualitative secondary analysis research was to describe the impact of the COVID-19 pandemic on self-management behaviors and practices for people living with the dual diagnoses of HIV/AIDS and type 2 diabetes mellitus and to identify early pandemic-specific disruptions or changes to their self-management practices. In-depth interviews conducted in May-June 2020 with 9 participants, and analyzed using content analysis, revealed 5 themes: adjusting to living with HIV/AIDS and diabetes impacts beliefs about COVID-19 risks; COVID-19 information seeking and accuracy; trade-offs in self-managing multiple chronic conditions; balance between safety, relationships, and the society at large; and discordant perceptions and actions. Some participants were resilient from previous experiences. Many received mixed messages about their risk for COVID-19, resulting in inaccurately or inconsistently applying guidelines for social isolation.
本定性二次分析研究的目的是描述 COVID-19 大流行对同时患有 HIV/AIDS 和 2 型糖尿病的患者自我管理行为和实践的影响，并确定他们自我管理实践在大流行早期的特定中断或变化。2020 年 5 月至 6 月，对 9 名参与者进行了深入访谈，并使用内容分析法进行了分析，结果揭示了 5 个主题：适应 HIV/AIDS 和糖尿病的生活影响对 COVID-19 风险的看法；对 COVID-19 信息的寻求和准确性；多种慢性疾病的自我管理权衡；安全、人际关系和整个社会之间的平衡；以及观念和行为的不一致。一些参与者从前的经历中恢复过来。许多人对自己感染 COVID-19 的风险得到了相互矛盾的信息，导致他们对社交隔离指南的应用不准确或不一致。
West J Nurs Res. 2020-1
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