Draughon Moret Jessica E, Sheridan Daniel J, Wenzel Jennifer A
Faculty of the Betty Irene Moore School of Nursing in Sacramento, University of California Davis, Davis, CA, USA.
Faculty of the School of Nursing in Baltimore, Johns Hopkins University, Baltimore, MD, USA.
Glob Qual Nurs Res. 2021 Nov 3;8:23333936211046581. doi: 10.1177/23333936211046581. eCollection 2021 Jan-Dec.
Sexual assault is an irrefutable trauma; an insult to the autonomy of the person forced into sexual acts. Sexual assault sequelae range from physical injury and acute traumatic stress, to pregnancy and sexually transmitted infections, including human immunodeficiency virus (HIV). HIV post-exposure prophylaxis (HIV PEP) following sexual assault may decrease the likelihood of HIV transmission. Many patients seeking healthcare post-sexual assault either do not initiate HIV PEP or do not complete the 28-day medication regimen. In this qualitative interpretive description, we interviewed sexual assault patients (=11) about HIV PEP discussions/reactions, attitudes and understanding related to HIV and PEP, and barriers and facilitators of HIV PEP acceptance and adherence. Participants described a process of losing and reclaiming control throughout post-assault care and follow-up; and how this affected HIV PEP-related decision-making. Most HIV PEP decisions were described as a process of reclaiming control over one outcome while simultaneously losing control of another.
性侵犯是一种无可辩驳的创伤；是对被迫进行性行为者自主权的侵犯。性侵犯的后遗症包括身体伤害和急性创伤应激，以及怀孕和性传播感染，包括人类免疫缺陷病毒（HIV）。性侵犯后的HIV暴露后预防（HIV PEP）可能会降低HIV传播的可能性。许多遭受性侵犯后寻求医疗护理的患者要么没有开始进行HIV PEP，要么没有完成28天的药物治疗方案。在这项质性解释性描述研究中，我们采访了11名性侵犯患者，了解他们对HIV PEP的讨论/反应、对HIV和PEP的态度及理解，以及接受和坚持HIV PEP的障碍与促进因素。参与者描述了在袭击后护理和随访过程中失去和重新获得控制权的过程；以及这如何影响与HIV PEP相关的决策。大多数HIV PEP决策被描述为一个在重新掌控一个结果的同时却又失去对另一个结果控制的过程。
