对男男性行为艾滋病毒/艾滋病阳性者的护理:印度尼西亚护士视角的定性描述性研究
Nursing Care on HIV/AIDS-Positive Men Who Have Sex with Men: A Qualitative Descriptive Study of Nurse's Perspective in Indonesia.
作者信息
Kurniawan Kurniawan, Susanti Herni, Mustikasari Mustikasari, Khoirunnisa Khoirunnisa, Fitriani Nurlaila, Yosep Iyus, Widianti Efri, Ibrahim Kusman, Komariah Maria, Maulana Sidik, Arifin Hidayat
机构信息
Department of Mental Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang 45363, Indonesia.
Department of Mental Health Nursing, Faculty of Nursing, Universitas Indonesia, Depok 16424, Indonesia.
出版信息
Healthcare (Basel). 2022 Dec 8;10(12):2485. doi: 10.3390/healthcare10122485.
HIV/AIDS-positive men who have had sex with men (MSM) account for roughly one-third of new infections in the region, with numerous nations facing a high and rising prevalence. They often face stigmatization and discrimination from society, including nurses. This study aims to explore nurses' perspectives on caring for HIV/AIDS-infected MSM. A descriptive qualitative design was utilized. Fifteen nurses who cared for HIV/AIDS-positive MSM in the two hospitals in Jakarta, Indonesia, were recruited with purposive sampling techniques. A semi-structured and in-depth interview was conducted. Data were analyzed using thematic analysis. We emerged three superordinate and nine subordinate themes: (1) negative nurse perceptions in the early phase of treatment, (2) nurse attitudes contrasting with negative perceptions, and (3) nurses with knowledge of HIV/AIDS. The negative perceptions appeared only at the beginning of the treatment phase, and thereafter, they were followed by a positive attitude. Nurses appeared to develop a better understanding after interacting with their patients and receiving training on HIV/AIDS. Therefore, intensive training is expected to not only increase their knowledge but to encourage a positive attitude.
男男性行为者(MSM)中的艾滋病毒/艾滋病阳性男性约占该地区新感染病例的三分之一,许多国家面临着高流行率且这一比例还在上升。他们经常面临来自社会的污名化和歧视,包括护士的歧视。本研究旨在探讨护士对护理感染艾滋病毒/艾滋病的男男性行为者的看法。采用了描述性定性设计。通过目的抽样技术,招募了印度尼西亚雅加达两家医院中护理艾滋病毒/艾滋病阳性男男性行为者的15名护士。进行了半结构化深入访谈。使用主题分析法对数据进行了分析。我们归纳出三个上位主题和九个下位主题:(1)治疗初期护士的负面看法,(2)与负面看法形成对比的护士态度,以及(3)了解艾滋病毒/艾滋病的护士。负面看法仅出现在治疗阶段开始时,此后则是积极态度。护士在与患者互动并接受艾滋病毒/艾滋病培训后似乎有了更好的理解。因此,强化培训不仅有望增加他们的知识,还能鼓励积极态度。