Department of Community Health Systems, School of Nursing (Drs Tuthill and Dawson-Rose and Ms Maltby), Global Programs (Ms Odhiambo), and Division of HIV, Infectious Disease, and Global Medicine, Department of Medicine (Dr Weiser), University of California, San Francisco; and Kenya Medical Research Institute-Center for Microbiology Research, Nairobi, Kenya (Ms Akama).
ANS Adv Nurs Sci. 2024;47(1):E20-E39. doi: 10.1097/ANS.0000000000000478. Epub 2023 Jan 19.
Efficacious strategies can now prevent the transmission of HIV from mother to child. However, transmission rates remain unacceptably high, especially in sub-Saharan Africa. Understanding women's perinatal transitions can inform interventions to support adherence to preventive strategies. Therefore, we applied Transitions Theory in a longitudinal qualitative study to explore perinatal transitions among women living with HIV in western Kenya. We conducted in-depth interviews with 30 women living with HIV at 3 key time points and, using our findings, described the theory's concepts in terms of participants' experiences. We then proposed theory-based interventions that could support smooth transition processes and positive outcomes.
现在已经有有效的策略可以防止艾滋病毒从母亲传染给孩子。然而，传播率仍然高得令人无法接受，尤其是在撒哈拉以南非洲地区。了解妇女的围产期转变可以为支持遵守预防策略的干预措施提供信息。因此，我们在一项纵向定性研究中应用了转变理论，以探讨肯尼亚西部感染艾滋病毒的妇女的围产期转变。我们在 3 个关键时间点对 30 名感染艾滋病毒的妇女进行了深入访谈，并根据研究结果，用参与者的经历来描述理论的概念。然后，我们提出了基于理论的干预措施，可以支持顺利的转变过程和积极的结果。
