Faculty of Vocational, Airlangga University, Surabaya, Indonesia.
Faculty of Nursing, Airlangga University, Surabaya, Indonesia.
PLoS One. 2023 Feb 22;18(2):e0282049. doi: 10.1371/journal.pone.0282049. eCollection 2023.
Nurse-client interaction when providing nursing services is limited to optimizing treatment and self-care, with limited focus on the psychological problems of people living with HIV-AIDS. However, psychological problems manifest more often than the health risks of the disease itself. This study aimed to determine the emotional response of people living with HIV-AIDS who received limited attention from nurses from the perspective of nurse-client relationship.
A phenomenological qualitative design was used through in-depth face-to-face interviews in a semi-structured manner, in an effort to obtain complete data. This research used purposive sampling with Participatory Interpretative Phenomenology analysis, involving 22 participants (14 males and 8 females).
This research produces several themes, with six subcategories: 1) Difficulty of social access, 2) Forcing to accept their situation and suppressing their will, 3) Wanting to be recognized like other people in general, 4) Social stigma and self-stigmatization affecting surroundings, 5) Lacking enthusiasm for life expectancy, 6) Always lingering under the shadow "when death picks up."
The results showed that mental stress was experienced more than physical problems by people living with HIV-AIDS, thus prompting new changes to nursing services for HIV-AIDS patients that emphasize psychosocial aspects, in addition to clinical features, facilitated by satisfying relationships between nurses and clients to provide quality services.
在提供护理服务时，护士与患者的互动仅限于优化治疗和自我护理，对艾滋病毒/艾滋病患者的心理问题关注有限。然而，心理问题的表现频率比疾病本身的健康风险更高。本研究旨在从护患关系的角度确定接受护理服务的艾滋病毒/艾滋病患者的情绪反应，这些服务关注较少。
采用现象学定性设计，通过半结构化的深入面对面访谈，努力获取完整数据。本研究采用目的抽样和参与式解释现象学分析，涉及 22 名参与者（14 名男性和 8 名女性）。
本研究产生了几个主题，有六个亚类：1）社会融入的困难，2）被迫接受自己的处境和压抑自己的意志，3）希望像一般人一样得到认可，4）社会污名和自我污名影响周围环境，5）对预期寿命缺乏热情，6）总是生活在“死亡阴影”下。
结果表明，艾滋病毒/艾滋病患者经历的精神压力大于身体问题，因此需要对艾滋病毒/艾滋病患者的护理服务进行新的改变，除了临床特征外，还要强调社会心理方面，通过满足护士和患者之间的关系来提供优质服务。
