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描述菲律宾 HIV 感染者的“HIV 护理依从性旅程”:以人为中心干预的概念基础。

Characterizing the "HIV Care Adherence Journey" for Persons With HIV in the Philippines: Conceptual Foundation for Person-Centered Intervention.

机构信息

Ryan Q. De Torres, MA (Nursing), RN, is a PhD in Nursing Candidate, College of Nursing, University of the Philippines Manila, Manila, Philippines, and is a Volunteer HIV Educator and Counselor, The LoveYourself Inc., Philippines.

Don Operario, PhD, is a Professor and Chair, Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.

出版信息

J Assoc Nurses AIDS Care. 2024;35(4):325-338. doi: 10.1097/JNC.0000000000000461. Epub 2024 Apr 2.


DOI:10.1097/JNC.0000000000000461
PMID:38563452
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11209816/
Abstract

Promoting adherence to HIV care among persons with HIV (PWH) is a key component to addressing the rising HIV epidemic in the Philippines. HIV care adherence is a complex process that may change throughout an individual's life course or "journey" living with HIV. This qualitative study aimed to explore the HIV care adherence journey of PWH. Maximum variation sampling was used to select 12 PWH and 3 health care providers for in-depth online interviews, which were analyzed using thematic analysis. The four themes that emerged to describe the HIV care adherence journey are integration, relation, navigation, and manifestation. Each theme corresponds to a unique set of activities and goals related to PWH's lived experiences as they initiate, practice, and maintain care adherence. This study provides a preliminary framework to characterize the HIV care adherence journey as a dynamic, complex, and multifaceted phenomenon, which can help to inform holistic interventions to support PWH.

摘要

促进艾滋病毒感染者(PLHIV)坚持接受艾滋病毒护理是解决菲律宾艾滋病毒疫情上升的关键组成部分。艾滋病毒护理依从性是一个复杂的过程,可能会在个体的整个生命过程或“旅程”中发生变化。本定性研究旨在探索 PLHIV 的艾滋病毒护理依从性旅程。采用最大变异抽样选择了 12 名 PLHIV 和 3 名医疗保健提供者进行深入的在线访谈,采用主题分析进行分析。出现的四个主题描述了艾滋病毒护理依从性旅程,分别是整合、关系、导航和表现。每个主题都对应着一组独特的活动和目标,与 PLHIV 开始、实践和维持护理依从性的生活经历有关。本研究提供了一个初步框架来描述艾滋病毒护理依从性旅程,这是一个动态、复杂和多方面的现象,可以帮助制定全面的干预措施来支持 PLHIV。

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本文引用的文献

[1]
A people-centred health system must be the foundation for person-centred care in the HIV response.

J Int AIDS Soc. 2023-7

[2]
Unmet needs of people with epilepsy: A qualitative study exploring their journey from presentation to long-term management across five European countries.

Front Neurol. 2023-4-14

[3]
The associations between HIV stigma and mental health symptoms, life satisfaction, and quality of life among Black sexual minority men with HIV.

Qual Life Res. 2023-6

[4]
Storyboarding HIV Infected Young People's Adherence to Antiretroviral Therapy in Lower- to Upper Middle-Income Countries: A New-Materialist Qualitative Evidence Synthesis.

Int J Environ Res Public Health. 2022-9-8

[5]
Health related quality of life and its association with social support among people living with HIV/AIDS receiving antiretroviral therapy in Ethiopia: a systematic review and meta-analysis.

Health Qual Life Outcomes. 2022-5-8

[6]
Supporting retention in HIV care through a holistic, patient-centred approach: a qualitative evaluation.

BMC Psychol. 2022-1-29

[7]
Designing an mHealth Roadmap for the Journey to Self-Management: A Qualitative Study with Adolescents and Young Adults Living with Chronic Illness.

Chronic Illn. 2023-3

[8]
How HIV Clients Find Their Way Back to the ART Clinic: A Qualitative Study of Disengagement and Re-engagement with HIV Care in Malawi.

AIDS Behav. 2022-3

[9]
An overview of the qualitative descriptive design within nursing research.

J Res Nurs. 2020-8

[10]
Intersecting internalized stigmas and HIV self-care among men who have sex with men and who use substances.

Soc Sci Med. 2021-4

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