探索瑞典老年艾滋病毒感染者的老龄化体验：一项定性研究。
Exploring experiences of ageing in older adults living with HIV in Sweden: a qualitative study.
机构信息
Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.
Department of Communication in Healthcare, Nivel, Netherlands Institute for Health Services Research, Utrecht, The Netherlands.
出版信息
Int J Qual Stud Health Well-being. 2024 Dec;19(1):2393752. doi: 10.1080/17482631.2024.2393752. Epub 2024 Aug 27.
PURPOSE
The number of people living and ageing with HIV is increasing. Insight into their well-being is lacking. The present study was conducted to explore needs, psychosocial issues and experiences of ageing in older adults living with human immunodeficiency virus (HIV) in Sweden.
METHODS
A qualitative approach was employed. Semi-structured interviews were conducted with a convenience sample of 22 participants aged 65 years or older living with HIV in Sweden. Thematic analysis based on descriptive phenomenology was used.
RESULTS
Being an older adult living with HIV emerged as a multifaceted experience. The meaning and impact of HIV varied from minimal to substantial, and ageing could overshadow the significance of HIV in everyday life. Three themes emerged: 1) increasing age in the foreground, 2) internalizing HIV in everyday life, and 3) socioemotional impact on everyday life.
CONCLUSIONS
The findings suggest a need for a more holistic approach to care of older adults living with HIV, recognizing the broader context of healthy ageing. While participants experienced good health, challenges related to ageing persist, and experiencing HIV-related stigma. The findings highlight the importance of empowering older adults living with HIV.
目的
感染艾滋病毒并随之老化的人群数量在不断增加。但人们对这一人群的健康状况知之甚少。本研究旨在探索瑞典感染艾滋病毒的老年人群的幸福感需求、心理社会问题和老龄化体验。
方法
采用定性方法。从瑞典感染艾滋病毒的 22 名 65 岁或以上的方便样本中进行半结构化访谈。使用基于描述现象学的主题分析。
结果
作为一名感染艾滋病毒的老年人群，这是一种多方面的体验。艾滋病毒的意义和影响从微不足道到实质性的，而且老龄化可能会使日常生活中艾滋病毒的重要性黯然失色。出现了三个主题：1）年龄的增长成为焦点，2）将艾滋病毒融入日常生活，3）对日常生活的社会情感影响。
结论
研究结果表明，需要采取更全面的方法来照顾感染艾滋病毒的老年人群，认识到健康老龄化的更广泛背景。虽然参与者身体健康状况良好，但与老龄化相关的挑战依然存在，而且还存在艾滋病毒相关耻辱感。这些发现强调了赋予感染艾滋病毒的老年人群权力的重要性。
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