Kim Gwang Suk, Shim Mi-So, Jin Juhye, Lee Youngjin, Lee SangA
Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, Republic of Korea.
College of Nursing, Keimyung University, Daegu, Republic of Korea.
Nurs Inq. 2025 Jan;32(1):e12695. doi: 10.1111/nin.12695.
This study aimed to explore the enabling context of the HIV care continuum as perceived by people living with HIV and healthcare professionals. This qualitative study involved in-depth individual interviews with eight people living with HIV and group interviews with seven nurses and physicians. These interviews took place between March 5, 2021, and July 13, 2022. Thematic analysis was conducted. The main themes that emerged included "network of support and systems," "personal gains from the care continuum," "continuity and practicality of healthcare services," "presence of significant other(s)," and "social belonging." These themes were structured within the five levels of the socio-ecological model (system, individual, organizational, interpersonal, and community levels), and 10 subthemes were identified. With the integration of themes, the enabling context was compared to a "care orbit," indicating that people diagnosed with HIV start treatment at the system level and continue HIV care at other levels. In addition to primary support at the system level, the enabling context also includes individual commitment to care and regular health habits, hospital services, support from significant others, and community culture. Together, the context helps guide people living with HIV into the "orbit" of the care system.
本研究旨在探索艾滋病病毒感染者和医护人员所感知的艾滋病病毒护理连续统一体的促成环境。这项定性研究包括对8名艾滋病病毒感染者进行深入的个人访谈，以及对7名护士和医生进行小组访谈。这些访谈于2021年3月5日至2022年7月13日期间进行。进行了主题分析。出现的主要主题包括“支持网络和系统”、“护理连续统一体带来的个人收获”、“医疗服务的连续性和实用性”、“重要他人的存在”以及“社会归属感”。这些主题在社会生态模型的五个层面（系统、个体、组织、人际和社区层面）内构建，并确定了10个子主题。通过主题的整合，将促成环境比作一个“护理轨道”，表明被诊断感染艾滋病病毒的人在系统层面开始治疗，并在其他层面继续接受艾滋病病毒护理。除了系统层面的主要支持外，促成环境还包括个人对护理的承诺和规律的健康习惯、医院服务、重要他人的支持以及社区文化。总之，这种环境有助于引导艾滋病病毒感染者进入护理系统的“轨道”。
