Jiang Liwen, Chen Tingting, Cao Bianchuan, Tian Min, Wang Yi, Chen Yanhua, Tang Jian
School of Nursing, Southwest Medical University, Luzhou, China.
Department of Intensive Care Unit, The Affiliated Hospital, Southwest Medical University, Luzhou, China.
BMC Public Health. 2025 Feb 12;25(1):574. doi: 10.1186/s12889-025-21822-4.
HIV infection could be regarded as a trauma that causes multidimensional distress experiences among people living with HIV. While people living with HIV may also experience positive changes which can lead to post-traumatic growth in the process of struggling with trauma. Current research has neglected the personal experience of people living with HIV, and there is a lack of qualitative research that further explores the dynamic post-traumatic growth trajectory. This study aims to explore and analyze the post-traumatic growth trajectory among people living with HIV to provide a reference for future targeted interventions.
A programmed grounded theory-based qualitative study was conducted. Data were gathered using semi-structured, in-depth interviews with 30 people living with HIV in southwest China from April 2024 to May 2024, which were then analyzed and integrated using grounded theory.
30 interviewees were between 27 and 59 years old, 18 males and 12 females, and their education levels were mainly primary school or illiterate. Trajectories of post-traumatic growth among people living with HIV are viewed as the core category and consist of four phases, which are initial (trauma and stress), support (contemplation and help-seeking), internalization (acceptance and change), and growth (hope and future).
The post-traumatic growth trajectory among people living with HIV is a complex and dynamic process. Medical staff should dynamically evaluate post-traumatic growth developmental phases and provide individualized psychological interventions to facilitate transitions and transformations between phases and ultimately achieving self-growth.
艾滋病毒感染可被视为一种创伤，会给艾滋病毒感染者带来多维度的痛苦经历。虽然艾滋病毒感染者也可能经历积极的变化，从而在与创伤抗争的过程中实现创伤后成长。目前的研究忽视了艾滋病毒感染者的个人经历，且缺乏进一步探索动态创伤后成长轨迹的定性研究。本研究旨在探索和分析艾滋病毒感染者的创伤后成长轨迹，为未来的针对性干预提供参考。
开展了一项基于程序化扎根理论的定性研究。2024年4月至2024年5月，通过对中国西南部30名艾滋病毒感染者进行半结构化深度访谈收集数据，然后运用扎根理论进行分析和整合。
30名受访者年龄在27至59岁之间，男性18名，女性12名，教育水平主要为小学或文盲。艾滋病毒感染者的创伤后成长轨迹被视为核心类别，包括四个阶段，即初始阶段（创伤与压力）、支持阶段（沉思与求助）、内化阶段（接纳与改变）和成长阶段（希望与未来）。
艾滋病毒感染者的创伤后成长轨迹是一个复杂且动态的过程。医务人员应动态评估创伤后成长的发展阶段，并提供个性化心理干预，以促进各阶段之间的过渡和转变，最终实现自我成长。
