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台湾地区一项支持艾滋病毒感染中老年患者心理健康的生命回顾计划的开发与应用

Development and Application of a Life Review Program to Support Mental Health Among Middle-Aged and Older Adults Living with HIV in Taiwan.

作者信息

Hong Hong

机构信息

Bachelor Program of Senior Health Promotion and Care Management for Indigenous People, National Changhua University of Education, Changhua 50007, Taiwan.

出版信息

Healthcare (Basel). 2025 Jul 15;13(14):1698. doi: 10.3390/healthcare13141698.

Abstract

: This article introduces the development and application of a life review program designed to support the psychological well-being of middle-aged and older adults living with HIV. Grounded in Swanson's Theory of Caring, the program emphasizes culturally sensitive, narrative-based reflection and group sharing. : This study employed a qualitative exploratory design, implementing an eight-week life review program based on Swanson's Theory of Caring. Data were collected through in-depth interviews and participant observations and then analyzed using qualitative content analysis. : Thematic analysis revealed that participants experienced emotional engagement, renewed self-understanding, and a sense of connection fostered by the caring-based narrative process. Participants also expressed positive attitudes toward reinterpreting their past and envisioning the future. : Rather than evaluating intervention outcomes, this study focuses on the development and implementation of a caring-based life review tool. Findings illustrate its feasibility and cultural acceptability, offering a foundation for future adaptation across diverse supportive care settings. This culturally sensitive intervention represents one of the first applications of a caring-based life review program tailored to aging PLWHIV in Taiwan.

摘要

本文介绍了一项旨在支持感染艾滋病毒的中老年人心理健康的生活回顾计划的开发与应用。该计划以斯旺森关怀理论为基础,强调具有文化敏感性的、基于叙事的反思和小组分享。本研究采用定性探索性设计,实施了一项基于斯旺森关怀理论的为期八周的生活回顾计划。通过深入访谈和参与观察收集数据,然后使用定性内容分析法进行分析。主题分析表明,参与者通过基于关怀的叙事过程体验到了情感投入、重新获得自我理解以及一种联系感。参与者还对重新诠释自己的过去和展望未来表达了积极态度。本研究并非评估干预结果,而是专注于基于关怀的生活回顾工具的开发与实施。研究结果说明了其可行性和文化可接受性,为未来在不同支持性护理环境中的应用提供了基础。这种具有文化敏感性的干预是台湾首个针对感染艾滋病毒的老年人量身定制的基于关怀的生活回顾计划的应用之一。

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