患者和提供者对艾滋病毒的决策 暴露后预防性暴力后的预防:定性分析
Jocelyn C Anderson1, Michelle D S Boakye, Jessica Draughon Moret
1Jocelyn C. Anderson, PhD, RN, SANE-A, is an Assistant Professor, Ross and Carol Nese College of Nursing, Pennsylvania State University, University Park, Pennsylvania, USA. Michelle D. S. Boakye, PhD, MPH, RN, is a Postdoctoral Fellow, Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania, USA. Jessica Draughon Moret, PhD, RN, is an Associate Clinical Professor, Betty Irene Moore School of Nursing at UC Davis, Sacramento, California, USA.
了解患者和提供者对性侵犯后艾滋病毒暴露后预防 (PEP) 的决定至关重要. 改善沟通和政策可以提高艾滋病毒PEP的获取和决策.
科学领域:
- 公共卫生 公共卫生
- 医学社会学 医学社会学
- 预防传染病 预防传染病
背景情况:
- 性侵犯幸存者需要及时的医疗护理,包括HIV暴露后预防 (PEP).
- 对于患者和医疗保健提供者来说,启动和坚持HIV PEP的决策过程可能是复杂的.
研究的目的:
- 探索影响HIV患者和医疗保健提供者在性侵犯后提供PEP的决策因素.
- 确定性侵犯幸存者的HIV PEP决策过程中的障碍和促进者.
主要方法:
- 使用半结构面试对15名患者和10名医疗保健提供者进行定性描述性研究.
- 使用专题分析,从采访数据中得出关键主题.
主要成果:
- 出现了四个主要主题:医疗问题,情绪/创伤/支持因素,每日药物管理,以及确保获得HIV PEP.
- 在患者和提供者如何优先考虑和描述这些主题方面观察到显著的差异.
- 患者的决策受创伤,信息处理和副作用管理的影响,与提供者的观点不同.
结论:
- 将提供者沟通与以患者为中心的决策因素结合起来,例如创伤信息化护理,可以改善HIV PEP的吸收.
- 系统性政策变化是必要的,以改善性侵犯幸存者的平等获得艾滋病毒PEP,减少对个人提供者的依赖.
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