最近被诊断出患有艾滋病毒/艾滋病的人群中的耻辱化,药物坚持和弹性 (PLWHA):一种混合方法研究
Emmanuel O Adesuyi1,2, Cynthia A Attah1,3, Oluwatosin A Ige4
1Institute of Nursing Research Osogbo Osun Nigeria.
Public health challenges
|June 11, 2025
概括
在尼日利亚,最近被诊断为艾滋病毒/艾滋病感染者 (PLWHA) 的人群表现出高度的耻辱感,性和药物坚持. 然而,很大一部分人很难坚持,这凸显了有针对性的干预措施的需要.
科学领域:
- 公共卫生 公共卫生
- 艾滋病毒/艾滋病研究研究
- 心理社会研究 心理社会研究
背景情况:
- 耻辱感,药物坚持和弹性是影响艾滋病毒/艾滋病患者 (PLWHA) 结果的关键因素.
- 在不同环境中新诊断的个体中了解这些因素对于有效的护理至关重要.
- 尼日利亚面临着艾滋病毒/艾滋病的重大负担,需要对患者体验和支持系统进行研究.
研究的目的:
- 评估尼日利亚最近诊断的PLWHA的耻辱程度,药物坚持和弹性.
- 检查药物坚持,耻辱化和弹性之间的相互关系.
- 确定影响这些结果的因素,以告知公共卫生战略.
主要方法:
- 一种融合并行混合方法设计,结合了定量和定性方法.
- 定量阶段:在拉各斯大学教学医院对200名PLWHA进行横截面调查.
- 定性阶段:与26名PLWHA进行半结构面试;数据以主题分析;使用斯皮尔曼的rho相关性分析定量数据.
主要成果:
- 在参与者中报告了高水平的耻辱感 (57%) 和药物坚持 (76%).
- 大多数 (57.2%) 的人表现出很高的弹性.
- 定性分析揭示了建立弹性,诊断/治疗经验和坚持促进者的主题.
结论:
- 在尼日利亚,新诊断的PLWHA患者经历了严重的耻辱,同时具有很高的弹性和药物坚持.
- 显著的比例 (近三分之一) 显示出不遵守,这表明干预的关键领域.
- 努力应集中在减少耻辱和增强性,以改善药物坚持和PLWHA的整体结果.
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