摘要
目的 对女性HIV/AIDS患者自我耻辱感的干预策略进行系统评价,为相关科室护理干预策略的制定提供循证依据.方法 在 PubMed、Cochrane library 循证医学数据库、Embase(OVID)、ProQuest、Scopus、CINAHL(EB-SCO)、中国知网(CNKI)、万方数据库、中文科技期刊数据库(VIP)和中国生物医学文献数据库(SinoMed)中检索关于女性HIV/AIDS患者自我耻辱感干预策略的干预性研究.检索时限为自建库至2023年5月.根据纳入和排除标准筛选文献并对纳入文献进行质量评价,对提取结果进行Meta分析或描述性分析.结果 8项干预性研究被纳入分析,共1 432例患者.女性HIV/AIDS患者自我耻辱感的干预层面大多落脚于个体层面,干预类型涉及信息培训干预、技术培训干预及两者结合的干预.5项研究的干预策略对降低女性HIV/AIDS患者自我耻辱感效果显著.结论 现有干预策略对降低女性HIV/AIDS患者自我耻辱感的效果有待进一步验证,从机制水平制订干预策略对减少女性HIV/AIDS患者自我耻辱感具有积极意义.
Abstract
Objectives To examine self-stigma intervention strategies for women living with HIV/AIDS(WLWHA),and to provide research-based evidence for developing clinical interventions in relevant healthcare settings.Methods A comprehensive search for studies on self-stigma intervention strategies among WLWHA was conducted across various databases,including PubMed,Cochrane Library,Embase(OVID),ProQuest,Scopus,Cumulative Index to Nursing and Allied Health Literature(CINAHL,EBSCO),China National Knowledge Internet(CNKI),Chinese Biomedical Literature Database,Wanfang Data Knowledge Service Platform,VIP Chinese Journal Service Platform,and China Biology Medicine disc(CBM,SinoMed).The search covered the period from database inception to May 2023.Quality assessments were conducted on literature selected according to inclusion and exclusion criteria,and extracted data was then analyzed using either meta-analysis or descriptive analysis.Results Eight interventional studies with a total of 1 432 participants were included.Interventions strategies for self-stigma among WLWHA were predominantly focused at the individual level.Intervention types included information training,skills training,or a combination of both.Five studies demonstrated significant effects on reducing self-stigma among WLWHA.Conclusions Further researches are needed to solidify the effectiveness of existing strategies in reducing self-stigma among WLWHA.Additionally,developing interventions that address the underlying mechanisms of self-stigma holds significant promise for this population.
基金项目
复旦大学-复星护理科研基金资助项目(FNF202303)
国家留学基金管理委员会国家建设高水平大学公派研究生项目(202306100228)
NETL
NSTL
万方数据