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女性HIV/AIDS患者自我耻辱感干预策略的系统评价

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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.
Systematic review of interventions strategies for self-stigma among women living with HIV
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.

HIV/AIDScommunicable diseaseswomenstigmaintervention study

杨中方、胡倩倩、张林、张悦、杨红丽、龚贝贝、付艳芬、胡雁

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复旦大学护理学院,上海 200032

复旦大学循证护理中心,上海 200032

上海市重大传染病与生物安全研究院,上海 200032

纽约大学Rory Meyers护理学院,纽约10010

安徽中医药大学护理学院,合肥 230012

上海市公共卫生临床中心护理部,上海 201515

云南省传染病医院/云南省艾滋病关爱中心/云南省心理卫生中心护理部,昆明 650300

南宁市第四人民医院护理部,南宁 530002

大理大学护理学院,云南大理 671006

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艾滋病病毒感染者/艾滋病患者 传染病 女性 耻辱感 干预性研究

复旦大学-复星护理科研基金资助项目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

FNF202303202306100228

2024

中国艾滋病性病
中国性病艾滋病防治协会

中国艾滋病性病

CSTPCD北大核心
影响因子:1.292
ISSN:1672-5662
年,卷(期):2024.30(7)
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