女性HIV/AIDS患者自我耻辱感干预策略的系统评价  

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

作　　者：杨中方[1,2,3,4] 胡倩倩 张林 张悦[1,2] 杨红丽 龚贝贝[8] 付艳芬[9] 胡雁[1,2] YANG Zhongfang;HU Qianqian;ZHANG Lin;ZHANG Yue;YANG Hongli;GONG Beibei;FU Yanfen;HU Yan(School of Nursing,Fudan University,Shanghai 200032,China;Centre for Evidence-based Nursing,Fudan University,Shanghai 200032,China;Shanghai Institute of Infectious Disease and Biosecurity,Shanghai 200032,China;Rory Meyers College of Nursing,New York University,New York 10010,USA;School of Nursing,Anhui University of Traditional Chinese Medicine,Hefei 230012,Anhui,China;Department of Nursing,Shanghai Public Health Clinical Center,Shanghai 201515,China;Yunnan Provincial Hospital of Infectious Disease/Yunnan AIDS Care Center/Department of Nursing,Yunnan Mental Health Center,Kunming 650300,Yunnan,China;Department of Nursing,The Fourth People's Hospital of Nanning,Nanning 530002,Guangxi,China;School of Nursing,Dali University,Dali 671006,Yunnan,China)

机构地区：[1]复旦大学护理学院,上海200032 [2]复旦大学循证护理中心,上海200032 [3]上海市重大传染病与生物安全研究院,上海200032 [4]纽约大学Rory Meyers护理学院,纽约10010 [5]安徽中医药大学护理学院,合肥230012 [6]上海市公共卫生临床中心护理部,上海201515 [7]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 [8]南宁市第四人民医院护理部,南宁530002 [9]大理大学护理学院,云南大理671006

出　　处：《中国艾滋病性病》2024年第7期754-759,共6页Chinese Journal of Aids & STD

基　　金：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)。

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(EBSCO)、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。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 metaanalysis or descriptive analysis.Results Eight interventional studies with a total of 1432 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.

关 键 词：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 

分 类 号：R373.9[医药卫生—病原生物学] R512.91[医药卫生—基础医学]