Characterizing the "HIV Care Adherence Journey" for Persons With HIV in the Philippines: Conceptual Foundation for Person-Centered Intervention.

IF 1.6 4区医学 Q2 NURSING Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-07-01 Epub Date: 2024-04-02 DOI:10.1097/JNC.0000000000000461

Ryan Q De Torres, Don Operario

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Abstract

Abstract: Promoting adherence to HIV care among persons with HIV (PWH) is a key component to addressing the rising HIV epidemic in the Philippines. HIV care adherence is a complex process that may change throughout an individual's life course or "journey" living with HIV. This qualitative study aimed to explore the HIV care adherence journey of PWH. Maximum variation sampling was used to select 12 PWH and 3 health care providers for in-depth online interviews, which were analyzed using thematic analysis. The four themes that emerged to describe the HIV care adherence journey are integration, relation, navigation, and manifestation. Each theme corresponds to a unique set of activities and goals related to PWH's lived experiences as they initiate, practice, and maintain care adherence. This study provides a preliminary framework to characterize the HIV care adherence journey as a dynamic, complex, and multifaceted phenomenon, which can help to inform holistic interventions to support PWH.

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菲律宾艾滋病病毒感染者 "坚持艾滋病护理之旅 "的特点：以人为本的干预措施的概念基础。

摘要：促进艾滋病毒感染者（PWH）坚持接受艾滋病毒护理，是应对菲律宾艾滋病毒疫情上升的一个关键组成部分。坚持接受艾滋病护理是一个复杂的过程，在个人的生命历程或感染艾滋病病毒的 "旅程 "中可能会发生变化。这项定性研究旨在探索感染者坚持接受艾滋病护理的历程。研究采用最大变异抽样法，选取了 12 名艾滋病感染者和 3 名医疗服务提供者进行深入的在线访谈，并采用主题分析法对访谈内容进行了分析。在描述坚持艾滋病护理的历程时，出现了四个主题，分别是整合、关系、导航和表现。每个主题都与艾滋病感染者在开始、实践和坚持护理过程中的一系列活动和目标相对应。本研究提供了一个初步框架，将坚持艾滋病护理的过程描述为一种动态、复杂和多方面的现象，有助于为支持艾滋病感染者的整体干预措施提供信息。

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来源期刊

Janac-Journal of the Association of Nurses in Aids Care 医学-护理

CiteScore

2.90

自引率

10.00%

发文量

120

期刊介绍： The Journal of the Association of Nurses in AIDS Care (JANAC) is a peer-reviewed, international nursing journal that covers the full spectrum of the global HIV epidemic, focusing on prevention, evidence-based care management, interprofessional clinical care, research, advocacy, policy, education, social determinants of health, epidemiology, and program development. JANAC functions according to the highest standards of ethical publishing practices and offers innovative publication options, including Open Access and prepublication article posting, where the journal can post articles before they are published with an issue.