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目的深入了解男男性行为HIV/AIDS患者在确诊HIV阳性后的心理经历与体验,探索促进患者面对疾病的策略与方法。方法与7例患者进行深度访谈,收集并分析访谈资料。结果经过对访谈内容的剖析和归类,提炼出4个主题,即患病事实的接受需要过程;掌握知识是面对疾病的基础;自我态度的改善是适应疾病的前提;家人支持是接受疾病的保障。结论男男性行为HIV/AIDS患者对艾滋病基本知识与防护有一定的了解,对患病的可能性也有所估测。由于缺乏相关知识、技能、自我反抗社会歧视与排斥的信心、主动告知家人获取家庭支持的勇气,在患者确诊后的心理经历与体验中仍然存在种种问题,亟待医护人员提供有效的支持与干预。
Objective To understand the psychological experience and experience of HIV / AIDS patients who have masculine gender identity after being diagnosed with HIV, and to explore strategies and methods to promote the patients to face the disease. Methods In-depth interviews with 7 patients were conducted to collect and analyze interview data. Results After the analysis and classification of the interview, four subjects were extracted, that is, the process of accepting the illness facts. The mastery of knowledge is the foundation of the disease. The improvement of self-attitude is the precondition of adapting to the disease. The family support is to accept the disease Protection. Conclusions Men with MSM HIV / AIDS have a basic knowledge of HIV / AIDS and some knowledge about their protection, and they also estimate the possibility of illness. Due to the lack of relevant knowledge, skills and self-confidence against social discrimination and exclusion, the family members actively take the initiative to inform their families of the courage to obtain family support. There are still many problems in the psychological experience and experience of the patients after diagnosis. Urgent medical staffs should provide effective support and intervention.