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首页> 美国卫生研究院文献>SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance >The lived experiences of rural women diagnosed with the human immunodeficiency virus in the antenatal period
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The lived experiences of rural women diagnosed with the human immunodeficiency virus in the antenatal period

机译：产前诊断为人类免疫缺陷病毒的农村妇女的生活经历

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Background: In South Africa, pregnant women are diagnosed with human immunodeficiency virus (HIV) at antenatal clinics and simultaneously initiated on antiretroviral treatment (ART). An HIV diagnosis together with the initiation of ART has an emotional impact that may influence how pregnant women cope with pregnancy and their adherence to a treatment plan. The aim of the study was to explore the lived experiences of women diagnosed with HIV in the antenatal period in a rural area in the Eastern Cape province of South Africa. Methods: A qualitative approach with a descriptive phenomenological design was utilised. The study applied purposive sampling to select participants from a local community clinic in the Eastern Cape. Ten semistructured interviews were conducted, transcribed and analysed using Colaizzi's framework. Results: Four themes formed the essential structure of the phenomenon being investigated: a reality that hits raw, a loneliness that hurts, hope for a fractured tomorrow and support of a few. Although the participants had to accept the harsh reality of being diagnosed with HIV and experienced loneliness and the support of only a few people, they had hope to live and see the future of their children. Conclusion: Women diagnosed with HIV during pregnancy are ultimately concerned with the well-being of their unborn children, and this concern motivates their adherence to ART. Women's lived experiences are situated in their unique sociocultural context, and although some known challenges remain, counselling and support strategies need to be informed by exploring context-specific issues and involving the local community.
机译：背景：在南非，孕妇在产前诊所被诊断出患有人类免疫缺陷病毒（HIV），并同时接受抗逆转录病毒治疗（ART）。 HIV诊断与抗病毒治疗的启动会产生情感上的影响，这可能会影响孕妇应对妊娠的方式及其对治疗计划的依从性。该研究的目的是探讨南非东开普省农村地区产前诊断为艾滋病毒的妇女的生活经历。方法：采用描述性现象学设计的定性方法。该研究采用目的抽样从东开普省一家当地社区诊所中选择参与者。使用Colaizzi的框架进行了十次半结构化访谈，转录和分析。结果：四个主题构成了正在研究的现象的基本结构：现实无济于事，孤独感伤人，对明天破裂的希望和一些支持。尽管参与者不得不接受被诊断出患有艾滋病毒，经历了孤独感以及只有少数人的支持的严酷现实，但他们还是希望生活并看到他们孩子的未来。结论：怀孕期间被诊断患有HIV的妇女最终与未出生孩子的健康有关，这种担忧促使她们坚持抗逆转录病毒疗法。妇女的生活经历取决于其独特的社会文化背景，尽管仍然存在一些已知的挑战，但仍需要通过探索针对具体情况的问题并让当地社区参与来提供咨询和支持策略。

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