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首页> 外文期刊>AIDS care. >Confidentiality and disclosure of HIV infection: HIV-positive persons' experience with HIV testing and coping with HIV infection in Latvia.
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Confidentiality and disclosure of HIV infection: HIV-positive persons' experience with HIV testing and coping with HIV infection in Latvia.

机译：HIV感染的保密和披露：拉脱维亚的HIV阳性人员进行HIV检测和应对HIV感染的经验。

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摘要

The objective of the study was to explore retrospectively HIV-infected individuals' experience with HIV testing, counselling and the issue of confidentiality in the Latvian context. A qualitative study using grounded theory approach and based on semi-structured in-depth interviews was implemented. Thirteen HIV-positive individuals above 18 were selected, using purposeful sampling, from the 63 HIV-positive individuals registered in Latvia between 1987 and 1997. HIV-infected people are worried that doctors sometimes disrespect confidentiality. Confidentiality was found to be a basic prerequisite for building trusting relationships between an HIV-infected individual and a doctor within the counselling process from the first visit to follow-up counselling and as one of the most important factors of the formation and proper functioning of the physician-patient relationship. Trusting relationships will not be established in situations when an HIV-infected individual is not seen by a doctor as a human being with needs, worries and without understanding his or her situation. Breaches of confidentiality should be seen as shortsighted and can diminish the public's trust in physicians. Counselling should be sensitive to the cultural, historical traditions and prevailing public health practices, social values and political differences in attitude toward the importance of treating someone as a private individual.
机译：这项研究的目的是回顾性地了解在拉脱维亚语境下受艾滋病毒感染的人进行艾滋病毒检测，咨询和保密问题的经验。使用扎根理论方法并基于半结构化深度访谈进行了定性研究。 1987年至1997年间，从拉脱维亚注册的63名HIV阳性个体中，有目的地抽取了13名18岁以上的HIV阳性个体。感染HIV的人们担心医生有时会不尊重机密性。从首次访问到后续咨询，在咨询过程中，保密是建立HIV感染者与医生之间信任关系的基本先决条件，并且是保密机制的形成和正常运作的最重要因素之一。医患关系。当医生将艾滋病毒感染者视为没有需要，担心和不了解自己状况的人时，就不会建立信任关系。违反保密规定应被视为是短视的，可能会削弱公众对医生的信任。咨询应该对文化，历史传统和普遍的公共卫生习惯，社会价值观以及政治上的态度保持敏感，这种态度对于将某人视为私人的重要性至关重要。

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