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首页> 外文期刊>AIDS care. >'I'm sorry, you're positive': a qualitative study of individual experiences of testing positive for HIV.
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'I'm sorry, you're positive': a qualitative study of individual experiences of testing positive for HIV.

机译：“很抱歉，您是积极的”：对艾滋病毒呈阳性的个人经历进行的定性研究。

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New CDC guidelines for HIV testing as well as the introduction of rapid tests may increase the number of HIV tests conducted in the USA and make testing a more routine part of medical care. However, little is currently known about the experience of those receiving positive results. In this study, face-to-face interviews were conducted with 50 participants who had recently learned they were HIV positive in the San Francisco Bay Area. Ninety-two percent were male, 36% were persons of color. Participants were asked to tell their story of testing positive for HIV. Interviews were transcribed for team-based narrative qualitative analysis. The majority of participants were tested at either a hospital or an HIV test site. While some suspected they might have HIV, most were tested while seeking care for another health concern or for routine testing. Fifty-eight percent had a rapid test. Test results were typically given by medical staff or HIV test counselors. The manner in which the news was delivered affected an individual's testing experience. For seven (14%) of the participants, the provider giving the results was so upset or agitated that it added to the participant's distress over the diagnosis. Responses to the news varied greatly from being too shocked to comprehend what they were being told to immediately accepting the news and feeling ready for action. The patient/provider interaction plays a pivotal role in both follow-up care and prevention decisions. Therefore, HIV service providers need to be cognizant of the way in which their role in the testing process, including delivery of the news and post-test counseling impacts the individual's experience of testing positive.
机译：CDC有关HIV检测的新指南以及快速检测的引入可能会增加在美国进行的HIV检测的数量，并使检测成为医疗保健中更常规的一部分。但是，目前对于获得积极成果的人的经验知之甚少。在这项研究中，面对50名参与者的面对面访谈，他们最近得知他们在旧金山湾区的HIV阳性。男性为92％，有色人种为36％。要求参与者讲讲他们的艾滋病毒检测呈阳性的故事。访谈录被转录为基于团队的叙事定性分析。大多数参与者在医院或HIV测试地点进行了测试。尽管有些人怀疑他们可能感染了艾滋病毒，但大多数人在寻求医疗保健以进行其他健康检查或常规检查时都进行了检查。 58％进行了快速测试。测试结果通常由医务人员或HIV测试顾问提供。新闻的发布方式影响了个人的测试体验。对于七名参与者（14％），提供结果的提供者非常沮丧或激动，以至于增加了参与者对诊断的困扰。对新闻的反应从震惊到无法理解被告知的变化到立即接受新闻并准备采取行动的变化很大。病人/提供者的互动在后续护理和预防决策中都起着关键作用。因此，艾滋病毒服务提供者需要认识到他们在检测过程中的作用方式，包括新闻发布和检测后咨询的提供，会影响个人的阳性检测经验。

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