艾滋病患者污名化体验质性研究的Meta整合

目的 系统总结艾滋病患者在生活及就医过程中的污名化体验,了解其内心真实诉求,为更好地针对艾滋病患者实施干预措施提供依据。方法 计算机检索The Cochrane Library、PubMed、JBI、CINAHL、Web of Science、Science Direct、EBSCO 数据库、Embase 数据库、中国知网、万方数据库、中国生物医学文献数据库、维普数据库、台湾学术文献数据库从建库至2021年8月18日收录的所有有关艾滋病患者污名化体验及应对措施的所有类型的质性研究,采用汇集性整合的方法对结果进行整理分析。结果 共纳入17篇研究,提炼出51个完好明确的研究结果,将相似的研究结果归纳形成6个新类别,得出3个整合结果：自我污名化（自我污名化导致艾滋病患者不良情绪持续堆积和回避社会行为）;家庭污名化（家庭污名化导致家庭成员对艾滋病患者产生抵抗心理和出现排斥行为）;公众污名化（公众污名化导致公众对艾滋病患者言语上进行指责、羞辱及行为上过度预防）。结论 健全自我认知、良好家庭支持系统及稳定医疗系统三者的建立是消除艾滋病患者污名化的重要途径。

Meta-integration of Qualitative Research on Stigmatization against HIV/AIDS Patients

Objective To systematically summarize the stigmatization toward HIV/AIDS patients in life and medical treatment, to understand their inner demands, and provide reference for better intervention for HIV/AIDS patients. Methods The Cochrane Library, PubMed, JBI, CINAHL, Web of Science, Science Direct, EBSCO database, Embase database, CNKI, Wanfang database, China Biomedical database, VIP database and Taiwan academic literature database were searched from the inception to 18 August, 2021, to collect the qualitative research on the stigmatization towards AIDS patients. The results were analyzed by using aggregative integration. Results Seventeen studies were included, and 51 well-defined research results were extracted. Similar research results were summarized into 6 new categories, and 3 integrated results were obtained: self-stigmatization leading to continuous accumulation of negative emotions and avoidance of society, family stigmatization leading to the resistance and rejection of family members to HIV/AIDS patients, and public stigmatization leading to public accusations, humiliation and excessive behavioral prevention of AIDS patients. Conclusion The establishment of healthy self-perception, good family support system and stable medical system is an important way to eliminate the stigmatization towards HIV/AIDS patients.