Providing Sensitive Care for Adult HIV-Infected Women With a History of Childhood Sexual Abuse
Providing Sensitive Care for Adult HIV-Infected Women With a History of Childhood Sexual Abuse
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DOI：
10.1016/j.jana.2013.03.004
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发表时间：
2013-07-01
影响因子：
2
通讯作者：
Geller, Pamela A.
中科院分区：
文献类型：
--
作者：
Aaron, Erika;Criniti, Shannon;Geller, Pamela A.
儿童期性虐待是一个严重的公共卫生问题。有环孢素A病史的艾滋病毒携带者接受零星治疗、不坚持艾滋病毒药物治疗和艾滋病毒危险行为的风险增加。这些关联对为这些人群提供医疗保健构成了挑战，并因CSA可能产生的心理后遗症而复杂化，如焦虑、抑郁、分离和创伤后应激障碍。本文综述了环孢素A对HIV感染妇女健康状况的影响，治疗依从性的障碍，创伤敏感医疗的建议组成部分，以及心理健康方法。建议一种创伤知情、创伤敏感的护理模式，解决与有CSA病史的妇女的医疗保健相关的障碍。为向也有CSA病史的艾滋病毒携带者提供有效的临床护理提出了具体建议，以帮助艾滋病毒护理提供者更好地认识和理解这一患者群体的不同需求。版权所有(C)2013艾滋病护理护士协会
Childhood sexual abuse (CSA) is a serious public health issue. Women with HIV who have a history of CSA are at increased risk for sporadic medical treatment, nonadherence to HIV medications, and HIV risk behaviors. These associations pose a challenge to providing health care for this population and are complicated by the possible psychological sequelae of CSA, such as anxiety, depression, dissociation, and posttraumatic stress disorder. This article reviews the effects of CSA on the health status of women with HIV, barriers to treatment adherence, suggested components of trauma-sensitive medical care, and mental health approaches. A trauma-informed, trauma-sensitive care model that addresses barriers associated with health care for women with a history of CSA is suggested. Specific recommendations are offered for the provision of effective clinical care for women with HIV who also have a history of CSA to help HIV care providers better recognize and appreciate the distinct needs of this patient population. Copyright (C) 2013 Association of Nurses in AIDS Care