Disclosure of HIV status to HIV-infected children in a large African treatment center: Lessons learned in Botswana
Disclosure of HIV status to HIV-infected children in a large African treatment center: Lessons learned in Botswana
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DOI：
10.1016/j.childyouth.2014.03.031
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发表时间：
2014-10-01
影响因子：
3.3
通讯作者：
Anabwani, Gabriel M.
中科院分区：
文献类型：
--
作者：
Lowenthal, Elizabeth D.;Jibril, Haruna B.;Anabwani, Gabriel M.
在世界上艾滋病毒流行率高的地区，感染艾滋病毒的儿童越来越多地获得高效抗逆转录病毒疗法，并且有大量儿童进入青春期。这些儿童需要了解他们的疾病，最大限度地减少负面的自我形象，并支持坚持挽救生命的治疗。向受艾滋病毒感染的儿童透露其艾滋病毒状况，这一过程往往会引起父母和照料者的焦虑。我们描述了一个全面的诊所为基础的艾滋病支持过程中，在博茨瓦纳的一个大型门诊儿科艾滋病护理和治疗中心实施。这个过程的目标是让孩子以渐进和支持的方式了解疾病，从而实现健康的心理社会成熟。在一个单一的治疗中心成功地开发和实施了这一过程，导致修订了国家指南和培训计划，以促进全国儿童基于诊所的披露支持。(C)2014爱思唯尔有限公司版权所有。
HIV-infected children in areas of the world with high HIV prevalence have increasing access to highly active antiretroviral therapy and are aging into adolescence in large numbers. These children need to develop an understanding of their illness that minimizes negative self-image and supports adherence to life-saving treatment. The disclosure of HIV status to an HIV-infected child is a process that is often anxiety-provoking for parents and caregivers. We describe a comprehensive clinic-based disclosure-support process, implemented in a large outpatient pediatric HIV care and treatment center in Botswana. The goals of this process are to allow the child to learn about the illness in an incremental and supported fashion, allowing for healthy psychosocial maturation. Successful development and implementation of this process at a single treatment center led to a revision of national guidelines and training programs to promote clinic-based disclosure support for children country-wide. (C) 2014 Elsevier Ltd. All rights reserved.