A model of caregiver paediatric HIV disclosure decision-making.
A model of caregiver paediatric HIV disclosure decision-making.
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DOI：
10.1080/13548506.2015.1058959
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Kagee A
中科院分区：
文献类型：
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作者：
Evangeli M;Kagee A
在300多万艾滋病毒呈阳性的儿童中，许多人只是在青少年时期才被告知自己的状况。了解自己的状况可以提高治疗依从性，减少艾滋病毒的进一步传播，增加对护理人员的信任，并最大限度地提供支持。然而，决定是否、怎样、如何以及何时告诉艾滋病毒阳性儿童他们的病情，对护理人员来说是一个挑战。我们系统地回顾了艾滋病病毒披露理论，然后提出了护理人员儿科艾滋病病毒披露决策的过程模型。该模型由意图前阶段和意图后阶段组成，整合了个人和语境决定因素。它的目的是具体情况，广泛适用，并与经验文献一致。讨论了研究和实践意义。
Many of the over 3 million HIV-positive children will only be told of their status as adolescents. Knowing one’s status may increase treatment adherence, reduce onward HIV transmission, increase trust in caregivers, and maximise available support. Yet deciding whether, what, how, and when to tell HIV-positive children about their condition, is challenging for caregivers. We systematically review HIV disclosure theories before presenting a process model of caregiver paediatric HIV disclosure decision-making. The model, consisting of both a pre-intention and a post-intention stage, integrates individual and contextual determinants. It aims to be situationally-specific, broadly applicable, and consistent with the empirical literature. Research and practice implications are discussed.