WOMEN WITH HIV INFECTION--ADJUSTMENT TO CHRONIC ILLNESS

美国已有超过5.1万名妇女被诊断出患有艾滋病 (CDC，1995)使艾滋病成为#年妇女死亡的第五大原因 生育年限。最近的趋势表明，女性是 感染艾滋病毒的人数增长最快，特别是低 收入方面，与注射吸毒有关的少数族裔妇女。作为一种疾病 轨迹存在的今天，艾滋病毒感染者生活在慢性 疾病(诺克斯，1991)。对其他慢性病的研究表明 症状的存在、症状严重程度和功能状态的影响 疾病的意义，但不一定适应疾病。 对感染艾滋病毒的妇女中的这些变量知之甚少。更好的 对护理实践的理解是至关重要的。因此，作为第一步 在这个研究方案中，拟议的研究由拉撒路和 福克曼的压力、应对和评估意志模型：描述和检验 疾病意义、社会支持、HIV分期的关系 疾病、CD4计数、症状、症状严重性、功能状态和 艾滋病毒血清阳性妇女对慢性病的适应。差异 将进行跨种族的探索。这个横截面多变量 研究将包括使用结构化的面对面访谈 问卷调查。低收入、少数族裔妇女和注射吸毒者 将积极招募艾滋病毒感染者。

More than 51,000 women have been diagnosed with AIDS in the United States (CDC, 1995) making AIDS the fifth leading cause of death of women during childbearing years. Recent trends indicate that women are one of the fastest growing populations of persons infected with HIV, particularly low income, minority women with ties to injection drug use. As the disease trajectory exists today, persons with HIV infection live with a chronic illness (Nokes, 1991). Research in other chronic illnesses suggest that presence of symptoms, symptom severity, and functional status influence the meaning of illness, but not necessarily adjustment to the illness. Little is known about these variables in HIV infected women. A better understanding is critical for nursing practice. Therefore as a first step in this program of research, the proposed study, guided by Lazarus and Folkman's model of stress, coping and appraisal will: describe and test relationships between meaning of illness, social supports, stage of HIV disease, CD4 count, symptoms, symptom severity, functional status, and adjustment to chronic illness for HIV seropositive women. Differences across ethnic groups will be explored. This cross-sectional multivariate study will include face to face interviews using a structured questionnaire. Low income, minority women and injection drug users with HIV infection will be actively recruited.