女性HIV感染者兩性親密關係之敘說

Intimate Relationships Narratives of Women Living with HIV

10.6224/JN.57.5.27

賴怡因(Yi-Yin Lai)；馮明珠(Ming-Chu Feng)；成令方(Ling-Fang Cheng)；柯文謙(Wen-Chen Ko)；柯乃熒(Nai-Ying Ko)

女性愛滋感染者 ； 兩性親密關係 ； 敘說研究 ； women with HIV infection ； intimate relationship ； narrative inquiry

護理雜誌

57卷5期（2010 / 10 / 01）

27 - 35

繁體中文

背景　女性愛滋感染者超過七成在診斷後仍有性伴侶，但因疾病汙名，使其面對兩性親密關係時自我設限。 目的　本研究目的為探討女性愛滋感染者在確診後兩性親密關係之歷程。 方法　採敘說研究法，以立意取樣選擇五位在確診後仍持續或重新擁有男性親密伴侶之女性愛滋感染者進行深度訪談。 結果　結果發現女性感染者之兩性親密關係歷經五個階段：「愛始追源易自棄」、「愛陷拉扯難兩全」、「愛要退讓非所願」、「愛存疑猜少關懷」與「相處泰然病共存」。 結論／實務應用　疾病牽扯了兩性親密關係的動力變化，女性感染者在不同階段會呈現出不同的需求及照護，包括告知、保險套協商及性關係開啟與維持。醫護人員透過了解她們的經驗故事，可先發覺她們的需求及困境，進而給予她們最適切的照護。

Background: An estimated 70% of women with the human immunodeficiency virus (HIV) continue to engage in sexual activity after receiving a positive diagnosis. However, such women experience stigmatization because of their disease and find it difficult to maintain an intimate relationship. Purpose: The purpose of this study was to explore the intimate relationships of women living with HIV. Methods: A narrative inquiry was conducted and a semi-structured interview outline was used to collect data. Results: Interviews with five HIV+ women found each of their intimate relationship experiences exhibited the following five stages: 1) loving relationships began, but were given up easily; 2) inner conflict about whether to love or not to love; 3) a desire not to hold back on love; 4) accept love with doubts, but avoid talking about such doubts; and 5) love and live with HIV. Conclusions/ Implications for practice: Health professionals can assist women with HIV and their partners to discuss their life experiences in order to express their needs at different stages of their post-HIV diagnosis intimate relationship.