目的 了解艾滋病男男同性恋人群在婚姻家庭关系以及抗病毒治疗过程中的真实体验,为艾滋病个案管理工作提供指导。方法 对10例已婚艾滋病男男同性恋者进行半结构访谈,使用Colaizzi现象学的分析方法分析资料。结果 提炼出羞耻感及自我歧视、担心妻儿被感染和受歧视、婚姻为治疗带来压力和希望、不知道如何告知妻儿病情、对治疗预后的不确定感5个主题。结论 “同妻”婚姻家庭关系为艾滋病男男同性恋患者带来心理压力,对其治疗带来影响,该人群存在伦理困境,他们的生活方式影响疾病传播,该人群需要专业医护人员提供有针对性的干预。

Objective To understand the real life experience of HIV/AIDS infected homosexual males in marriage relationship and receiving anti-viral treatment,in order to provide guidance for better case management.Methods Semi-structured interviews were conducted among 10 married AIDS homosexual male patients,and the data were analyzed using Colaizzi phenomenological analysis.Results Finally 5 topics including “shame and self-discrimination”,“worrying about wife and children being infected and discriminated”,“the pressure and hope of marriage for treatment”,“not knowing how to inform disease status to spouse and children”,and “sense of uncertainty towards prognosis”.Conclusion The marriage between a gay and a female brings psychological pressure to AIDS infected gay patients,as well as impacts on their treatment.This group has ethical dilemmas,and their lifestyle affects the spread of diseases.Therefore,trapeted intervention provided by professional medical staff are required.