| Summary: | 碩士 === 國立臺灣大學 === 護理學研究所 === 100 === HIV infection, depression and cancer are the three major challenges to public health in our era, while HIV infection is even more challenging from the aspects of medical ethics, nursing care, and mental health. This study aimed to demonstrate the possible consequence and problems during disclosure of their disease status in HIV-infected patients. We interviewed 7 HIV-infected individuals and 3 of their family members in one medical center in northern Taiwan from Apria to September 2011. The interview was conducted with open-end questions at the outpatient clinic or at the ward. Words from the interviewees were typed down and analyzed with qualitative analysis software (ATLAS. ti 6.2). Our result comprised five different aspects of disclosing process, including “psychological impact at diagnosis”, “untold secret”, “reasons for disclosure”, “a changing family relationship”, “acceptance and being reborn”. We concluded that the main factors hinder the HIV-infected individuals from disclosure were “unpredictability of parental response” and “social stigma”. We suggested a more aggressive approach, with the help from hospital, legislature, public media, and social influential icons to promote desigmatization of HIV infection.
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