关键词: 创伤后成长, 艾滋病, 质性研究, meta整合, 循证护理学

Abstract:

Objective To systematically summarize the authentic experiences and influencing factors of post-traumatic growth（PTG） among people living with HIV/AIDS through meta-aggregation，and to provide evidence for formulating targeted intervention strategies. Methods A computerized literature search was conducted across the databases including PubMed，Embase，Web of Science，Scopus，ProQuest，PsycINFO，CNKI，Wanfang Data，VIP Data-base，and China Biological Medicine Database. The search timeframe was set from the establishment of each database to August 2025 for qualitative studies focusing on post-traumatic growth in people living with HIV/AIDS. Qualitative studies that met the inclusion criteria were evaluated using the qualitative research quality assessment tool developed by the Joanna Briggs Institute（JBI） Evidence-based Healthcare Centre in Australia，and the findings were synthesized via an aggregative meta-synthesis approach. Results A total of 9 studies were finally included，from which 31 research results were extracted，summarized into 7 categories，and further integrated into 3 main findings：the manifestations and initial responses to HIV/AIDS-related trauma，the dynamic realization path of PTG，and the influencing factors of PTG. Conclusion The PTG of people living with HIV/AIDS can typically be achieved through 3 sequential stages：trauma coping，behavioral adjustment，and growth internalization. Their growth process is subject to the dual impacts of facilitating factors（e.g.，robust social support and adequate resource guarantee） and hindering factors（e.g.，social stigma and suboptimal doctor-patient communication）. Healthcare providers should accurately understand the relevant manifestations of PTG in HIV/AIDS，explore their positive psychological experiences，and take targeted measures to help them cope with related trauma.

Key words: Post-Traumatic Growth, Acquired Immunodeficiency Syndrome, Qualitative Research, Meta-Synthesis, Evidence-Based Nursing