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

摘要：

目的 通过Meta整合，系统梳理HIV感染者/AIDS患者创伤后成长的真实体验及影响因素，为制订针对性干预策略提供依据。方法 计算机检索PubMed、Embase、Web of Science、Scopus、ProQuest、PsycINFO、中国知网、万方数据库、维普数据库、中国生物医学文献服务系统中关于HIV感染者/AIDS患者创伤后成长的质性研究，检索时限为建库至2025年8月，采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价工具对符合要求的文献进行评价，采用汇集性Meta整合法进行结果整合。结果 最终纳入9篇文献，共提炼出31个研究结果，归纳为7个类别，形成3个整合结果，即HIV感染者/AIDS患者相关创伤的表现与初始反应、创伤后成长的动态实现路径及影响因素。结论 HIV感染者/AIDS患者创伤后成长需经历创伤应对、行为调适、成长内化三阶段方可实现；其成长进程受有力的社会支持、充足资源保障等促进因素，以及社会歧视、医患沟通质量不足等阻碍因素的双重影响。医护人员应正确理解HIV感染者/AIDS患者创伤后成长的相关表现，挖掘其积极的心理体验，采取措施帮助其应对相关创伤。

关键词: 创伤后成长, 艾滋病, 质性研究, meta整合, 循证护理学