Abstract:

Objective To systematically evaluate and integrate the experiences of people living with HIV in peer support，and to provide references and suggestions for improving peer support for HIV patients in clinical practice. Methods The computer retrieval was performed in PubMed，CINAHL（EBSCO），Web of Science，ProQuest，CNKI and Wanfang Data from January 1，1996 to September 30，2022，to collect qualitative studies in the experience of people living with HIV participating in peer support. This qualitative systematic review was conducted under the Joanna Briggs Institute guideline. This paper was written according to the enhancing transparency in reporting the synthesis of qualitative research（ENTREQ）. Results A total of 7 qualitative studies were included，and 26 findings were extracted，which were summarized into 12 categories and integrated into 4 synthesized findings. Findings included that peer support provides patients with information and help them establish and maintain a healthy lifestyle；patients receive emotional support in peer support；patients receive instrumental support in peer support；the objective requirements and scenarios of peer support. Conclusion AIDS peer support has a positive effect on AIDS prevention and treatment，and it is important to address the practical needs of people living with HIV/AIDS. The practice of HIV peer support needs further theoretical support and scientific guidance. Building an HIV peer support model，providing systematic training and professional guidance to HIV peers is conducive to improving the accuracy of HIV peer support behaviors，the development of HIV peer support activities，and optimizing the effectiveness and sustainability of peer support for people living with HIV/AIDS.

Key words: Acquired Immunodeficiency Syndrome, Peer Support, Meta-Synthesis, Evidence-Based Nursing

摘要：

目的 系统评价和整合HIV感染者/AIDS患者参与同伴支持的体验，为完善对HIV感染者/AIDS患者的同伴支持提供参考和建议。方法 计算机检索PubMed、CINAHL、Web of Science Core Collection、ProQuest、中国知网、万方数据库等中英文数据库，搜集有关HIV感染者/AIDS患者参与同伴支持体验的质性研究，检索时限为1996年1月—2022年9月。采用澳大利亚乔安娜布里格斯研究所质性研究质量评价标准（2020版）对纳入文献进行方法学质量评价，采用汇集性整合方法对原始研究结果进行整合，按照提高定性研究合成报告透明度的指南撰写论文。结果 共纳入7篇质性研究，提取出26个原始研究结果，归纳为12个类别，综合为4个整合结果，分别是同伴支持为患者提供信息支持，帮助患者建立和维持健康生活方式；患者在同伴支持中获得心理和情感支持；患者在同伴支持中获得社会支持；开展同伴支持的客观要求及情景。结论 同伴支持对AIDS防治工作有积极作用，对解决HIV感染者/AIDS患者实际需求具有重要意义。AIDS同伴支持的实践需要进一步的理论支持及科学指导，构建AIDS同伴支持模式，对AIDS同伴进行系统的培训和专业的指导，有利于提升AIDS同伴支持行为的准确性，促进AIDS同伴支持活动的开展，优化HIV感染者/AIDS患者同伴支持的有效性和可持续性。

关键词: 获得性免疫缺陷综合征, 同伴支持, Meta整合, 循证护理学