Impacts of health of users with HIV/AIDS in a specialized service

ABSTRACT Objective: to understand the perception of users of a Specialized Care Service (SAE- Serviço de Assistência Especializada) in HIV/AIDS about their oral health. Method: qualitative research that used the techniques of participant observation and focal group. For the analysis of the material produced, categories of analysis, construction of dialogical map and identification of linguistic repertoires were used. Results: impacts arising from oral health problems such as: inability to eat properly, feeling ashamed due to tooth loss, inability to perform physical exercises and, as the main barrier to access to dental treatment, fear of exposure to practices of discrimination and prejudice. Final considerations: we need the implementation of policies of Permanent Education to all professionals involved in the care for this population, to ensure users’ rights, ensure qualified care, and create security and trust relationships with individuals living with HIV/AIDS, in access to services.

摘要
研究目的：了解艾滋病病毒/艾滋病（HIV/AIDS）感染者群体中，某专科护理服务（Serviço de Assistência Especializada，缩写SAE）使用者对自身口腔健康的认知情况。
研究方法：本研究采用质性研究范式，运用参与式观察与焦点小组访谈技术；在资料分析环节，采用分析类别构建、对话图谱绘制以及语言语库识别的方法开展数据解读与分析。
研究结果：口腔健康问题可引发多重不良影响，具体包括无法正常进食、因牙齿缺失产生羞耻感、无法完成体育锻炼；而阻碍该群体获取牙科诊疗服务的核心障碍为担忧遭受歧视与偏见。
研究结论：需为所有参与该人群照护工作的专业人员制定并推行持续性继续教育政策，以保障感染者的合法权益，提供高质量的专业照护，并与艾滋病病毒/艾滋病感染者建立安全且互信的服务对接关系。