目的 分析艾滋病心理痛苦的概念、结构要素及其内涵,为今后开展艾滋病心理痛苦的相关研究提供理论基础。 方法 在前期Walker及Avant概念分析的基础上，通过文献回顾和小组讨论初步拟定艾滋病心理痛苦概念及结构要素。采用德尔菲法进行2轮专家咨询，最终确定艾滋病心理痛苦的概念结构模型。 结果 2轮专家咨询有效回收率分别是90.91%和90.00%，专家的权威系数分别为0.883、0.925，专家意见的总协调系数分别为0.180、0.210。通过专家咨询初步确立了艾滋病心理痛苦的概念、4个维度与8项构成要素，最终确定的维度要素重要性赋值为4.44~4.85、变异系数为0.07~0.14，构成要素重要性赋值为4.39~4.89、变异系数为0.07~0.16。 结论 界定的艾滋病心理痛苦概念及结构要素具有较高的科学性和可靠性，可为今后开发、完善或选择测量工具提供理论依据。

Objective To analyze the concept and structure elements of AIDS-related psychological distress and it can provide a theoretical basis for the study in the future. Methods On the basis of Walker and Avant’s concept analysis,the concept and structure elements of AIDS-related psychological distress were preliminarily developed through literature review and panel discussion.The Delphi method was adopted for two rounds of expert consultation,and eventually established the theory and structure model of the AIDS-related psychological distress. Results For the two rounds consultation,the effective recovery rates of the questionnaire were 90.91% and 90.00%.The authority coefficients were 0.883 and 0.925 respectively,and the total consistency coefficients were 0.180 and 0.210 with statistical significance.The Delphi expert consultation established the concept,4 dimensions and 8 components.The importance values of the finally determined dimension elements ranged from 4.44 to 4.85,coefficient of variation 0.07 to 0.14,and the importance values of the components ranged from 4.39 to 4.89,coefficient of variation 0.07 to 0.16. Conclusions The defined concept and structural elements are scientific and reliable,which can provide a theoretical basis for relevant research on AIDS-related psychological distress in the future.

R473.51

广东省大学生创新创业训练计划项目（S2021 12121119X）；南方医科大学护理科研专项项目（Z2021007）