Table 3.

Sample of the process of extracting categories and subcategories with participant quotations

NANDA Nursing Diagnosis Pattern	Category	Subcategory	Initial Code	Participant Quotation
Health Perception–Health Management Pattern	Disruption of normal life	Compulsion to hide the disease	Treatment concealment, non-attendance	“I used to hide my medications and did not go to the health center for two months after learning about my diagnosis.”
Self-Perception–Self-Concept Pattern	Negative emotions	Feelings of depression and hopelessness	Low self-esteem, hopelessness	“I felt worthless and humiliated; I wanted to die.”
Role–Relationship Pattern	Suffering from social stigma	Manifestation of fear and harm from others	Experience of social discrimination	“When I went to a party, I saw hands being washed and children wiped with alcohol.”
Sexuality–Reproductive Pattern	Challenges in managing sexual relationships	Decreased quantity and quality of sexual relations	Reduced marital intimacy	“This disease affected my relationship with my spouse and made it cold.”
Coping–Stress Tolerance Pattern	Denial and avoidance	Disease denial	Disease denial, ineffective coping	“I just couldn’t accept that I had AIDS and no longer listened to anyone.”
Value–Belief Pattern	Meaning-making in life	Calmness through spiritual practice	Spiritual reliance	“I go on pilgrimages, and it helps me feel calmer.”