一位初次診斷愛滋病個案之護理經驗

Nursing experience of a patient with first diagnosis of AIDS

苗玉青(Yu-Ching Miao) ； 辛幼玫(Yu-Mei Hsin) ； 何幸美(Hsin-Mei Ho)

《高雄護理雜誌》 36卷3期 (2019/12) Pp. 167-180

https://doi.org/10.6692/KJN.201912_36(3).0015

摘要

本文探討32歲男同性初次診斷愛滋病，擔心病情曝光，曾有自殺念頭且中斷治療，在醫護人員主動提供照護及耐心陪伴下渡過低潮期並完成治療，此為筆者介入關懷之動機。照護期間為2016年1月13日至2月2日，以會談及觀察方式，運用Gorden11項健康功能評估收集資料，建立信任關係，安排隱私環境，使其表達感受，降低焦慮，透過共同設計漸進式活動計畫，改善活動無耐力的不適，並提供營養照護，維持營養均衡，強化家人支持系統來協助疾病適應過程，主要改善「活動無耐力、營養少於身體需求、身體心像紊亂及焦慮」等健康問題，筆者於個案出院後電訪，個案能積極配合治療且接受與疾病共存，建議臨床醫護人員藉此案例經驗，提供照顧初次診斷愛滋病人之參考。

關鍵字

初次診斷 ； 愛滋病 ； 護理經驗

並列摘要

This study explored the mental stages experienced by a 32-year-old male homosexual patient after receiving his first diagnosis of acquired immune deficiency syndrome (AIDS). After this diagnosis, he was concerned about the possible disclosure of his disease, developed distrust of medical personnel, stopped his treatment because of anxiety, and had suicidal thoughts. Active provision of professional care and company from attentive medical personnel can help patients get through their depression and complete their treatment; this motivated the author to actively intervene in such situations and care for patients. The nursing care was provided between January 13 and February 2 in 2016. This study's research methods involved interview and observation, and Gordon's 11 functional health patterns were used for assessing and collecting data. This study established trust with the patient and arranged a private and protective environment for him to reveal his feelings. A tailor-made nursing plan and corresponding objectives were established to improve his physical discomfort; specifically, a nutritional health care plan was designed to solve his problems of low endurance during exercise, insufficient nutrition for body requirements, body image disturbance, and anxiety. Telephone interviews with the patient after his discharge from the hospital revealed that he had been cooperative during his treatment and positively accepted the disease and his coexistence with it. The author accompanied the patient throughout his progression through mental stages after he acquired the disease. This study might serve as a reference and instruction for intervention techniques for nursing personnel to care for patients who receive their first AIDS diagnosis.

並列關鍵字

first diagnosis ； acquired immune deficiency syndrome (AIDS) ； nursing experience

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