照顧一位愛滋病合併隱球菌腦膜炎個案之護理經驗

A Nursing Experience of an Acquired Immune Deficiency Syndrome Patient with Cryptococcal Meningitis

黃雅蘭(Ya-Lan Huang) ； 陳淑芬(Shu-Fen Chen)

《志為護理-慈濟護理雜誌》 12卷1期 (2013/02) Pp. 98-107

摘要

本文為探討一位感染隱球菌腦膜炎而診斷出愛滋病後，所引發生理、心理衝擊的照護經驗。筆者於2011年1月27日至2011年2月14日，透過直接照護、身體評估、觀察及會談等方式，運用Gordon十一項功能性健康型態進行評估，確立個案有現存性感染、社交隔離及營養少於身體需要等健康問題，經給予個案戴口罩、示範洗手方式及教導不生食、生飲，減輕其感染不適；主動關懷個案及使用同理技巧，運用肢體語言引導個案和家人互動，改善罹病後的社交隔離以及透過營養指導、提供口腔護理，協助度過感染愛滋病毒後所引發的衝擊，希望藉由此照護經驗作為往後護理人員照護之臨床參考。

關鍵字

愛滋病 ； 隱球菌腦膜炎 ； 護理經驗

並列摘要

This article described a nursing experience of a patient infected with cryptococcus meningitis and diagnosed with acquired immune deficiency syndrome(AIDS), which triggered physiological and psychological impacts. The caring period was from January 27 to February 14, 2011. Gordon's functional health assessment tool was applied to assess the patient's condition via the data collected from clinical care, physical assessments, observations and interviews. Three health-related problems were identified: existing infection, social isolation, and malnutrition. During the nursing process, nursing interventions were implemented, which included: easing the discomforts of infection by providing surgical mask; modifying hand washing skill and teaching the patient not to ingest raw food and water; actively care for the patient and apply empathy skills; leading interactions among the patient and family members via body language; improving social relationships by encouraging a positive attitude, and reducing the negative impacts experienced by the patient after contracting AIDS by providing mouth gargling to maintain oral hygiene and offering nutrition education. The author hoped to provide this nursing experience as a clinical reference for nursing staff when taking care of AIDS patients in the future.

並列關鍵字

acquired immune deficiency syndrome ； cryptococcal meningitis ； nursing experience