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題名:愛滋病患者併發伺機性感染後之心理衝擊與照護
書刊名:榮總護理
作者:陳美妏張夙娟張靜雯
作者(外文):Chen, Mei-wenZhang, Su-juenChang, Ching-wein
出版日期:2015
卷期:32:2
頁次:頁185-192
主題關鍵詞:愛滋病伺機性感染心理衝擊Acquired immune defi ciency syndromeOpportunistic infectionPsychological impact
原始連結:連回原系統網址new window
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本篇探討一位男性八年前在捐血時意外檢驗出愛滋病毒陽性反應,個案採忽略方式因應此疾病,未有規律的服藥,導致愛滋病併發伺機性感染肺囊蟲肺炎入院之護理經驗。筆者於2013年5月02日至2013年5月27日,照護期間運用Gordon十一項功能性健康型態做為評估工具,確立個案主要健康問題為氣體交換障礙、口腔黏膜改變、焦慮、高危險性活動,護理過程中運用面談、觀察、傾聽、溝通技巧,建立治療性的護病關係,鼓勵個案表達內心感受,並引導其坦然面對疾病,按時服用愛滋病藥物治療,成功解決個案的健康問題,希望藉此照護經驗能有助於臨床護理人員之參考。
The following explains a nursing experience with a patient with opportunistic infections resulting from acquired immune deficiency syndrome. This study investigated a man who was diagnosed with human immunodeficiency virus (HIV) positive when blood donation. Because this patient did not medically control the virus, the patient was admitted to the hospital because of an opportunistic infection of pneumocystis jerovecii pneumonia. The author cared for the patient from May 2, 2013 to May 27, 2013. During the admission, the author used Gordon's 11 functional health assessment tools to evaluate the patient and found that the patient had the following health issues: gas exchange impairment, oral mucosal changes, anxiety, and participation in high risk sexual activity. During the nursing process, the author used an interview and observation to establish a therapeutic nurse-patient relationship and encouraged the patient to express his feelings. The patient was then persuaded to accept his diagnosis and use HIV medications. This was a successful nursing experience that can be a helpful reference for clinical nurses.
期刊論文
1.吳曄薰、黃秋玲(20130300)。運用Swanson理論協助一位初診斷愛滋病患心理社會調適之護理經驗。領導護理,14(1),46-55。  延伸查詢new window
2.周繡玲、謝嘉芬、李佳諭、江孟冠、紀雯真(20111200)。癌症病人口腔黏膜炎臨床照護指引。腫瘤護理雜誌,11(增刊),61-85。  延伸查詢new window
3.林德宇、王甯祺(20130800)。未服用愛滋病治療藥物的新患者感染抗藥性愛滋病毒的趨勢。感染控制雜誌,23(4),191-199。  延伸查詢new window
4.楊倩宜、陳琦華、李明勳(20130300)。後天免疫缺乏症候群與肺囊蟲肺炎。藥學雜誌,29(1)=114,147-152。  延伸查詢new window
5.Golub, S. A.、Starks, T. J.、Payton, G.、Parsons, J. T.(2012)。The critical role of intimacy in the sexual risk behaviors of gay and bisexual men。AIDS Behavior,16(3),626-632。  new window
6.Makoae, L. N.、Seboni, N. M.、Molosiwa, K.、Moleko, M.、Human, S.、Sukati, N. A.、Holzemer, W. L.(2005)。The Symptoms experience of people living with HIV/AIDS in Southern Africa。The Journal of the Association of Nurses in AIDS Care,16(3),22-32。  new window
7.Portillo, C. J.、Holzemer, W. L.、Chou, F. Y.(2007)。HIV symptoms。Annual Review of Nursing Research,25,259-291。  new window
圖書
1.謝菊英(2010)。愛滋感染者社會支持。臺北市:桂冠。  延伸查詢new window
其他
1.衛生福利部疾病管制署(2014)。103年AIDS/HIV統計資料,http://www.cdc.gov.tw/list.aspx?treeid=1f07e8862ba550cf&nowtreeid=6c5ea6d932836f74&tid=65ED215C50763D72。  new window
圖書論文
1.林貴滿、林靜琪(2007)。免疫功能疾病病人之護理。內外科護理學。台北:華杏。  延伸查詢new window
2.施鐘卿(2006)。愛滋病毒感染者之護理照顧。愛滋病學。台北:健康文化。  延伸查詢new window
3.陳亭儒(2010)。免疫功能疾病病人的護理。內外科護理學。台北:永大。  延伸查詢new window
 
 
 
 
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