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題名:一位愛滋毒癮者之照護經驗--家庭壓力之應用
書刊名:護理雜誌
作者:陳綺雯林秋菊 引用關係
作者(外文):Chen, Chi-wenLin, Chiu-chu
出版日期:2007
卷期:54:1
頁次:頁97-102
主題關鍵詞:照護經驗愛滋病靜脈毒癮者家庭壓力Nursing experienceAcquired immunodeficiency syndromeAIDSIntravenous drug userIDUFamily stress
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:25
  • 點閱點閱:35
社會對愛滋病存在歧視與恐懼,使愛滋病患家庭在社會也帶著極大的恥辱標籤。近兩年來愛滋病感染人數大幅增加,被認為是因靜脈毒癮者共用針具所致。然而毒癮者因不容於家庭,與家人關係早已疏遠,感染愛滋後,更不被接納。本文敘述一位毒癮者感染愛滋病後,住院期間為家庭帶來的壓力。筆者在照顧愛滋毒癮病患及其家屬時,藉向使用Boss家庭壓力管理,評估後發現個案家庭面臨的三個主要問題,包括:(1) 主要照顧者身心疲憊;(2) 親子間溝通不良;(3) 家庭因應能力失調:妥協性。照護期間,筆者促使個案與案母間採正向的溝通,讓個案在生命末期與案母間轉為親密和諧的家庭關係、增加個案安全感。再者,筆者也照會社工師共同提供社會資源協助個案家庭渡過家庭危機。
There is prejudice and fear in society about AIDS, causing the families of AIDS patients to he stigmatized. The number of patients infected with HIV has increased substantially in the past two years as presumably a result of an increase in the sharing of syringes. Intravenous drug users (IDUs) are often isolated from their families, with whom they usually have poor relationships. If they arc infected with HIV, it becomes all the more difficult for them to be accepted by their family. The article describes the stress experienced by a family as a result of hospitalization of an IDU with AIDS. The findings from this case report demonstrate three main problems identified from the assessment of Boss's family stress management. These three health-related problems were that the primary caregiver felt exhausted, that communication between parents and children was poor, and that the family's coping ability was compromised. Encouraging positive communication between the client and his mother throughout the period of care enhanced the closeness and harmoniousness of their relationship, as well as the client's sense of security as he approached death. Furthermore, we consulted with social workers in order to facilitate the joint provision of social resources and to assist the family during its crisis.
期刊論文
1.王甯祺(20060200)。愛滋病在臺灣的新危機:靜脈毒癮與C型肝炎。感染控制雜誌,16(1),24-26。  延伸查詢new window
2.李文貞(2003)。用同理心照護HIV/AIDS與SARS。愛之關懷季刊,45,34-38。  延伸查詢new window
3.謝菊英(2003)。愛滋感染者的社會支持。愛之關懷季刊,44,15-20。  延伸查詢new window
4.Maneesriwongul, W.、Panutat, S.、Putwatana, R.、Srirapo-ngam, Y.、Ounprasertpong, O、Williams, A. B.(2004)。Educational needs of family caregivers of persons living with HIV/AIDS in Thailand。Journal of Association of Nurses in AIDS Care,15(3),27-36。  new window
5.江鳳葦(20031100)。非胰島素依賴型糖尿病患者家庭支持、生活滿意度、自我照顧行為與糖尿病控制之研究。長庚科技學刊,2,27-50。  延伸查詢new window
6.呂曉俊、丁彪(2000)。增強家庭的心理功能。應用心理研究,5,11-16。  延伸查詢new window
7.黃俐婷(20040300)。家庭支持的結構與功能分析。社區發展季刊,105,367-380。new window  延伸查詢new window
8.Meel, B. L.(2005)。Ethical issues related to HIV/AIDS: Case reports。Journal of Clinical Forensic Medicine,12(3),149-152。  new window
9.蘇逸玲、邱臺生、陳瑛瑛(19981200)。臺灣某醫學中心愛滋病患家屬壓力與因應行為之初探。護理雜誌,45(6),43-53。new window  延伸查詢new window
10.Orner, Phyllis(2006)。Psychosocial impacts on caregivers of people living with AIDS。AIDS Care,18(3),236-240。  new window
圖書
1.Boss, Pauline、周月清(1994)。家庭壓力管理。臺北:桂冠圖書股份有限公司。  延伸查詢new window
2.Boss, P.、殷宏偉、程宏偉(2002)。遠離傷痛:生命中不可承受之失。台北:勝景文化。  延伸查詢new window
3.周月清(2001)。家庭社會工作--理論與方法。臺北:五南圖書出版有限公司。  延伸查詢new window
 
 
 
 
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