愛滋病不單純是個醫療問題，當家中有一位成員罹患愛滋病時，對整個家庭關係 造成重大的衝擊。研究者以家庭為中心的護理為概念，以「個案管理」為照護策略，深入探 討一位愛滋病患其家庭的關注議題。本報造採田野研究法，以某醫學中心一位診斷為愛滋病 之男同性戀者其家庭為研究個案，研究者自八十三年十二月十日至八十五年八月二十日持續 照顧些個案及其家庭，研究者將與個案家庭互動的過程寫成十五篇行為過程記錄，並加以歸 納整理。結果顯示個案家庭關注的議題共可分為七大項：(1) 感染愛滋病的原因；(2) 如何 滿足性需求；(3) 就醫過程的傷害； (4) 藥物的有效性與副作用； (5) 居家照顧的技巧； (6) 希望的契機；(7) 與死亡相關的議題。本研究顯示，護理人員照顧對象不僅是愛滋病患 一人，更需顧及所有家庭成員的健康需求。適時的利用社會資源及與其他健康專業人員的協 調合作，讓個案回歸家庭、社區，提昇愛滋病患居家的照顧品質。

　　　　　AIDS is not solely a medical issue but also has profound implications for family relationships. This case report using the concepts of family nursing and case management presents the concerns of a family living with AIDS. The data was collected through continuous contacts with a patient during December 1994 to August 1996. This report's findings indicate that the concerns of the family living with AIDS fall in to seven categories: The reasons for HIV infection, how to meet the patient's sexual needs, suffering during health care seeking, the effectiveness and side-effects of anti-viral drugs, home care skills, the light of hope, death issues. Professional nurses should provide care to both the AIDs patient and the family members. Using social resources and cooperating with other health professionals can promote the qulaity of life for families living with AIDS.