Hanley E, Lincoln P
Visiting Nurse Service of New York, New York.
Nurs Clin North Am. 1992 Dec;27(4):925-36.
Much remains to be explained regarding women with HIV infection or AIDS. Interest in determining whether the natural history of the disease or the clinical manifestations are gender specific is leading to more research focused on women. The female roles of childbearer and caretaker evoke ethical issues that are unique to this epidemic and that can impact on the development and delivery of health care services. Women at the greatest risk for HIV disease are not likely to form coalitions to advocate for services, research dollars, and education. They need advocates and assistance in becoming united to advocate for themselves. Nurses have a critical role in the provision of services to women with HIV disease. As educators, direct service providers, and administrators, nurses contribute to the development of services that are holistic and family centered. As advocates, nurses can ensure that women are accurately and well informed about the disease and the resources available to them. Because AIDS no longer affects only those persons living in large metropolitan areas, it is imperative that all nurses become experts in the care of women with AIDS and advocates for a better outcome.
关于感染艾滋病毒或患艾滋病的女性,仍有许多有待解释之处。确定该疾病的自然史或临床表现是否具有性别特异性的研究兴趣,正促使更多研究聚焦于女性。女性作为生育者和照顾者的角色引发了这场流行病所特有的伦理问题,这些问题会影响医疗保健服务的发展与提供。感染艾滋病毒风险最高的女性不太可能结成联盟来倡导服务、争取研究资金和教育资源。她们需要倡导者和帮助来团结起来为自己发声。护士在为感染艾滋病毒的女性提供服务方面起着关键作用。作为教育者、直接服务提供者和管理人员,护士有助于发展全面且以家庭为中心的服务。作为倡导者,护士可确保女性准确且充分地了解该疾病以及她们可获得的资源。由于艾滋病不再仅影响那些生活在大城市地区的人群,所有护士都必须成为护理艾滋病女性的专家,并倡导取得更好的治疗效果。