Walent R J
AIDS Unit, San Francisco General Hospital.
Oncology (Williston Park). 1992 Feb;6(2):131-6, 139; dis 139-42, 144.
The types of settings in which the acute care of AIDS patients takes place range from AIDS-designated units to general medical-surgical wards. Though the settings may differ, many of the nursing interventions that these patients require remain relatively consistent. Alterations in respiratory, neurological, gastrointestinal, and integumentary systems are common in individuals with HIV infection, requiring nursing measures to address such problems as diarrhea, fever, poor nutrition, mucositis, impaired oxygenation, dyspnea, alterations in sensation and perception, impaired skin integrity, bleeding risk, pain, and altered thought processes. In addition, the bedside nurse is often in a position that enables him or her to coordinate a multidisciplinary approach to selected problems.
为艾滋病患者提供急症护理的场所类型多样,从艾滋病指定科室到普通内科-外科病房不等。尽管场所可能不同,但这些患者所需的许多护理干预措施相对一致。HIV感染者常见呼吸、神经、胃肠和皮肤系统的改变,这就需要采取护理措施来解决诸如腹泻、发热、营养不良、黏膜炎、氧合受损、呼吸困难、感觉和知觉改变、皮肤完整性受损、出血风险、疼痛以及思维过程改变等问题。此外,床边护士常常能够协调针对特定问题的多学科方法。