Weglarz Mary, Boland Mary
François-Xavier Bagnoud Center, University Hospital, Newark, NJ, USA.
J Spec Pediatr Nurs. 2005 Oct-Dec;10(4):161-70. doi: 10.1111/j.1744-6155.2005.00037.x.
The cohort of children with perinatally transmitted human immunodeficiency virus (HIV) infection is now entering young adulthood. One issue for nurses caring for this group living with a treatable chronic illness is the need to provide services that both prevent mother-to-child transmission and support antiretroviral (ARV) treatment. Using a case composite, this article describes the care of the perinatally HIV-infected woman and her child with HIV infection.
A multigenerational family-centered nursing approach to HIV care both facilitated a mother accepting care and treatment for herself and her child and improved the adherence of the family to their individual ARV treatment regimens.
Care of the family with multigenerational perinatally transmitted HIV infection requires that nurses build on their expertise in chronic illness, expand their interventions, and remain flexible.
围生期感染人类免疫缺陷病毒（HIV）的儿童群体如今正步入青年期。对于护理患有可治疗慢性病的这一群体的护士而言，一个问题是需要提供既能预防母婴传播又能支持抗逆转录病毒（ARV）治疗的服务。本文通过一个综合案例，描述了围生期感染HIV的女性及其感染HIV的孩子的护理情况。
一种以多代同堂家庭为中心的HIV护理方法，既促使一位母亲接受针对她自己和孩子的护理与治疗，又提高了家庭对其各自ARV治疗方案的依从性。
对围生期传播HIV感染的多代同堂家庭进行护理，要求护士凭借其慢性病护理专业知识，扩展干预措施，并保持灵活性。
