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[护理一名感染艾滋病的静脉注射吸毒者的经验:应用家庭压力模型]

[An experience nursing an intravenous drug user(IDU) with AIDS: applying the family stress model].

作者信息

Chen Chi-Wen, Lin Chiu-Chu

机构信息

Department of Nursing, Kaohsiung Medical Univeristy Chung-Ho Memorial Hospital, Taiwan, ROC.

出版信息

Hu Li Za Zhi. 2007 Feb;54(1):97-102.

Abstract

There is prejudice and fear in society about AIDS, causing the families of AIDS patients to be 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 are 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.

摘要

社会上存在对艾滋病的偏见和恐惧,这使得艾滋病患者的家庭遭受污名化。在过去两年里,感染艾滋病毒的患者数量大幅增加,据推测这是由于共用注射器的情况增多所致。静脉注射吸毒者(IDU)常常与家人隔绝,他们与家人的关系通常也很糟糕。如果他们感染了艾滋病毒,就更难被家人接受。本文描述了一个艾滋病静脉注射吸毒者住院给其家庭带来的压力。该病例报告的结果表明,从对博斯家庭压力管理的评估中发现了三个主要问题。这三个与健康相关的问题是:主要照顾者感到疲惫不堪、父母与子女之间沟通不畅以及家庭的应对能力受到损害。在整个护理期间鼓励患者与其母亲进行积极沟通,增强了他们关系的亲密程度与和谐度,同时也增强了患者临终前的安全感。此外,我们咨询了社会工作者,以便促进社会资源的联合提供,并在家庭危机期间为其提供帮助。

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