Division of Infectious Diseases, MassachusettsGeneral Hospital, Boston, USA.
J Assoc Nurses AIDS Care. 2011 Nov-Dec;22(6):478-88. doi: 10.1016/j.jana.2011.06.010.
The incidence of anal cancer is increasing among HIV-infected men and women. The process of screening for anal dysplasia and the management of abnormal findings are currently and most often based on a medical model. The needs of these patients, however, go well beyond medical care. A more comprehensive and holistic approach to health care is, therefore, required. Given the scope of practice of advanced practice nurses who are involved in the diagnosis and treatment of patients with anal dysplasia, it is appropriate for them to assume leadership roles in addressing the needs of these patients. This article describes the application of a theory of caring to create an advanced practice nursing model of care for HIV-infected men and women in infectious diseases anal dysplasia clinics.
肛门癌在感染 HIV 的男性和女性中的发病率正在上升。目前,筛查肛门发育不良和处理异常发现的过程主要基于医疗模式。然而,这些患者的需求远不止是医疗护理。因此,需要更全面和整体的医疗保健方法。鉴于参与肛门发育不良患者诊断和治疗的高级实践护士的实践范围,他们适合在满足这些患者的需求方面发挥领导作用。本文描述了关怀理论的应用,为传染病肛门发育不良诊所的 HIV 感染男性和女性创建了高级实践护理关怀模式。