Coates T J, Lo B
Division of General Internal Medicine, University of California, School of Medicine, San Francisco 94143-0320.
West J Med. 1990 Dec;153(6):629-34.
Persons at risk for infection with the human immunodeficiency virus are being encouraged to learn their serostatus. While such knowledge can help patients seek appropriate medical care, it can also be distressing. We describe an approach, based on crisis counseling, for physicians to use in working with patients infected with HIV. It can help physicians in assisting patients with emotional reactions to the diagnosis as well as in directing patients to manage practical issues of concern. Methods for discussing safer sex or injection practices are also presented.
感染人类免疫缺陷病毒的高危人群正被鼓励了解自己的血清学状态。虽然这类信息有助于患者寻求适当的医疗护理，但也可能令人痛苦。我们描述了一种基于危机咨询的方法，供医生在与感染艾滋病毒的患者合作时使用。它可以帮助医生协助患者应对诊断带来的情绪反应，并指导患者处理实际关心的问题。文中还介绍了讨论安全性行为或注射行为的方法。
