Pasacreta J V, Jacobsen P B
Oncol Nurs Forum. 1989 Sep-Oct;16(5):659-63.
More and more nurses are caring for individuals with AIDS-spectrum disorders. When nurses become involved in hospital-based AIDS treatment, major psychosocial issues can arise. In settings where nursing personnel have limited or no experience working with patients with AIDS, fear of contagion is a major issue. This fear has both rational and irrational components. In general, providing up-to-date information in a small group setting can effectively reduce irrational fears. Rational fears, which are not as easily dealt with, should be a stimulus for behavior change (e.g., adoption of precautionary guidelines for reducing the possibility of accidental infection). Different issues arise among nurses specializing in AIDS care and include burnout, a sense of professional isolation, and the need to establish personal boundaries in dealing with patients. Guidelines are offered for establishing a group approach to address these concerns and to handle the sensitive issues that may arise.
越来越多的护士在照料患有艾滋病谱系疾病的患者。当护士参与到以医院为基础的艾滋病治疗中时，可能会出现重大的心理社会问题。在护理人员与艾滋病患者合作经验有限或没有经验的环境中，对传染的恐惧是一个主要问题。这种恐惧既有理性成分，也有非理性成分。一般来说，在小组环境中提供最新信息可以有效减少非理性恐惧。而理性恐惧则不那么容易应对，它应该成为行为改变的刺激因素（例如，采用预防指南以降低意外感染的可能性）。在专门从事艾滋病护理的护士中会出现不同的问题，包括职业倦怠、职业孤立感以及在与患者打交道时需要建立个人界限。本文提供了一些指导方针，以建立一种集体方法来解决这些问题，并处理可能出现的敏感问题。
