Atkinson F I, Grant I, Lewis R, Sherval J
Centre for HIV/AIDS & Drug Studies, City Hospital, Edinburgh, Scotland.
J Adv Nurs. 1996 Oct;24(4):736-42. doi: 10.1046/j.1365-2648.1996.25012.x.
This paper reports on a postal questionnaire survey of district nurses' work with HIV positive patients. Each nurse was asked to provide information about their contact with HIV positive patients and the level of training they had received in HIV/AIDS care. The nature of nursing activities carried out for these patients was established along with levels of confidence the nurses had in being able to provide a high standard of care. Where the nurses indicated less than full confidence they were asked to indicate what factors predisposed their response. Questionnaires were completed by 101 district nurses. On average, each nurse made 1.25 visits to HIV-infected patients in the two weeks preceding the study. The nursing activities most commonly carried out for these patients were providing advice/counselling, carer support, general nursing care and specialist treatments. The activities least commonly carried out were technical procedures, tests and assessments. Nurses were most confident in providing a high standard in relation to general nursing care and least confident that high standards were being achieved in providing specialist treatments. The most frequently encountered explanations offered by the district nurses for their lack of confidence in achieving a high standard were a lack of specialist training and a lack of experience with HIV-infected patients.
本文报告了一项关于社区护士为艾滋病毒阳性患者提供护理工作的邮政问卷调查情况。每位护士都被要求提供他们与艾滋病毒阳性患者接触的信息，以及他们在艾滋病毒/艾滋病护理方面接受培训的程度。同时确定了为这些患者开展的护理活动的性质，以及护士们对能够提供高标准护理的信心水平。当护士表示信心不足时，会被要求指出导致这种反应的因素。101名社区护士完成了问卷调查。在研究前的两周内，平均每位护士对艾滋病毒感染患者进行了1.25次家访。为这些患者最常开展的护理活动包括提供建议/咨询、照顾者支持、一般护理和专科治疗。最不常开展的活动是技术操作、检查和评估。护士们在提供高标准的一般护理方面最有信心，而在提供专科治疗方面最缺乏信心。社区护士对无法达到高标准护理最常给出的解释是缺乏专科培训和缺乏护理艾滋病毒感染患者的经验。
