協助一位初診斷愛滋病患心理調適之護理經驗

Nursing Experience of Initially Diagnosed AIDS Patient Adjusting Psychologically

近年來愛滋病患數量急速竄昇，現今社會大眾對於愛滋病患污名化現象仍普遍存在。本篇個案為45歲初診斷為愛滋病患，於確立診斷後，出現否認、羞愧及害怕的心理反應，當案妻得知先生病情後，夫妻關係陷入極度緊張的狀態。護理期間自2008年1月14日至3月1日，運用生理、心理、社會、靈性之整體性評估，確立個案主要護理問題有：知識缺失、身體心像紊亂、社交互動障礙。筆者於照護期間與個案及家屬建立信任感及治療性人際關係，運用護理過程及階段性諮商協助個案渡過疾病的心理衝擊，適時提供心理支持、協助個案解決問題，讓個案能走出愛滋病的陰霾，勇敢並主動地與家人及朋友互動，期望藉此經驗能有助於提昇醫護人員對愛滋病患者心理層面之照護。

Asides from the rapid growth of the patient number in recent years, disgracing AIDS patients is common. The initially diagnosed AIDS patient aged 45 years denied, shamed, feared after confirmed diagnosis, and had the extremely strained relation with his wife who knew about the disease. The principal nursing problems after the integrity assessment physically, psychologically, socially, and spiritually from January 14th to March 1st, 2008, were affirmed: knowledge deficit; body image disturbance; impaired social interaction. During nursing, the author: built the trust between the author and patient or patient family, besides the therapeutic relationship; assisted the case through the diseaseinduced psychological impact by care and stepped counseling; provided the psychological support in time; helped solve the problems. To lift the shadows of AIDS’ dark days and aid the patient’s brave active interaction with the family and friends, the nursing experience was to be conducive in promoting medical staff-offered psychological care of AIDS patients.