運用Watson關懷理論於一位男同性戀愛滋病人之護理經驗

A Nursing Experience of Application ofthe Watson's Caring Theory on a Homosexual Male with AIDS

本個案報告探討一位29歲男同性戀愛滋病人，於2005年發現感染愛滋病毒，個案害怕疾病曝光，拒絕談論相關病情及治療，減少與家人朋友的互動，此次因感染住進加護病房，個案擔心疾病曝光，對醫護人員產生極度不信任，針對疾病相關問題不回應，筆者從2007年3月23日至2007年3月30日於加護病房照護期間運用會談及觀察方式，同時利用個案轉至普通病房治療期間，經個案同意下訪視及出院後電話訪談，結果顯示個案有社交互動障礙、睡眠型態紊亂及焦慮等健康問題，運用Watson關懷理論中之關懷因子與個案建立信任關係、提供個案表達內心感受、安排隱私及保護性環境、提供愛滋病相關資料及關心治療進度等措施。最後個案從拒絕談論相關疾病問題及治療，到個案能參與疾病討論及治療，再者個案從隱瞞病情，進而願意向雙親告知疾病罹患過程，並接受愛滋病藥物治療，成功解決個案相關健康問題。筆者期望藉此護理經驗分享，提供護理人員照顧同性戀愛滋病人之參考。The report describes the nursing experience of a homosexual male with AIDS. The subject, diagnosed as an AIDS patient in 2005, worried about the exposure of his AIDS condition. Therefore, the subject refused any examination and treatment, reduced the interaction with his family and relatives, and also did not trust any medical team. In the report, nursing assessment data were collected through observation and interview, accompanied with application of the Watson's caring theory, from March 23 to 30 in 2007. The health problems were identified, which included obstacles in social communication, impaired sleeping patterns, and anxiety. After the application of some measures of the Watson's caring theory, such as building rapport with the subject, providing privacy and AIDS information to the subject, and expressing concerns about the treatment progress, the subject showed a difference in his attitude toward his status. From refusing to talk about the problems and treatments related to AIDS to participating the discussion about his suffering, from concealing his illness to telling his parents how he suffered from AIDS and willing to receive treatment, the report can serve as a reference to nursing staff for caring AIDS patients.