英文摘要 |
We present the intensive care unit nursing experience of a young male AIDS patient with complications of opportunistic lung infection. In addition to the physical discomfort of respiratory failure, the patient also experienced psychological stress from worrying about social exposure of his AIDS illness, which led to self-isolation and depression. The patient was therefore given interventional nursing. The nursing period was from March 27 to April 3, 2017. Data were collected through direct care, physical evaluation, pen-and-paper communication, observation, interviews, and interaction with family members. Gordon’s 11 functional health patterns assessment was used as the tool for evaluation. The patient presented with major health problems such as“ineffective airway clearance,”as well as experiencing“insufficient AIDS-related knowledge,”and“anxiety.”During the nursing period, the first priority was to maintain an open airway, and, following this, to wean the patient from the respirator by training him in breathing exercises, and then to build trust with the patient. Public discussion of the patient’s condition was avoided to maintain patient privacy and dignity,and medical information and knowledge on AIDS were provided, which effectively reduced anxiety and stress. The patient was counseled in facing the disease with a positive attitude, interacting with family members with an open mind, and preparing to return to normal work. Due to the characteristics of the intensive care unit, the ability to fully care for and inform AIDS patients is insufficient. Therefore, we recommend that the unit plan specific education and training on“AIDS-related ethical care issues”to enhance the quality of AIDS intensive care. We expect our nursing experience to serve as a reference for the care of AIDS patients in the future. |