年輕愛滋病學生疾病初期診斷衝擊之因應

Helping of a Student Cope with the Impacts after Diagnosis with AIDS

愛滋病感染者有年輕化的趨勢，年輕人在愛滋病診斷期常有不確定感，而診斷確立後首要面對疾病告知的壓力。本文探討一位24歲年輕男性學生，因懷疑愛滋病入院治療，住院過程同時面臨愛滋病診斷的不確定感及告知父母病情產生的焦慮。筆者運用治療性護病關係，提供疾病與醫療等資訊，改變個案對愛滋病的評價從負面的威脅轉為具正向的希望；疾病告知的過程中，運用角色扮演及安排家庭會議，進行疾病告知，減輕個案的焦慮並獲得家人的支持。在護理過程中，筆者深深體會到護理人員扮演支持者對個案的重要性。藉此護理經驗的分享，盼能提供臨床上護理人員對相關個案有更深入的瞭解，進而提升愛滋病患未來的生活品質。

Many HIV/AIDS patients are diagnosed at young ages. The youth often feel uncertainduring the process of AIDS diagnosis, and they have to face the pressure of disclosuring HIVstatus to their family or friends once the HIV test result proves positive. This article described a24-year-old student who was admitted to hospital due to HIV-related infections. The patient feltuncertain and worried about how to disclose his HIV status to his parents. The primary nurse builtup a therapeutic relationship with the patient, providing illness-related information, and changedpatient's perception regarding his illness from a negative to a positive perspective. The primarynurse used role-play and arranged a family meeting with medical team members to assist thepatient in disclosing his HIV status to his parents. The patient's anxiety level decreased and finally,family support was positive after HIV disclosure. During the nursing process, the primary nurserealized the importance of nursing care for patients recently diagnosed as HIV.