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A qualitative study on the psychological experience of HIV/AIDS patients for the disclosing of HIV to non-AIDS professionals
HUANG Ying, WANG Huafen, SHAO Lifang, LOU Fangyuan, SUN Danping, ZHAN Xiaoqin
Chinese Journal of Nursing    2023, 58 (12): 1483-1488.   DOI: 10.3761/j.issn.0254-1769.2023.12.011
Abstract187)   HTML0)    PDF (843KB)(6)       Save

Objective To understand the psychological experience of HIV/AIDS patients for the disclosing of HIV to non-AIDS professionals,so as to provide references for promoting patients’ willingness to disclose HIV,and effectiveness and safety of diagnosis and treatment by both medical staff and patients. Methods From February 2021 to March 2022,by using purposive sampling method,semi-structured in-depth interviews were conducted with 12 HIV/AIDS patients in a tertiary hospital in Zhejiang,China. The data was transcribed,analyzed,and refined by the Colaizzi’s method. Results The experience of HIV/AIDS patients to disclose HIV to non-AIDS professionals can be summarized into 3 themes. HIV/AIDS patients worried that the HIV disclosure would make them suffer from double stigma by medical staff,and there was self-stigma existing in the patient’s subconsciousness. They also feared that the HIV disclosure would damage the interests of individual to receive medical treatment. They hoped that the HIV disclosure reflect patients’ personal integrity. Conclusion HIV/AIDS patients generally have stigma when disclosing HIV to other specialized medical personnel. Cautious and concealed disclosure can avert discrimination or insult caused by improper disclosure. It is recommended to implement integrated palliative care intervention to reduce the stigmatization experience of patients,strengthen the training of HIV stigma awareness and coping skills,and call on the relevant functional departments of government and hospital to strengthen law enforcement supervision,guarantee the rights of doctors and patients,and create a comfortable medical environment for patients,so as to reduce the disclosure burden of HIV/AIDS patients and enhance the willingness of patients to disclose HIV.

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Nursing care of a patient complicated with calciphylaxis in hemodialysis treated by multidisciplinary approach
SHAO Lifang, YAN Chengli, YU Jie, XIAN Xuemei, MAO Zhuoying
Chinese Journal of Nursing    2022, 57 (7): 807-810.   DOI: 10.3761/j.issn.0254-1769.2022.07.006
Abstract505)   HTML2)    PDF (675KB)(17)       Save

The nursing experience of long-term maintenance hemodialysis in a patient with rare and life-threatening calciphylaxis for more than 12 years was summarized. Nursing points include preoperative dietary care,implementation of an individualized hemodialysis nursing program,postoperative wound care,pain management,drug treatment,nutritional support,individualized calciphylaxis preventive care of end stage renal disease(ESRD) patients,etc. under the multidisciplinary approach. During the hospitalization,the patient underwent 2 operations,which lasted 25 days. The right upper limb recovered well and the patient was discharged. Dressing was regularly changed in wound stomy clinic and the wound healed completely.

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