67 * 37 2011 01 03 2011 3 23 Gordon 1. 2. 3. 2009 12 19,105 human immunodeficiency virus, HIV HIV 6,330 HIV 12 2010 * 100 8 12 101 4 28 101 5 21 91202 23 08 7799821 8375 x00010010@meiho.edu.tw 102 6 12 2
68 2007 2009 United States Renal Data System, USRDS 2006 20052007 Sreepada, 2003 2007 HIV 2~3 20072001 102 6 12 2
69 2009 500~700 ml 2 3 ~5 2010 2006 2006 2011 C 2010 2006 stigma 2006 Cohen et al., 2010; Sreepada, 2003 2006 2007 2009 Hippel, Brener & Hippel, 2008 2007 2006 Sowell, 2006 37 2003 102 6 12 2
70 2006 HIV 2010 12 14 BUN 146 mg/dl Cr 26.8 mg/dl Hb 8.8 g/dl K 7.0 meq/l P 7.5 mg/ dl Na 138 meq/l Alb 3.9 g/dl 12 21 12 29 2011 1 19 Gordon 20 2003-170 cm 68 kg 102 6 12 2
71 1~2 2,200~2,300 / 4~6.5 32.1 2011 1 3 BP 190/90 mmhg HR 118 /RR 20~28 / SPO2 92~100 2+ X 74.9 6.9 86~100/45~65 mmhg 1 14 BUN 92.1 mg/dl Cr 26.8 mg/dl K 5.0 meq/l P 6.0 mg/dl Na 137 meq/l Alb 3.9 g/dl Hct 28.6HB 9.2 g/dl 1 500~800 cc - 9 10 7-2011 1 5 1 5 20 2006 2011 1 21 102 6 12 2
72 37 3 15 2~3 2011 1 21 2011 1 24 2010 1 26 102 6 12 2
73 /2011.1.3~2011.1.19 1/3 1. 1/5 1. 1/3 1. 1/5 S1 1 18~20 / 12~18 nasal cannula 3L/ 156/82 BP 160/90 min mmhg mmhg 2. 1/10 2 2-1. 1/8 1/3 1/9 O1 190~150/110 8 mmhg 3 118 / 20~28 / 3. 1/14 SPO2 92~100 2. 1/5~1/7 O2 1 4. 1/19 8 1/10 450 2+ CXR ml 5 O3 1 86~100/45~65 mmhg 2 O4 1 500~700 ml 500~800 cc/ 3 6.9 3 3. 1/12 4 30 4. 1/19 102 6 12 2
74 5 3. 1/9 1 2 4. 1/9 1 2 3 4 3.5 1/21 3 68 5 102 6 12 2
75 /2011.1.3~2011.2.11 1/3 S1 1/5 S2 1/3 O1 O2 1 14 BUN 92.1 mg/dl Cr 26.8 mg/dl K 5.0 meq/l P 6.0 mg/dl Alb 3.9 g/dl Hct 28.6HB 9.2 g/dl 1. 1/5 2. 1/10 3. 1/17 4. 1/27 30 1. 1/3 1 2 2. 1/5~1/7 1 2 3 1.0~2.5 kg 1. 1/5 2-1. 1/8 2-2. 1 / 1 0 450 ml 3-1. 1/17 10~15 3-2. 1/19 4-1. 1/19 20~30 4-2. 1/27 4-3. 2/11 BUN 90.6 mg/dl Cr 21.8 mg/dl K 4.8 meq/l P 5.0 mg/dl Alb 102 6 12 2
76 4 5 6 3-1. 1/10 30 3-2. 1/14 3-3. 1/14 4-1. 1/17-1/19 20~30 4-2. 1/3~1/27 3.9 g/dl Hct 29.9HB 10.1 g/dl 102 6 12 2
77 /2011.1.21~2011.3.23 1/21 1. 1/21 1. 1/21 1-1. 1 / 2 1 S1 1 1/21 2. 2/23 3. 3/23 2 3 2. 1/22-1/23 1 2 2-1. 2 / 2 3 3-1. 1 / 2 3 O1 O2 3 4 5 3-2. 2/4 102 6 12 2
78 O3 3. 1/24 1 2 DVD 3 4 5 6 3-3. 3 / 2 3 102 6 12 2
79 United States Data System, 2009 2010 90.96 Gordon 1. 2. 3. 20102009 2010 12 29 http //www.doh.gov.tw 2010 21 1 102 6 12 2
80 100-108 2006 384-409 2009 8 265-78 2005 17 174-77 2006 5 1 67-78 2007 2007 6 125-31 2007 29 5810-811 2009 56 428-34 2001 HIV 11 1 49-54 2006 113 185-195 2011 Orem 10 119-30 Cohen, M. A., Goforth, H., Lux, J., Batista, S., Khalife, S., Cozza, K., Soffer, J. (2010). Handbook of AIDS psychiatry. London: Oxford University press. Hippel, W. V., Brener, L., & Hippel, C. V. (2008). Implicit prejudice toward injecting drug users predicts inventions to change jobs among drug and alcohol nurses. Psychological Science, 19(1),7-11. Sowell, R. (2006). How will it affect HIV/ AIDS care? Journal of the Association of Nurses in AIDS Care, 17(3), 1-2. Sreepada, T. K. (2003). Human immunodeficiency virus infection in end-stage renal disease patients. Seminars in Dialysis, 16(3), 233-244. United States Data System. (2009). Atlas of end-stage renal disease. Minneapolis, MN: Author. 102 6 12 2
81 Nursing experience with an AIDS inmate undergoing hemodialysis Yu-Chun Chen Li Fang* Abstract This article describes nursing care experience of a 37 year old male drug addict undergoing dialysis due to kidney failure. Through interviews, observations, and physical assessments between January 3rd and March 23th., 2011, the author and identified nursing problems such as fluid volume overload, lack of knowledge and situational low selfesteem. To deal with the discomfort from fluid volume overload, the author assessed the patient s situation, provided instructions relating to weight monitoring and diet control. The author assessed the client s diet knowledge then discussed, planned and evaluated with clients and prison officers appropriate health activities for the client s lifestyle. The author also applied listening and empathy skills, built up a good nurse-patient relationship, provided AIDS-related information, and respected the patient s privacy during hemodialysis to make improvements to situational low self-esteem. The client has continued to receive dialysis treatment after discharge and the author continued to provide mental support and assistance to the client. The author contacted the AIDS division and local public health center to assist this client as well. This article makes the following recommendations: 1) Invite corrections officers to participate in the hospital s kidney disease patient groups and health education classes in order to provide inmates with better health care; 2) Allow medical personnel to visit prisons on a regular basis to provide AIDS and kidney failure care-related courses 3) Have the hospital organize training courses and in-service education that help nurses play the role of patient coordinator and advocate. Key words: acquired immunodeficiency syndrome, AIDS, inmate, hemodialysis, kidney failure RN, Hemodialysis Room, Pingtung Christian Hospital Assistant Professor, Department of Nursing, Meiho University* Received Aug. 12, 2011 Revised Apr. 28, 2012 Accepted for publication May. 21, 2012 Correspondence Li Fang, No. 23, Pingguang Rd., Neipu, Pingtung 91202, Taiwan (ROC) Telephone08 7799821 ext 8375 E-mail x00010010@meiho.edu.tw 102 6 12 2