Verpleegsorgbehoeftes van HIV positiewe pasiënte

[摘要] English: HIV infection causes AIDS, a communicable, stigmatised and terminal disease. It leads to the progressive deterioration of the immune system that ends in death. HIV infection affects the total human being. Never in history were health care workers so drastically challenged to look beyond an illness and to take on a holistic approach to health, as in the case with AIDS.The research was done in two phases.The first phase was the reconnaissance and description of HIV positive patients' nursingcare needs as well as nurses' view thereof. The selection of nurses and patients weredone by purposiveness selection.The researcher has established the nursing care needs of the HIV positive patient in thestudy by in-depth interviews. Nurses' views of the nursing care were also obtainedthrough in-depth interviews. Interviews were recorded on tape and were transcribedafterwards. Data analysis was done according to Giorgi's model. After data analysis hadbeen done, the results were controlled and verifted with the literature. Theabovementioned processes were completed according to the philosophic foundation of the researcher, namely the Christian anthropology.Several needs and problems of the HIV positive patients with regard to their nursing carewere identified. Nurses also experienced problems in the delivery of their nursing care.The primary problems that nurses experienced were, a lack of information about HIV andAIDS as well as limited time to deliver quality nursing care.Phase two: From the gathered information from HIV positive patients, nurses andliterature, a nursing care model was compile to provide in the needs of the HIV positivepatients. The model makes provision for application in any stage of AIDS.The family, community, resources and the multi-disciplinary team fugerate in this model.The nurse is the key role player in the model. The model is framed by the 15 aspects ofDooyeweerd and therefore shows that the HIV positive patient is nursed according to theholistic approach.The description and reconnaissance of the concepts applicable to the model were doneaccording to the theory generated by Marriiler-Tomey,(1989:5), Woods and Catenzaro(1988:20), Walker and Avant (1988: 10) and Kim (1983: 131).This middle range theoretical model was compiled to ease the task of the nurse in practice and also to deliver quality nursing care to HIV positive patients.

[发布机构] University of the Free State