Your browser doesn't support javascript.
loading
Trastornos adaptativos al medio hospitalario en pacientes con VIH / Adaptive disorders in a Hospital setting when dealing with HIV patients
Carballo Álvarez, M; Martínez Vilariño, M; Llinás Vidal, M; Badía Royes, R.
Affiliation
  • Carballo Álvarez, M; Hospital Vall d´Hebron. Barcelona. España
  • Martínez Vilariño, M; Hospital Vall d´Hebron. Barcelona. España
  • Llinás Vidal, M; Hospital Vall d´Hebron. Barcelona. España
  • Badía Royes, R; Hospital Vall d´Hebron. Barcelona. España
Rev. Rol enferm ; 32(11): 756-763, nov. 2009. tab
Article in Spanish | IBECS | ID: ibc-76274
Responsible library: ES1.1
Localization: BNCS
RESUMEN
Desde su inicio la infección por VIH ha estado relacionada con trastornos psicopatológicos, pero en la actualidad la prevalencia de patología psiquiátrica se encuentra significativamente elevada. Ello justifica que los problemas derivados de sus cuidados durante el proceso de hospitalización multipliquen su complejidad cuando al internamiento se asocian condicionantes emocionales y conductuales derivados de trastornos psicopatológicos, asociados al binomio infección-VIH, y que requieren estrategias de intervención específicas, individuales y consensuadas por equipos multidisciplinares expertos. En consecuencia se esgrimen las situaciones asociadas al proceso de la infección con mayor riesgo para desencadenar problemas conductuales durante la hospitalización, y se desarrollan estrategias y técnicas de intervención para detectar y abordar de forma precoz posibles conductas y comportamientos que pudieran llegar a interferir en la progresión de los cuidados y en el régimen terapéutico durante el proceso de internamiento hospitalario, ya sea de forma puntual o progresiva según sea la necesidad particular. A partir de la propia experiencia profesional en el abordaje hospitalario de este tipo de pacientes y de la participación en grupos expertos para la mejora de sus cuidados, apuntamos la necesidad de desarrollar un plan de cuidados específico que responda a sus necesidades psico-emocionales a través de una justificación teórica del planteamiento. La intervención psicológica y el apoyo emocional son las únicas vías para facilitar la percepción de control a los afectados, amortiguar el impacto emocional, maximizar el éxito del tratamiento y favorecer actitudes y conductas que propicien el afrontamiento del estado de salud y la autogestión de los cuidados. Para ello se precisa la implicación de equipos multidisciplinares que abarquen el problema desde una perspectiva bio-psico-social que aborde los problemas fisiológicos, emocionales y conductuales mediante intervenciones individuales que deben derivarse de planes de cuidados específicos(AU)
ABSTRACT
Since its start, HIV infection has been related to psychopathological disorders, but at present times, the prevalence of psychiatric pathologies lies at a significantly high level, a factor which justifies that problems derived from care of HIV infected patients during their hospitalization multiply their complexity when being kept in a hospital becomes associated with emotional and behavioral conditioners derived from psychopathological disorders associated with the HIV-infection binomially and these require specific individualized intervention strategies agreed upon by multidisciplinary teams of experts. The authors fend off situations associated with this infection’s process which have the greatest risk in order to link up behavioral problems during hospitalization and to develop intervention strategies and techniques to, in a prompt manner, detect and deal with possible behaviors which could interfere in the progress of treatment and in the therapeutic program during enforced hospitalization, be those interventions either specific one time actions or progressive actions depending on the pertinent circumstances and needs. Based on actual professional experiences in hospital situations created by these kinds of patients and by the participation of groups of experts to improve treatment given, the authors point out the necessity to develop a specific treatment plan which responds to these patients’ psycho-emotional needs by means of a theoretical justification of the proposed treatment. Psychological interventions and emotional help are the only ways to facilitate a perception of control to those affected, to reduce the emotional impact, to maximize treatment success and to promote attitudes and behaviors which enable a patient to confront his/her state of health and self-regulation of their treatment. To these ends, it is essential that a multidisciplinary team becomes involved to deal with this problem from a bio-psycho-social perspective and to include physiological, emotional and behavioral by means of individual interventions which must be derived from specific treatment plans(AU)
Subject(s)
Search on Google
Collection: National databases / Spain Health context: SDG3 - Health and Well-Being Health problem: Target 3.3: End transmission of communicable diseases Database: IBECS Main subject: Adaptation, Psychological / HIV Infections / Adjustment Disorders / HIV Type of study: Risk factors Aspects: Patient-preference Limits: Female / Humans / Male Language: Spanish Journal: Rev. Rol enferm Year: 2009 Document type: Article Institution/Affiliation country: Hospital Vall d´Hebron/España
Search on Google
Collection: National databases / Spain Health context: SDG3 - Health and Well-Being Health problem: Target 3.3: End transmission of communicable diseases Database: IBECS Main subject: Adaptation, Psychological / HIV Infections / Adjustment Disorders / HIV Type of study: Risk factors Aspects: Patient-preference Limits: Female / Humans / Male Language: Spanish Journal: Rev. Rol enferm Year: 2009 Document type: Article Institution/Affiliation country: Hospital Vall d´Hebron/España
...