Nursing HIV-positive people with syphilis: two case studies

Abstract

Background and significance of the problem AIDS and syphilis are sexually transmitted diseases that affect the health and quality of life of infected people and those involved. These diseases remain global and national public health problems. In Thailand the rate of syphilis infection has increased 5 times in 10 years.

The objectives of this study were 1) to compare the causes of pathology and nursing processes of people living with HIV with syphilis between case studies 1 and 2 and 2) to study the nursing process according to Gordon's health patterns.

Methodology  selected two specific case studies of patients who received outpatient services in Mahasarakham Hospital January-December 2023 Using the 11 Health Scheme Conceptual Framework of Gordon's Health Patterns, the study found that patients in both case studies had a total of 5 health problems (1, 2, 4, 8, 10) throretical Health Belief Model (HBM) and 6 nursing diagnoses: 1) have a syphilis infection and there is a chance of spreading syphilis. , 2) risk of repeated infection, 3) there is a chance that fat will accumulate in the body's tissues., 4) risk of gastrointestinal infection, 5) risk of complications from drug use, 6) there is a chance of harm to the body from the liver losing its function.

Conclusion Case study patients 1 were able to take care of their health in HIV but syphilis was still redundant. Case Study 2 patients can take care of their own health in HIV and syphilis. Both patients understand the cause. But there is a lack of awareness of safe health behaviors.