Nursing care of HIV-infected patient with abnormal cervical cells who have undergone transabdominal hysterectomy with bilateral salpingo-oophorectomy. Ban Pong Hospital, Ratchaburi Province.

Abstract

     This study was case study aimed to study the nursing process for HIV-infected patient undergoing surgical procedures transabdominal hysterectomy with bilateral salpingo-oophorectomy due to high-grade squamous intraepithelial lesion. Selecting a case study specifically focused on HIV-infected patient who have undergone transabdominal hysterectomy with bilateral salpingo-oophorectomy, receiving treatment in the obstetrics and gynecology department at Ban Pong hospital. Data is collected from medical records, patient interviews, and family members. The nursing process involves assessment, nursing diagnosis, planning, implementation, and evaluation, with patient-centered care as the core. The study follows the theory of Orem’s self-care deficit nursing theory for healthcare needs assessment.
     Results : From the case study of an HIV-infected patient with abnormal cervical cells, it was observed that the patient experienced anxiety related to operative care, postoperative complications, surgical wound pain, and the risk of infection. The patient also expressed concerns about self-care after returning home and exhibited inappropriate health behaviors related to diabetes. Nurses must possess skills in providing education, encouragement, and promoting the patient's ability to self-manage. It is essential for the nursing team to collaborate with other healthcare professionals to ensure continuous, high-quality care for the patient, aiming to enhance the patient's satisfaction with the healthcare services