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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Att vårda patienter som bär på viral blodsmitta : Sjuksköterskors erfarenheter / Caring for patients with viral blood infections

Johannesson, Julia, Larsson, Elsa January 2017 (has links)
Bakgrund: Miljontals människor världen över lever med viral blodsmitta, vilket innebär att många sjuksköterskor möter denna patientgrupp. Till viral blodsmitta hör hepatit B (HBV), hepatit C (HCV) och humant immunbristvirus (HIV). Studier har visat att viral blodsmitta är förknippat med stigma och att patienter med viral blodsmitta riskerar att diskrimineras. Sjuksköterskans arbete med patienter med viral blodsmitta och andra kroniska sjukdomar liknar varandra. Sjuksköterskor behöver ha kunskaper om hur viral blodsmitta sprids och förebyggs samt hur det påverkar patienten. Syfte: Att beskriva sjuksköterskors erfarenheter av att vårda patienter som bär på viral blodsmitta. Metod: En litteraturöversikt med kvalitativ ansats har genomförts. Resultat: Huvudtemana är en vård som framkallar känslor, ett utmanande omvårdnadsarbete och den egna hälsan riskeras. De underteman som framträdde var ilska och frustration, hjälplöshet och vanmakt, medkänsla, stress och utmattning, ett professionellt förhållningssätt, diskriminering och stigma, rädsla och smittförebyggande åtgärder samt att exponeras för viral blodsmitta. Slutsats: Att vårda patienter med viral blodsmitta innebar många utmaningar. Sjuksköterskorna försökte hitta egna lösningar och sätt att hantera de utmaningar som arbetet innebar. / Background: Globally, millions of people live with viral blood infections. This means many nurses meet patients with blood infections. Viral blood infections include hepatitis B (HBV), hepatitis C (HCV) and human immunodeficiency virus (HIV). Studies has shown viral blood infections are associated with stigma and patients who live with these may be discriminated. The nursing care of patients with viral blood infections is similar to the care of patients with other chronic illnesses. However, nurses need to have knowledge about these infections. Purpose: To describe the nurses’ experiences of caring for patients with viral blood infections. Method: A literature review with qualitative approach was made. Results: The main themes are a care that causes emotions, a challenging care and the own health at risk. The subthemes that emerged were anger and frustration, helplessness and powerlessness, compassion, a professional approach, discrimination and stigma, fear and prevention of transmission and also to be exposed for viral blood infections. Conclusion: To care for patients with viral blood infections implied many challenges. The nurses developed different ways to cope with the challenges.
2

Comparing Immune Responses to Inactivated Vaccines Against SARS-CoV-2 Between People Living With HIV and HIV-Negative Individuals: A Cross-Sectional Study in China

Huang, Xiaojie, Yan, Ying, Su, Bin, Xiao, Dong, Yu, Maohe, Jin, Xia, Duan, Junyi, Zhang, Xiangjun, Zheng, Shimin, Fang, Yuan, Zhang, Tong, Tang, Weiming, Wang, Lunan, Wang, Zixin, Xu, Junjie 28 January 2022 (has links)
This study compared the immunogenicity of inactivated SARS-CoV-2 vaccines between people living with HIV (PLWH) and HIV-negative individuals. We recruited 120 PLWH and 53 HIV-negative individuals aged 18-59 years who had received an inactivated SARS-CoV-2 vaccine in two Chinese cities between April and June 2021. Blood samples were tested for immunogenicity of the inactivated SARS-CoV-2 vaccines. The prevalence and severity of adverse events associated with SARS-CoV-2 vaccines were similar between PLWH and HIV-negative individuals. The seropositivity of neutralizing activity against authentic SARS-CoV-2, of the total amount of antibody (total antibody) and of S-IgG were 71.3%, 81.9%, and 92.6%, respectively, among fully vaccinated PLWH. Among all participants, PLWH had lower neutralizing activity, total antibody, S-IgG, and T-cell-specific immune response levels, compared to HIV-negative individuals, after controlling for types of vaccine, time interval between first and second dose, time after receiving the second dose, and sociodemographic factors. PLWH with a longer interval since HIV diagnosis, who received their second dose 15-28 days prior to study commencement, and who had an interval of ≥21 days between first and second dose had higher neutralizing activity levels. The immunogenicity of the inactivated SARS-CoV-2 vaccines was lower among PLWH as compared to HIV-negative individuals. Vaccination guideline specific for PLWH should be developed.

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