以质量求发展，以服务铸品牌

Journal of Nursing ›› 2020, Vol. 27 ›› Issue (5): 68-71.doi: 10.16460/j.issn1008-9969.2020.05.068

Previous Articles     Next Articles

Nursing Challenge of Most Critically Ill COVID-19 Patients and Its Strategies: A 12-case Study

REN Wei-hong, SHEN Li-han, ZHAO Miao-ling, ZHOU Huan, CHEN Jun-hua   

  1. Dept. of Critical Care Medicine, Dongguan People's Hospital, Dongguan 523000, China
  • Received:2020-02-16 Published:2020-07-14

PDF (PC)

105

Like

Abstract: Objective To summarize the difficulties in the nursing of 12 most critically ill COVID-19 patients and its nursing strategies. Methods There were difficulties including nursing assessment, nursing observation, nursing procedure and isolation and prevention of nosocomial infection in the nursing of 12 most critically ill COVID-19 patients from 28 January to 23 February 2020 and corresponding measures were taken as followed: assessment of body temperature, blood oxygen saturation of fingertip, blood pressure and heart rate; recording of fluid balance, application of TCM and observation of drug-use; aspiration of sputum, CRRT and ECMO and isolation and prevention. Results Of all the 12 patients, one discharged; 5 transmitted; one died and 5 still underwent treatment, 2 of which were most critically ill and 3 improved after the treatment. Conclusion There are difficulties in the nursing of most critically ill COVID-19 patients and different measures should be taken. More attention should go to details and difficulties in nursing procedure, which is conducive to the recovery of the patients.

Key words: COVID-19, most critically ill, nursing difficulty, strategy

CLC Number: 

  • R563.1
[1] 国家卫生健康委员会办公厅和国家中医药管理局办公室.新型冠状病毒感染的肺炎诊疗方案(试行第五版)[EB/OL].(2020-02-04)[2020-02-08].http://www.nhc.gov.cn/yzygj/s7653p/202002/3b09b894ac9b4204a79db5b8912d4440.shtml.
[2] 国家卫生健康委员会办公厅和国家中医药管理局办公室.新型冠状病毒感染肺炎诊疗方案(试行第六版)[EB/OL]. [2020-02-19].http://www.nhc.gov.cn/xcs/zhengcwj/202002/8334a8326dd94d329df351d7da8aefc2.shtml.
[3] 国家卫生健康委员会办公厅.新型冠状病毒感染的肺炎重症、危重症病例诊疗方案(试行第二版).国卫办医函[2020]127号[EB/OL].(2020-01-23)[2020-02-01]. http://www.nhc.gov.cn/xcs/zhengcwj/202001/0909555408d842a58828611dde2e6a26.shtml.
[4] 李小寒,尚少梅.护理学基础[M].北京:人民卫生出版社,2017:358.
[5] 王彤,张谦.肺与大肠相表里理论在治疗重症肺炎中的临床应用[J].世界最新医学信息文摘,2019, 19(86):88-89. DOI:10.19613/j.cnki.1671-3141.2019.86.038.
[6] 王艳红,刘艳红.重症监护病房多重耐药菌的感染类型、耐药机制、耐药性及感染相关因素分析[J].吉林医学,2019,40(9):2077-2078.DOI:10.3969/j.issn.1004-0412.2019.09.074.
[1] CHEN Meng-yun, LIN Dan-zhu, XU Jin-wei, XIE Man. Triage and Epidemic Prevention of COVID-19 at Fever Clinic [J]. Journal of Nursing, 2020, 27(6): 39-43.
[2] BAO Yan-qiao, ZHANG Wen-li, BIAN Xiao-lu, LIU Fang-mei. Effect of Narrative Nursing on Mental Health of Nurses Fighting against COVID-19 [J]. Journal of Nursing, 2020, 27(6): 44-48.
[3] LI Ying-chun, DUAN Yan, YANG Li, TANG Shu-rong, LIAO Lei, LONG Xiao-qiu, HE Yue, LIU Qian-ran, ZHU Ping. Status Quo of Psychological Coherence of 258 Clinical Nurses Fighting Against COVID-19 and Its Influence Factors [J]. Journal of Nursing, 2020, 27(5): 47-51.
[4] LIANG Rui-chen, ZHENG Si-lin, ZENG Liang-nan, LI Qian-qian, MING Xia, YANG Chang-mei. Application of Home-based Training Model Based on Intelligent Cloud Platform in Training of Reserve Nurses for COVID-19 [J]. Journal of Nursing, 2020, 27(5): 52-54.
[5] MING Yao-hui, MI Yuan-yuan, NIE Tao, XIANG Cheng-lin, HUANG Hai-yan, YUAN Shi-ying. Establishment of Management System for COVID-19 Prevention in Intensive Care Unit and Its Effect [J]. Journal of Nursing, 2020, 27(5): 55-59.
[6] ZHANG Pu, LI Jin, LI Zhao-yang, CHEN Chen, TIAN Chao, JIA Ben-tao. Nursing Experience of Most Critically Ill COVID-19 Patients with Extracorporeal Membrane Oxygenation: A 9-case Study [J]. Journal of Nursing, 2020, 27(5): 60-63.
[7] DING Hong, CHEN Xu-su, XU Li-qian, LIU Huan-yi, JIANG Yu-mei, CHEN Xin-zhi, WU Lan, TANG Na, HUANG Li, YE Li, YANG Jie, HE Min, WANG Xue-lian, CHEN Jing-zhi, MAO Xiao-yan, FENG Hui-dong, JIANG Li-ping, XIE Zhu-bin, LU Chun-li, ZHOU Shu, LIAO Chang-jian, WANG Jia, WEN Ji-jin, HE Jing, LI Xiao-yan. Expert Consensus on Prevention and Control Measures in Anesthesia Care for COVID-19 Patients [J]. Journal of Nursing, 2020, 27(5): 64-67.
[8] TIAN Fan-li, LI Hui-ling, DU Mei-lan, JIANG Fang-qin, ZHANG Xin-mei, YIN Xue-qun. Qualitative Study on Emotional Experience of Male Nurses Supporting Wuhan for Fighting COVID-19 [J]. Journal of Nursing, 2020, 27(12): 46-49.
[9] MA Jie-kui,LI Qi-ci. Status and Influence Factors of Critically Ill Patients with ICU Acquired Weakness [J]. Journal of Nursing, 2018, 25(6): 45-50.
[10] LI Lei,WANG Zi-zhen,KONG Xiang-yong,DONG Jian-ying. Effect of Modified Strategies of Safe Transfer on Extremely Preterm [J]. , 2017, 24(1): 27-30.
[11] YING Yin-yan,WANG Xiao-ping,HUANG Ying,REN Jiao-jiao,PENG Yong,CHEN Yong. Influence Factors and Nursing Strategy of Standard Treatment of Gout [J]. Journal of Nursing, 2015, (24): 42-45,46.
[12] LEE Shirleatha,ZHAN Lin,FLEMING Belinda. Critical Thinking Ⅱ: Teaching Strategies to Foster Critical Thinking in Undergraduate Nursing Students: A Case Analysis Approach [J]. Journal of Nursing, 2014, 21(23): 64-68.
Viewed
Full text


Abstract

Cited
  Shared   
[1] ZHAO Di, ZHAO Meng-Lu, WANG Na, FU Ming-Jing, LIANG Feng, ZHANG Wei, WANG Ai-Min. Current Status of Social Isolation of Community-dwelling Elderly People in Qingdao and Its Influencing Factors[J]. Journal of Nursing, 2020, 27(11): 6 -10 .
[2] . [J]. Journal of Nursing, 2020, 27(11): 11 -15 .
[3] XIE Yan-zhen, LI Zhuang-miao, ZHANG Jia-yu, JI Qiu-lu, WU Yu-xin. Bibliometric Analysis of Moxibustion for Hemiplegia after Stroke[J]. Journal of Nursing, 2020, 27(11): 16 -20 .
[4] . [J]. Journal of Nursing, 2020, 27(11): 21 -25 .
[5] YE Dong-ting, ZHANG Qin-lian, JING Shuang, GUO Jia, XING Yan-fen. Psychological Experience of Family Members of ICU Patients during ICU Transfer: A Meta-synthesis[J]. Journal of Nursing, 2020, 27(11): 33 -39 .
[6] GUO Xiao-yu, SHI Dong-li, ZHANG Zheng-mei, LI Na, ZHANG Pei-feng, YANG Li-juan. Best Evidence Summary for Early Removal of Urinary Catheters in Male Patients after Lumbar Spine Surgery under General Anethesia[J]. Journal of Nursing, 2020, 27(11): 46 -51 .
[7] . [J]. Journal of Nursing, 2020, 27(11): 52 -56 .
[8] . [J]. Journal of Nursing, 2020, 27(11): 66 -70 .
[9] LI Xi-zhen, CAO Mei-chang, DENG Ju-ying, ZENG Man-ping, OU Li-fang. Effect of Narrative Therapy on Fear of Cancer Recurrence and Level of Hope in Patients with Nasopharyngeal Carcinoma[J]. Journal of Nursing, 2020, 27(11): 71 -74 .
[10] . [J]. Journal of Nursing, 2020, 27(11): 75 -78 .