12例新型冠状病毒肺炎危重型患者护理难点及对策

目的 总结12例新型冠状病毒肺炎危重型患者治疗护理过程中出现难点及对策。方法 2020年1月28日—2月23日,收治12例新型冠状病毒肺炎危重型患者,存在护理评估、护理观察、护理操作、隔离防护院感4方面的护理难点,分别对应提出护理对策,包括评估体温、指尖血氧饱和度、血压、心率等护理举措;记录液体平衡、中医中药的运用和用药观察等护理对策;吸痰、CRRT、ECMO等护理操作对策以及隔离防护对策。结果 12例患者经过治疗,1例出院,5例转出,1例死亡,5例正在治疗中,其中2例病情危重,3例治疗好转中。结论 新冠肺炎危重型患者护理难点存在于各个护理环节,应区别于ICU其他疾病的危重症患者对待,做好细节护理和难点护理,以提高患者的救治率,促进康复。

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

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.