2019年冠状病毒病儿童的护理:个案研究

M. Rahkar Farshi, M. Jabraeili, N. Moharrami, J. Malakouti
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引用次数: 2

摘要

简介:任何年龄段的儿童都对2019冠状病毒病(COVID-19)敏感,并有被感染的风险。据报道,这种疾病在10岁以下儿童中的发病率为1%。COVID-19儿童最常见的临床表现是急性呼吸窘迫综合征(ARDS)。护理管理是ARDS患儿治疗的重要组成部分。由于COVID-19的出现以及对儿科研究的关注较少,本研究报告了1例8岁儿童COVID-19及其护理问题。病例介绍:本报告描述了一名8岁男孩,因发烧、咳嗽和呼吸困难等呼吸道症状被转诊到大不里士儿童医院。他被送进了儿科重症监护室。入院第2天根据PCR检测诊断为新冠肺炎。胸部x线表现为左肺实变及玻璃样混浊。结论:护理新冠肺炎患儿对PICU护士来说是一种全新的体验。对新冠肺炎患儿最重要的关爱问题是持续监测呼吸状况、因禁止探视而更加重视家庭信息和情感支持、感染传播以及因个人防护装备使用受限而难以开展关爱活动。
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Nursing Care in a Child with Coronavirus Disease 2019: A Case Study
Introduction: Children are sensitive at any age to coronavirus disease 2019 (COVID-19) and are at risk of being infected. The prevalence of this disease in children under ten years of age is reported to be 1%. The most common clinical manifestation of COVID-19 in children is acute respiratory distress syndrome (ARDS). Nursing management is an important part of the treatment in children with ARDS. Owing to the emergence of COVID-19 and less focus on studies in pediatrics, the present study reports a case of COVID-19 in an 8-year-old child and its caring issues. Case Presentation: This report describes an 8-year-old boy who was referred to Tabriz Children’s Hospital with respiratory symptoms such as fever, cough, and dyspnea. He was admitted to the pediatric intensive care unit. Diagnosis of COVID-19 was made based on the PCR test on the second day of hospitalization. In chest X-ray imaging, in the left lung, consolidation, and glass-opacity was observed. Conclusions: Caring for a child with COVID-19 was a new experience for PICU nurses. The most important caring issues of a child with COVID-19 were continuous monitoring of respiratory status, paying more attention to family informational and emotional support owing to visitation bans, transmission of infection, and the difficulty of caring activities due to the limitations of the use of personal protective equipment.
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