Dimens Crit Care Nurs. 2022;41(5):227-234. doi: 10.1097/DCC.0000000000000540.
A multidisciplinary approach is required to provide holistic care and treatment in the fight against the COVID-19 pandemic. Being in the center of the multidisciplinary approach, nurses provide therapeutic, primary, and psychosocial care for the patients.
This study was conducted to diagnose according to the North American Nursing Diagnosis Associations by determining the care needs of a case who was diagnosed with COVID-19, planning interventions, and observing the results.
This descriptive case study included a patient who applied to a university hospital located in Istanbul/Turkey between March and April 2020 because of COVID-19. As the inclusion criteria, only a positive result from a polymerase chain reaction test was accepted. The details of the patient presented in the study were obtained through face-to-face interviews and electronic medical records.
Specified care plans enable defining problems in practice for all needs of the individual and developing solution recommendations. It was observed that there were improvements and a decrease in symptom severity after the interventions were applied for the symptoms developing in the case. The execution of the treatment and care practices under quality and effective nursing care such as giving proper ventilatory support at the right time, giving prone position for a long time, and providing sufficient fluid resuscitation and an early and balanced diet contributed to the patient's discharge from the intensive care unit successfully without having any organ dysfunction. This presentation is expected to be a source for collaborative nursing care for other cases diagnosed with COVID-19 and intensive care indications.
Nursing care interventions were applied for gas exchange, risk of decreased tissue perfusion, excess fluid volume, and constipation nursing diagnosis. It was observed that there were improvements and a decrease in symptom severity after the interventions were applied for the symptoms developing in the case. This presentation is expected to be a source for collaborative nursing care for other cases diagnosed with COVID-19 and intensive care indications.
需要采取多学科方法，为抗击 COVID-19 大流行提供全面护理和治疗。护士处于多学科方法的中心，为患者提供治疗、初级和社会心理护理。
本研究通过确定被诊断患有 COVID-19 的病例的护理需求、规划干预措施并观察结果，根据北美护理诊断协会进行诊断。
本描述性病例研究包括一名患者，该患者于 2020 年 3 月至 4 月期间因 COVID-19 向位于伊斯坦布尔/土耳其的一所大学医院就诊。作为纳入标准，仅接受聚合酶链反应检测阳性结果。研究中呈现的患者详细信息是通过面对面访谈和电子病历获得的。
指定的护理计划可确定个体所有需求的实践中的问题，并制定解决方案建议。观察到，在对病例中出现的症状实施干预措施后，症状的严重程度有所改善和减轻。在高质量和有效的护理下执行治疗和护理实践，例如在适当的时间给予适当的通气支持、长时间保持俯卧位、提供充足的液体复苏以及早期和均衡的饮食，有助于患者成功从重症监护病房出院，而不会出现任何器官功能障碍。这一介绍有望为其他被诊断患有 COVID-19 和需要重症监护的病例的协作护理提供资源。
针对气体交换、组织灌注减少风险、液体量过多和便秘护理诊断，对护理干预措施进行了应用。观察到，在对病例中出现的症状实施干预措施后，症状的严重程度有所改善和减轻。这一介绍有望为其他被诊断患有 COVID-19 和需要重症监护的病例的协作护理提供资源。
