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加强猴痘患者的护理:鉴别诊断、预防措施及治疗干预

Enhancing Nursing Care in Monkeypox (Mpox) Patients: Differential Diagnoses, Prevention Measures, and Therapeutic Interventions.

作者信息

Dubey Tanishq, Chakole Swarupa, Agrawal Suyash, Gupta Anannya, Munjewar Pratiksha K, Sharma Ranjana, Yelne Seema

机构信息

General Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Sep 4;15(9):e44687. doi: 10.7759/cureus.44687. eCollection 2023 Sep.

Abstract

Monkeypox (Mpox), a rare zoonotic viral infection caused by the monkeypox virus, has been gaining attention due to its potential for human-to-human transmission and its clinical resemblance to other poxvirus infections, such as smallpox and chickenpox. Enhancing nursing care for monkeypox patients is imperative to manage and contain its spread effectively. This review analyzes the key aspects of enhancing nursing care in monkeypox patients, focusing on differential diagnoses, prevention measures, and therapeutic interventions. Differential diagnosis is crucial in terms of the early recognition and management of monkeypox. Given its similarity to other poxvirus infections, a thorough assessment of clinical symptoms, travel history, and exposure to potential reservoir hosts is essential. Nursing professionals play a pivotal role in eliciting comprehensive patient histories and relaying this information to the medical team for accurate diagnosis. Prevention measures constitute a vital component of nursing care in monkeypox management. Implementing stringent infection prevention and control practices, including isolation protocols, personal protective equipment (PPE) usage, and hand hygiene, is imperative to curbing nosocomial transmission. Nurses are at the forefront of enforcing these measures, educating patients, families, and healthcare staff about their significance, and ensuring strict adherence. Therapeutic interventions in monkeypox largely focus on supportive care and symptom management. Nurses occupy a central role in administering antiviral medications, providing wound care for skin lesions, and monitoring patients for potential complications such as secondary bacterial infections. Psychosocial support is equally important, as patients often experience fear and anxiety due to the disease's contagious nature. Nursing professionals offer compassionate care, address patients' emotional needs, and facilitate communication between patients and their families. Enhancing nursing care for monkeypox entails a multifaceted approach involving differential diagnoses, prevention measures, and therapeutic interventions. Nursing professionals serve as frontline caregivers, pivotal in early diagnosis, effective prevention strategies, and comprehensive patient management. As the global healthcare community faces an influx of emerging infectious diseases, the lessons learned from managing monkeypox can contribute to the creation of a more resilient and responsive nursing workforce capable of effectively addressing future health challenges.

摘要

猴痘是一种由猴痘病毒引起的罕见人畜共患病毒感染,因其具有人际传播潜力且在临床症状上与天花和水痘等其他痘病毒感染相似,而受到关注。加强对猴痘患者的护理对于有效控制其传播至关重要。本综述分析了加强猴痘患者护理的关键方面,重点关注鉴别诊断、预防措施和治疗干预。鉴别诊断对于猴痘的早期识别和管理至关重要。鉴于其与其他痘病毒感染相似,全面评估临床症状、旅行史以及与潜在宿主的接触情况至关重要。护理专业人员在获取全面的患者病史并将此信息传达给医疗团队以进行准确诊断方面发挥着关键作用。预防措施是猴痘管理中护理的重要组成部分。实施严格的感染预防和控制措施,包括隔离方案、个人防护装备(PPE)的使用和手部卫生,对于遏制医院内传播至关重要。护士处于执行这些措施的前沿,向患者、家属和医护人员宣传其重要性,并确保严格遵守。猴痘的治疗干预主要集中在支持性护理和症状管理。护士在给予抗病毒药物、为皮肤病变提供伤口护理以及监测患者是否有继发性细菌感染等潜在并发症方面发挥着核心作用。心理社会支持同样重要,因为患者往往因疾病的传染性而感到恐惧和焦虑。护理专业人员提供富有同情心的护理,满足患者的情感需求,并促进患者与家属之间的沟通。加强对猴痘患者的护理需要采取多方面的方法,包括鉴别诊断、预防措施和治疗干预。护理专业人员作为一线护理人员,在早期诊断、有效的预防策略和全面的患者管理中起着关键作用。随着全球医疗界面临新出现传染病的涌入,从管理猴痘中吸取的经验教训有助于打造一支更具韧性和反应能力的护理队伍,能够有效应对未来的健康挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c26a/10551575/0bb9d6cd5cf6/cureus-0015-00000044687-i01.jpg

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