Selected nursing diagnoses and interventions in patients with COVID-19 hospitalized during pandemic
DOI:
https://doi.org/10.12775/JEHS.2024.67.001Keywords
nursing diagnoses in patients with COVID-19, nursing interventions in patients infected with SARS-CoV-2, COVID-19 pandemic in PolandAbstract
Introduction. In March 2020, the WHO announced global pandemic due to the outbreak of coronavirus disease (COVID-19) caused by the SARS-CoV-2 virus. COVID-19 is considered as a highly infectious disease, with a considerable mortality rate, especially among older people with concomitant diseases (heart failure, pulmonary diseases, arterial hypertension, diabetes). The pathogen affects mainly the respiratory system, and may also lead to acute respiratory distress syndrome, sepsis. In a severe state of health of a patient nurses make many nursing diagnoses, based on which they plan and implement nursing interventions to limit the risk of complications/death.
Objective. The aim of the study was presentation of selected nursing diagnoses and interventions in patients hospitalized due to COVID-19 during the period of pandemic.
Materials and Method. Nursing diagnoses and nursing interventions associated with these diagnoses were analyzed among patients hospitalized due to COVID-19 during pandemic, based on practical experiences in Poland.
Results. The COVID-19 pandemic was a new challenge for nurses in inpatient health care to provide patients with attentive care in a severe health condition. The efforts of nurses had to be focused on solving many care problems in the bio-psycho-social sphere in order to limit the risk of complications/death. The implementation of nursing interventions had to proceed smoothly, with consideration of the provision of secure environment of patient care and personal protection.
Conclusions. The symptoms of COVID-19 are frequently multisystemic and are related with the risk of complications/death. The presented nursing diagnoses and interventions in patients ill with COVID-19 disease are an example of the provision of high quality care of patients infected with SARS-CoV-2 virus. Nursing care of a patient with COVID-19 should be characterized by the subjective approach to the patient in accordance with the holistic concept of solving health problems in the bio-psycho-social sphere.
References
van Doremalen N, Bushmaker T, Morris DH, et al. Aerosol and surface stability of HCoV19 (SARS-CoV-2) compared to SARS-CoV-1. N Engl J Med. 2020; 382(16):1564-1567. doi: 10.1056/NEJMc2004973
Shi Y, Wang J, Yang Y, et al. Knowledge and attitudes of medical staff in Chinese psychiatric hospitals regarding COVID-19. Brain Behav Immun Health 2020;4:100064. doi: 10.1016/j.bbih.2020.100064
https://stat.gov.pl - dostęp dnia 17.04.2024
Rehman SU, Rehman SU, Yoo HH. COVID-19 challenges and its therapeutics. Biomed Pharmacother 2021;142:112015. doi: 10.1016/j.biopha.2021.112015
Flisiak R, Horban A, Jaroszewicz J, et al. Management of SARS-CoV-2 infection: recommendations of the Polish Association of Epidemiologists and Infectiologists as of March 31, 2020. Pol Arch Intern Med. 2020;130(4):352357. doi: 10.20452/pamw.15270
Pollán M, Pérez-Gómez B, Pastor-Barriuso R, et al. Prevalence of SARS-CoV-2 in Spain (ENE-COVID): a nationwide, population-based seroepidemiological study. Lancet. 2020;396(10250):535-544. doi: 10.1016/S0140-6736(20)31483-5
Lavezzo E, Franchin E, Ciavarella C, et al. Suppression of a SARS-CoV-2 outbreak in the Italian municipality of Vo’. Nature. 2020;584(7821):425-429. doi: 10.1038/s41586-020-2488-1
McGoogan JM. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19). China CDC Weekly 2020;2(8):113-122. doi: 10.46234/ccdcw2020.032
Yang X, Yu Y, Xu J, et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. Lancet Respir Med. 2020;8(5):475-481. doi: 10.1016/S2213-2600(20)30079-5
Yang J, Zheng Y, Gou X, et al. Prevalence of comorbidities in the novel Wuhan coronavirus (COVID-19) infection: a systematic review and meta-analysis. Int. J. Infect Dis. 2020;94:91-95. doi: 10.1016/j.ijid.2020.03.017
Rosenthal NZ, Cao Z, Gundrum J, et al. Risk Factors Associated With In-Hospital Mortality in a US National Sample of Patients With COVID-19. JAMA New Open. 2020;3(12):e.2029058. doi: 10.1001/jamanetworkopen.2020.29058
Galehdar N, Toulabi T, Kamran A, et al. Exploring nurses’ perception of taking care of patients with coronavirus disease (COVID-19): A qualitative study. Nurs Open. 2020;8(1):171-179. doi: 10.1002/nop2.616
Hryniewicz W, Albrecht P, Radzikowski A. Rekomendacje postępowania w pozaszpitalnych zakażeniach układu oddechowego. Narodowy Instytut Leków, Warszawa 2016
Pilch D, Mędrzycka Dąbrowska W, Snopek B. Zalecenie grupy roboczej w spraw praktyki w pielęgniarstwie anestezjologicznym i intensywnej opieki PTPAiIO w sprawie wytycznych pielęgnacji dróg oddechowych u pacjentów dorosłych wentylowanych mechanicznie leczonych w oddziale intensywnej terapii. Pielęgniarstwo w Anestezjologii i Intensywnej Opiece. 2015;1(1):5-12. doi: 10.15374/PwAiIO2014006
Araminowicz-Kierklo E. Interpersonal patient-therapeutic team communication during COVID-19 pandemic – selected problems. J Educ Health Sport 2024;56:11-21. doi: 10.12775/JEHS.2024.56.001
Sayan HE, Girgin NK, Asan A. Prevalence of pressure ulcers in hospitalized adult patients in Bursa, Turkey: A multicentre, point prevalence study. J Eval Clint Pract. 2020;26(6):1660-1676. doi: 10.1111/jep.13354
Kuberka I, Głowacz J, Bakowska M. Odleżyny- ocena ryzyka, rozpoznawanie i leczenie. Leczenie Ran. 2019;16(3-4):74-78. doi: 10.5114/lr.2019.94619
Coleman S, Górecki K, Nelson EA, et al. Patient risk factors for pressure ulcer development: Systematic review. Int J Nurs Studi. 2013;50(7):974-1003. doi: 10.1016/j.ijnurstu.2012.11.019
Jacobson TM, Thompson SL, Halvorson AM, et al. Enhancing Decumentation of Pressure Ulcer Prevention Interventions: A Quality Improventions: A Quality Improvement Strategy to Reduce Pressure Ulcers. J Nurs Care Qual. 2016;31(3):207-214. doi: 10.1097/NCQ.0000000000000175
Cepuch G, Perek M. Modele opieki pielęgniarskiej nad dzieckiem z chorobą ostrą i zagrażającą życiu. Wydawnictwo Lekarskie PZWL, Warszawa 2024
Szewczyk MT, Kózka M, Cierzniakowska K, et al. Profilaktyka odleżyn – zalecenia Polskiego Towarzystwa Leczenia Ran. Cz. I. Leczenie Ran. 2020;17(3):113-146. doi: 10.5114/lr.2020.101506
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Elżbieta Araminowicz-Kierklo, Lidia Sierpińska
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 278
Number of citations: 0