Characteristics and practice management of intensive nursing care for 1 849 COVID-19 patients
10.3760/cma.j.cn112225-20200228-00360
- VernacularTitle:1 849例新冠肺炎危重症患者密集护理特征及其管理
- Author:
Hui WANG
1
;
Rong XU
;
Luhong HU
;
Lihong HUANG
;
Ying WANG
;
Xiao YUE
;
Kaili HU
;
Shiyu YIN
Author Information
1. 华中科技大学同济医学院附属同济医院护理部，武汉 430030
- From:
Chinese Journal of Hospital Administration
2020;36(4):307-311
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore and analyze the characteristics and causes of intensive nursing needs of COVID-19 patients.Methods:This was a cross-sectional study. Critical patients′ treatment and care information were extracted through the HIS system of a designated hospital from critical patients with COVID-19. We used statistical descriptions to analyze patient general information, nursing degree, and therapeutic intensive care needs. The chi-square test or Fisher′s exact test was used to analyze the differences between characteristics of patients and nursing degree.Results:A total of 1 849 cases of critical patients were collected, including special grade nursing care 697(37.70%), grade I nursing care(62.30%). There were 893(48.30%)patients aged≥65 years, and 853(46.13%)patients with one or more complications. All patients required the nursing routine of infection department, and the therapeutic intensive care followed was vein blood collection(99.62%), oxygen inhalation(98.92%), oral medication(98.65%), finger pulse oxygen monitoring(77.07%)and pharyngeal swab collection(71.93%). The nursing degree of the patients with different gender, age, admission mode, body position and complications were statistically significant( P<0.05). Conclusions:The intensive care nursing needs of COVID-19 patients are complex, which are special in treatment, life and psychology, and the tasks of nursing are heavy, difficult and professional. Special attention should be paid to elderly patients and patients with complications. Our hospital has established a provisional nursing department during the COVID-19 outbreak, coordinated nursing manpower and quality of nursing management, and set up a nursing expert consultation team to further enhance the quality of nursing care for critical COVID-19 patients.
