The nursing care of a patient with large skin ulcers caused by EBV positive T/NK-cell lymphoproliferative diseases based on TIME Clinical-Decision-Support-Tool
10.3760/cma.j.cn211501-20240419-00964
- VernacularTitle:TIME原则为基础的临床决策支持工具应用于1例EB病毒阳性T/NK淋巴组织增生性疾病致皮肤大面积溃疡患者的护理
- Author:
Zhixin WANG
1
;
Cong LI
;
Junjie ZHANG
;
Yongping MA
;
Wenhua ZHOU
Author Information
1. 中国医学科学院北京协和医院门诊部,北京 100730
- Keywords:
Nursing care;
Epstein-Barr virus positive T/NK-cell lymphoproliferative diseases;
Ulcer;
Chronic wounds
- From:
Chinese Journal of Practical Nursing
2024;40(31):2461-2466
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the nursing experience of a patient with large skin ulcers caused by EBV positive T/NK-cell lymphoproliferative diseases based on TIME Clinical-Decision-Support-Tool. The main points of nursing care were as follows: early identification of the cause of ulceration and active treatment of the underlying disease; accurate and continuous assessment of patients and their wounds; multidisciplinary consultation to ensure the integrity and comprehensiveness of diagnosis and treatment; active identification of obstacle factors and risk control; providing different dressing change programs according to different wound healing stages; evaluation of treatment effects at any time; timely pain management; improving the nutritional status of patients; providing health education and psychological nursing care. After 367 days of wound dressing, the patient′s wound was fully healed, and EBV-DNA was not detected in genetic examination after hematopoietic stem cell transplantation.