Case Study on Nurse Care for Covid-19 Patients with MDRO (Multiple Drug Resistent Organism) in Isolation Intensive Care Unit, Bali Mandara Hospital

Ni Putu Rastiti, Ni Made Garnis Dolesgit, Ni Nyoman Yunita Kartika Dewi
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引用次数: 1

Abstract

Covid-19 pandemic has made major changes in human civilization. Nurse care becomes more complex for Covid-19 patients who also confirmed with MDRO. MDROs are bacteria resistant to three or more antimicrobials from different classes. This study aims is to know nurse care of patients with Covid-19 and MDRO.The design of this study is qualitative method (case study). The subjects were two patients with Covid-19 and MDRO in Isolation Intensive Care Unit. Data collection techniques were physical and supporting examination, medical record review. Data from the analysis were written descriptively. Priority nursing diagnoses was impaired gas exchange related to ventilation-perfusion imbalance characterized by dyspnea, decreased consciousness. The patient is attached to a VC SIMV mode ventilator. After being treated in Isolation intensive care unit for approximately 14 days, the patient was able to breathe spontaneously with an O2 nasal cannula. The conclusion is nurse care for COVID-19 patients with MDRO is carried out based on isolation precautions (droplet and contact transmission). Nurses are expected to provide professional nurse care to Covid-19 patients with MDRO so the quality of care remains up to standard even during pandemic.
巴厘岛曼达拉医院隔离重症监护室护士护理 Covid-19 MDRO(多重耐药菌)患者案例研究
Covid-19 大流行使人类文明发生了重大变化。对于证实患有 MDRO 的 Covid-19 患者,护士的护理工作变得更加复杂。MDRO是对三种或三种以上不同类别的抗菌药具有耐药性的细菌。本研究旨在了解护士对 Covid-19 和 MDRO 患者的护理。研究对象是隔离重症监护病房的两名 Covid-19 和 MDRO 患者。数据收集技术包括体格检查、辅助检查和病历审查。分析数据采用描述性文字。优先护理诊断是与通气-灌注失衡有关的气体交换受损,其特征是呼吸困难和意识减退。患者使用的是 VC SIMV 模式呼吸机。在隔离重症监护室接受了约 14 天的治疗后,患者能够通过鼻插管进行自主呼吸。结论是,护士应根据隔离预防措施(飞沫和接触传播)对 COVID-19 型 MDRO 患者进行护理。护士应为患有 MDRO 的 COVID-19 患者提供专业护理,这样即使在大流行期间,护理质量也能保持在标准水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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