Fournier 坏疽患者的护理计划:病例报告

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
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引用次数: 0

摘要

导言福尼尔坏疽是一种相对罕见的坏死性筋膜炎,是一种进展迅速的疾病,影响会阴、肛门、阴囊和生殖器区域的深浅组织。尽管医学知识有了长足的发展,但有关该病症患者护理计划的证据仍然很少,这阻碍了对该病症的正确处理。为此,我们提供了以下临床病例:一名 53 岁的男性 Fournier 坏疽患者,因会阴部位疼痛和发热 3 天而被送入急诊科。目标目标是通过护理分类标准为患者制定个性化护理计划,详细说明诊断、预期结果和干预措施。经过推论,确定了三个合作问题和两个护理诊断,以及其结果标准和干预措施。一旦计划得到执行,所获得的结果表明,干预措施在实现该病例患者存在的问题所设定的目标方面是一致的。结论个性化计划的制定使得发现问题、确立现实的目标和确定干预措施成为可能,从而优化了该福尼尔坏疽患者的护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Plan de cuidados para un paciente con gangrena de Fournier: caso clínico

Introduction

Fournier's gangrene, a relatively rare form of necrotizing fasciitis, is a rapidly progressive disease affecting the deep and superficial tissues of the perineal, anal, scrotal, and genital regions. Despite the significant evolution in medical knowledge, there is still scarce evidence regarding the nursing care plan in patients affected by this pathology, which hinders its correct management. For this reason, we present the following clinical case of a 53-year-old male patient with Fournier's gangrene who was admitted to the emergency department for 3 days of pain in the perineal area and fever.

Objective

The objective was to establish an individualized care plan for the patient detailing the diagnoses, expected outcomes and interventions through nursing taxonomies.

Case development

A systematic assessment was performed using Marjory Gordon's model of functional health patterns as a reference. After drawing inferences, three collaborative problems and two nursing diagnoses were established with their outcome criteria and interventions. Once the plan was executed, the results obtained highlighted that the interventions were consistent in achieving the objectives set out in the problems present in the case patient.

Conclusions

The development of an individualized plan made it possible to detect problems, establish realistic objectives and define interventions that optimized nursing care in this patient with Fournier's gangrene.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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