毛霉菌病患者术后临床护理路径:印度拉贾斯坦邦一家三级医院的经验

IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Nepal Journal of Epidemiology Pub Date : 2021-12-31 eCollection Date: 2021-12-01 DOI:10.3126/nje.v11i4.40498
Nipin Kalal, Suresh K Sharma, Kapil Soni
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引用次数: 0

摘要

背景:2019冠状病毒病大流行是严重的全球健康威胁,对人类生活产生了诸多影响。印度面临第二波2019冠状病毒病的问题,并以毛霉病的形式增加了意想不到的新困境。长期使用类固醇药物和与COVID-19感染的合并症是毛霉病的危险因素。了解术后临床路径对评估和确定策略和方案具有重要意义,有助于患者加快康复,防止进一步并发症和再入院。方法:采用横断面描述性设计进行研究。我们采用经验证的即时术后恢复评估(IPR-PA)量表对毛霉病患者的术后临床护理路径进行评估。结果:目前研究显示,患者在生理临床恢复领域得分最高(75.25%),在心理社会领域得分最低(20.83%)。各领域之间存在显著的正相关关系。用药状态域与参与者年龄显著相关(P= 0.021),生理域与住院期间接受氧疗显著相关(P= 0.046)。结论:术后临床护理路径是决定患者病情进展的有效途径。它帮助我们了解不同领域的参数,即生理、生理、心理社会和药物状况。由于疫情和对疾病的恐惧,患者需要心理社会支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Postoperative clinical nursing care pathway for patients with mucormycosis: An experience from a tertiary care hospital in Rajasthan, India.

Background: The COVID-19 pandemic is a serious global health threat and it has numerous impacts on human life. India faced the problem of the second wave of COVID-19 and an unexpected new predicament in the form of mucormycosis has been added. The use of steroids drugs for long duration and comorbidity with COVID-19 infections are the risk factors of mucormycosis. It is important to understand the postoperative clinical pathway to assess and determine the policy and protocol, which help patients fasten their recovery, prevent further complications and readmission.

Methods: A cross-sectional descriptive design was used to conduct the study. We adopted the validated Immediate Post-Operative Recovery Assessment (IPR-PA) Scale to assess the postoperative clinical nursing care pathway for patients with mucormycosis.

Results: The current study shows that patients had highest score in the physiology clinical recovery domain (75.25%) and the lowest post-operative clinical recovery score in psycho-social domain (20.83%). There was a significant positive correlation was found between all the domains. The medication status domains found significantly associated with participants' age (P=.021) and physiological domains has shown significant association with received oxygen therapy during hospitalization (P=.046).

Conclusion: Postoperative clinical nursing care pathway was effective to determine the progress of a patient. It helps us to know the parameter of different domains namely being physiological, physical, psycho-social and medication status. Patients required psycho-social support due to the epidemic and fear from disease.

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来源期刊
Nepal Journal of Epidemiology
Nepal Journal of Epidemiology PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
自引率
10.30%
发文量
13
期刊介绍: The Nepal Journal of Epidemiology is a international journal that encompasses all aspects of epidemiology. The journal encourages communication among those engaged in the research, teaching, and application of epidemiology of both communicable and non-communicable disease, including research into health services and medical care. Also covered are new methods, epidemiological and statistical, for the analysis of data used by those who practise social and preventive medicine. It provides the most up-to-date, original, well designed, well interpreted and significant information source in the multidisciplinary field of epidemiology. We publish manuscripts based on the following sections: 1.Short communications 2.Current research trends 3.Original research 4.Case reports 5.Review articles 6.Letter to editor
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