中华护理杂志2024,Vol.59Issue(18) :2256-2260.DOI:10.3761/j.issn.0254-1769.2024.18.011

1例妊娠晚期合并中度急性呼吸窘迫综合征患者行清醒俯卧位的护理

Nursing care of a pregnant patient in awake prone position combined with acute respiratory distress syndrome

马蓉 陈管洁 沈晨 马璐
中华护理杂志2024,Vol.59Issue(18) :2256-2260.DOI:10.3761/j.issn.0254-1769.2024.18.011

1例妊娠晚期合并中度急性呼吸窘迫综合征患者行清醒俯卧位的护理

Nursing care of a pregnant patient in awake prone position combined with acute respiratory distress syndrome

马蓉 1陈管洁 1沈晨 1马璐1
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作者信息

  • 1. 210009 南京市 东南大学附属中大医院重症医学科
  • 折叠

摘要

总结1例妊娠晚期合并中度急性呼吸窘迫综合征患者行清醒俯卧位的护理经验.护理要点:基于健康行为改变理论全程指导俯卧位实施;精细化评估,实施个性化俯卧位;通过可视化方式监测俯卧位疗效;密切监测胎儿宫内状态;分阶段实施个性化心理护理.经过7 d针对性的治疗和护理,患者病情好转,转至产科继续治疗.

Abstract

To summarize the nursing experience of a patient with moderate acute respiratory distress syndrome in the third trimester of pregnancy in awake prone position.Nursing points include the guidance for the implementation of prone position throughout the whole process based on the integrated theory of health behavior change;the refined evaluation and the implemention of personalized prone position;the visual monitoring of the efficacy of prone position;the monitoring of the intrauterine state of the fetus to ensure fetal safety;the implemention of personalized psychological nursing in stages.After 7 days of targeted treatment and care,the patient improved and was transferred to obstetrics for continued treatment.

关键词

妊娠/急性呼吸窘迫综合征/清醒俯卧位/危重症护理/产科护理

Key words

Pregnancy/Acute Respiratory Distress Syndrome/Awake Prone Position/Critical Care Nursing/Obstetrical Nursing

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出版年

2024
中华护理杂志
中华护理学会

中华护理杂志

CSTPCD北大核心
影响因子:5.365
ISSN:0254-1769
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