6例同种异体序贯式双肺移植术后患儿的康复护理

doi:10.3761/j.issn.0254-1769.2023.16.014

中华护理杂志 ›› 2023, Vol. 58 ›› Issue (16): 2000-2003.DOI: 10.3761/j.issn.0254-1769.2023.16.014

6例同种异体序贯式双肺移植术后患儿的康复护理

曾妃(), 梁江淑渊, 兰美娟(), 吴霞

310000 杭州市浙江大学医学院附属第二医院护理部

收稿日期:2022-10-05 出版日期:2023-08-20 发布日期:2023-08-14
通讯作者: 兰美娟，E-mail：lanmj@zju.edu.cn
作者简介:曾妃：女，本科（硕士在读），主任护师，E-mail：zengfei@zju.edu.cn
基金资助:
浙江省医药卫生科技计划项目(2021KY713);浙江省医药卫生科技计划项目(2021KY169)

Rehabilitation care of 6 children after sequential double lung transplantation

ZENG Fei(), LIANG Jiangshuyuan, LAN Meijuan(), WU Xia

Received:2022-10-05 Online:2023-08-20 Published:2023-08-14

摘要/Abstract

摘要：

总结6例同种异体序贯式双肺移植术后患儿的康复护理经验。护理要点：组建儿童肺移植康复管理团队；实施精准化的液体容量管理，预防肺水肿；落实感染预防策略，降低感染发生风险；加强病情监测及药物管理，预防排斥反应及药物相关不良反应；通过趣味游戏，引导患儿实施呼吸训练；增添童趣元素，促进无创机械通气平稳进行；通过同伴支持，提升患儿对早期活动的依从性；加强出院宣教，提升出院后患儿的照护质量。经个性化的康复护理，所有患儿均顺利出院。

关键词: 肺移植, 康复护理, 儿科护理学

Abstract:

Rehabilitation care of 6 children after sequential double lung transplantation was summarized. Key points：to establish a pediatric lung transplant rehabilitation team，to implement precise liquid volume management to prevent pulmonary edema，to implement infection prevention strategies to reduce the risk of infection，to strengthen disease monitoring and drug management to prevent acute rejection and drug-related adverse reactions，to guide children to implement respiratory training through fun games，to promote non-invasive ventilation smoothly through adding childlike elements，to promote early activities through peer encouragement，to strengthen discharge education and follow-up to improve the quality of life of children after discharge. After the personalized and precise rehabilitation nursing，all the children were discharged successfully.

Key words: Lung Transplantation, Rehabilitation Nursing, Pediatric Nursing

曾妃, 梁江淑渊, 兰美娟, 吴霞. 6例同种异体序贯式双肺移植术后患儿的康复护理[J]. 中华护理杂志, 2023, 58(16): 2000-2003.

ZENG Fei, LIANG Jiangshuyuan, LAN Meijuan, WU Xia. Rehabilitation care of 6 children after sequential double lung transplantation[J]. Chinese Journal of Nursing, 2023, 58(16): 2000-2003.

参考文献 13

[1]	Hayes D Jr, Cherikh WS, Harhay MO, et al. The International Thoracic Organ Transplant Registry of the International Society for Heart and Lung Transplantation:twenty-fifth pediatric lung transplantation report-2022;focus on pulmonary vascular diseases[J]. J Heart Lung Transplant, 2022, 41(10):1348-1356. DOI URL
[2]	Goldfarb SB, Hayes DJ, Levvey BJ, et al. The International Thoracic Organ Transplant Registry of the International Society for Heart and Lung Transplantation:twenty-first pediatric lung and heart-lung transplantation report-2018;focus theme:multiorgan transplantation[J]. J Heart Lung Transplant, 2018, 37(10):1196-1206. DOI URL
[3]	Benden C. Specific aspects of children and adolescents undergoing lung transplantation[J]. Curr Opin Organ Transplant, 2012, 17(5):509-514. DOI URL
[4]	Werner R, Benden C. Pediatric lung transplantation as standard of care[J]. Clin Transplant, 2021, 35(1):e14126.
[5]	Björkbom E, Hämmäinen P, Schramko A. Effects of perioperative fluid replacement therapy in lung transplant patients[J]. Exp Clin Transplant, 2017, 15(1):78-81. DOI PMID
[6]	Onyearugbulem C, Coss-Bu J, Gazzaneo MC, et al. Infections within the first month after pediatric lung transplantation:epidemiology and impact on outcomes[J]. J Pediatric Infect Dis Soc, 2021, 10(3):245-251. DOI PMID
[7]	Ju CR, Wang XH, Xu X, et al. Cytomegalovirus seroprevalence,infection,and disease in Chinese thoracic organ transplant recipients:a retrospective cohort study[J]. BMC Infect Dis, 2022, 22(1):872. DOI
[8]	夏欣华, 张紫君, 王宇霞, 等. 预防呼吸机相关性肺炎集束化护理方案的构建[J]. 中华护理杂志, 2021, 56(3):353-359. DOI
	Xia XH, Zhang ZJ, Wang YX, et al. Construction of a clustering solution to prevent the ventilator associated pneumonia[J]. Chin J Nurs, 2021, 56(3):353-359. DOI
[9]	陈文倩, 张雷, 张弋, 等. 实体器官移植他克莫司个体化治疗专家共识[J]. 中国医院用药评价与分析, 2021, 21(12):1409-1424.
	Chen WQ, Zhang L, Zhang Y, et al. Expert consensus on individual treatment of tacrolimusin solid organ transplantation[J]. Eval Anal Drug Use Hosp China, 2021, 21(12):1409-1424.
[10]	Wu T, Zhou SF, Wu B, et al. The effect of early tracheal extubation combined with physical training on pulmonary rehabilitation of patients after lung transplantation:a randomized controlled trial[J]. J Thorac Dis, 2022, 14(4):1120-1129. DOI URL
[11]	卢露, 卢芳燕, 张婉莹, 等. 童趣化护理在危重住院患儿护理中的应用进展[J]. 中华急危重症护理杂志, 2022, 3(5):477-480.
	Lu L, Lu FY, Zhang WY, et al. Research progress on the application of childlike nursing in the nursing of critically ill hospitalized children[J]. Chin J Emerg Crit Care Nurs, 2022, 3(5):477-480.
[12]	Paraskeva MA, Edwards LB, Levvey B, et al. Outcomes of adolescent recipients after lung transplantation:an analysis of the International Society for Heart and Lung Transplantation Registry[J]. J Heart Lung Transplant, 2018, 37(3):323-331. DOI URL
[13]	朱飘飘, 谭惠仪. 同伴支持在烧伤患者康复中的应用进展[J]. 中华护理杂志, 2019, 54(9):1410-1414. DOI
	Zhu PP, Tan HY. Application of peer support in rehabilitation of burn patients[J]. Chin J Nurs, 2019, 54(9):1410-1414.

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6例同种异体序贯式双肺移植术后患儿的康复护理

Rehabilitation care of 6 children after sequential double lung transplantation

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