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

doi:10.3761/j.issn.0254-1769.2024.18.011

摘要/Abstract

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。

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

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.

Key words: Pregnancy, Acute Respiratory Distress Syndrome, Awake Prone Position, Critical Care Nursing, Obstetrical Nursing

马蓉, 陈管洁, 沈晨, 马璐. 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[J]. 中华护理杂志, 2024, 59(18): 2256-2260.

MA Rong, CHEN Guanjie, SHEN Chen, MA Lu. Nursing care of a pregnant patient in awake prone position combined with acute respiratory distress syndrome[J]. Chinese Journal of Nursing, 2024, 59(18): 2256-2260.

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