老年重症新型冠状病毒肺炎患者护理专家共识  

Expert consensus on the nursing management of critically ill elderly patients with coronavirus disease 2019

作　　者：王霞[1] 孙超[1] 胡慧秀[1] 王紫馨[2] 汪晖 彭华[4] 乔建红[5] 高岚[6] 无 Wang Xia;Sun Chao;Hu Huixiu;Wang Zixin;Wang Hui;Peng Hua;Qiao Jianhong;Gao Lan;无(Department of Nursing,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Respiratory&Critical Care Medicine,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Nursing,Tongji Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Department of Nursing,National Clinical Research Center for Geriatric Disorders,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Nursing,the First Affiliated Hospital of Shandong First Medical University,Shandong Provincial Qianfoshan Hospital,Jinan 250014,China;Department of Neurology,the First Hospital of Jilin University,Changchun 130033,China;China Gerontological Nursing Alliance;National Center of Gerontology)

机构地区：[1]北京医院护理部,国家老年医学中心,中国医学科学院老年医学研究院,北京100730 [2]北京医院呼吸与危重症医学科,国家老年医学中心,中国医学科学院老年医学研究院,北京100730 [3]华中科技大学同济医学院附属同济医院护理部,武汉430030 [4]中南大学湘雅医院护理部,国家老年疾病临床医学研究中心,长沙410008 [5]山东第一医科大学第一附属医院,山东省千佛山医院护理部,济南250014 [6]吉林大学第一医院神经内科,长春130033 [7]中国老年护理联盟 [8]国家老年医学中心

出　　处：《中华老年医学杂志》2020年第3期249-254,共6页Chinese Journal of Geriatrics

基　　金：北京医院科技新星项目(BJ-2018-129)。

摘　　要：目的新型冠状病毒(2019-nCoV)因2019年12月发生在武汉的不明原因病毒性肺炎病例而被发现,由该病原感染所致的肺炎称为新型冠状病毒肺炎(COVID-19)。虽然2019-nCoV对于人群普遍易感,但老年人由于免疫力低下且合并基础疾病较多,使得该组人群感染后病情进展更快、严重程度更高,重症及危重症患者较多。为进一步提高老年重症COVID-19患者的护理质量、减少并发症、降低死亡率,我们组织国内老年重症护理专家在文献回顾和专家研讨的基础上编写该共识,该共识涵盖老年重症COVID-19患者的评估、临床护理、出院护理等相关内容,以期为临床实践提供借鉴与指导。The novel coronavirus 2019(2019-nCoV)was first detected from patients with pneumonia of an unknown cause in Wuhan in December 2019.It has since been confirmed as the pathogen for the new coronavirus pneumonia,recently named coronavirus disease 2019(COVID-19)by the WHO.Although the general population is commonly susceptible to the disease,infected elderly people show fast progression and severe manifestations with a high proportion in serious or critical condition as a result of compromised immunity and underlying diseases.In order to improve the quality of nursing management,reduce complications and decrease mortality for critically ill elderly patients,we assembled a national expert group with expertise in critical care nursing to write this consensus,based on a literature review and a subsequent panel discussion.The consensus covers the assessment,clinical nursing management,nursing care following hospital discharge and other aspects of care for critically ill elderly patients with COVID-19,aiming to share insights and provide guidance for clinical practice.

关 键 词：新型冠状病毒 肺炎 重症 护理 

分 类 号：R473[医药卫生—护理学]