1例肠造口高龄患者因肺部感染诱发老年多器官功能不全的护理体会  

Nursing care of an advanced age patient with enterostomy with multiple organ dysfunction induced by pulmonary infection

作　　者：张家慧 王春梅 章金晶 冒鑫娥 陈慧[1] 韩晶[1] ZHANG Jiahui;WANG Chunmei;ZHANG Jinjing;MAO Xine;CHEN Hui;HAN Jing(Department of Geriatric Medicine,Jiangsu Subei People's Hospital,Yangzhou 225001,China;Department of Gastrointestinal Surgery,Jiangsu Subei People's Hospital,Yangzhou 225001,China;Department of Cardiovascular Medicine,Jiangsu Subei People's Hospital,Yangzhou 225001,China)

机构地区：[1]江苏省苏北人民医院老年医学科,225001 [2]江苏省苏北人民医院胃肠外科,225001 [3]江苏省苏北人民医院心血管内科,225001

出　　处：《中国老年保健医学》2024年第4期142-145,共4页Chinese Journal of Geriatric Care

基　　金：2022年扬州市护理学会软科学培育课题(基于家庭医护信息化平台的肠造口患者全生命周期管理体系的构建与实践,编号:202208);江苏省卫健委老年健康科研课题(综合评估及干预策略影响稳定期老年慢阻肺患者肺功能及生活状态的临床研究,编号:LR2021053)。

摘　　要：本研究旨在通过整理分析1例高龄肠造口患者因肺部感染诱发多器官功能不全的护理过程,探讨老年多器官功能不全高龄患者的有效护理策略。本例患者的护理要点采用老年综合评估以全面掌握老年患者健康状况和需求,早期发现器官功能不全并及时干预以阻断连锁反应,采用阶梯式营养支持改善患者的营养状况,以及加强康复锻炼和随访管理以提高长期生存质量。研究结果表明,老年多器官功能不全患者病情变化迅速、治疗难度大且病死率高,因此,早期预测病情转归并及时进行集束化综合治疗和护理,是降低死亡率的重要途径。此案例为临床护理老年多器官功能不全患者提供了有价值的经验和参考。This study aims to analyze the nursing process of multi-organ insufficiency due to lung infection,and explore effective nursing strategies and treatment options for elderly patients with multiple organ dysfunction syndrome.Care points of the patientin this case include comprehensive assessment of the elderly to fully understand the health status and needs of patients,early detection of organ dysfunction and timely intervention to block the chain reaction,use of stepped nutritional support to improve the nutritional status of patients,and strengthen rehabilitation exercise and follow-up management to improve long-term quality of life.The results showed that the condition of the elderly patients with multiple organ dysfunction syndrome changed rapidly,the treatment was difficult and the mortality was high.Therefore,the prognosis of the disease was predicted early and the cluster comprehensive treatment and nursing were carried out in time,is an important way to reduce mortality.This case provides valuable experience and reference for clinical nursing of elderly patients with multiple organ dysfunction syndrome.

关 键 词：高龄 肠造口 肺部感染 多器官功能不全 

分 类 号：R473.73[医药卫生—护理学]