Expert Consensus on Nurses’ Human Caring for COVID-19 Patients in Different Sites

Zhang, Fengjian; Hu, De Ying; Liu, Yi Lan; Li, Hong; Xiao, Zhu; Pan, Shao shan

doi:10.1007/s11596-020-2222-0

Cited by 10 publications

(20 citation statements)

References 14 publications

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“…It is also a harbinger of kidney dysfunction [12]. 39.1% of our study population developed acute kidney injury (AKI) at the time of hospitalization, similar to some studies [13,14] and higher than some study results [12,15] In the COVID-19 pandemic, determining the patient whose kidney functions are impaired and who will need dialysis afterward can make important contributions to the successful organization of nursing care from time to time and equipment.…”

Section: Discussionsupporting

confidence: 76%

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Evaluation of the Effect of COVID-19 Pneumonia on Kidney Function

ARSLAN¹

2022

CMRR

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Background: Severe acute respiratory tract infection, pneumonia, kidney failure, and multi-organ failure may develop in cases that result in death due to COVID-19. It is emphasized that the awareness of healthcare professionals about kidney functions should be increased in cases of COVID-19 pneumonia. Quick and effective steps can be taken in the treatment of COVID-19 pneumonia with the controlling approach of nurses to changes in kidney functions. Method: This study was carried out retrospectively to evaluate the kidney functions of patients diagnosed with COVID-19 pneumonia who were hospitalized in the pandemic hospital. Hospital and nurse observation files of 120 patients who were introduced to COVID-19 pneumonia between 1 May and 30 November 2020 were examined. Categorical data were described as continuous data as median with interquartile range (IQR) and percentages (%). Results: In total, 30 patients (25.0%) required mechanical ventilation, Overall, 39.1% (47) developed acute kidney injury during hospitalization, out of which 10.8% reached stage 1, 15.0% reached stage 2, and 13.3% reached stage 3. Dialytic support was required for seven (17.1% of all patients). COVID-19 pneumonia patients had higher levels of aspartate aminotransferase (AST) (55.02±58.04), alanine aminotransferase (ALT) (74.07±140.94), lactate dehydrogenase (LDH) (483.48±477.51), C-reactive protein (CRP) (88.02±72.17), D-dimer (1023±1548.01), procalcitonin (3.70± 6.52). In addition, a proportion of COVID-19 pneumonia patients but no non-COVID-19 pneumonia patients had abnormally increased AST (10.0-274.0), ALT (7.0-854.0), LDH (164-3547), CRP (5.10- 310.90), D-dimer (151-6212), procalcitonin (195-433). SpO2 of COVID-19 pneumonia patients had 78-97%, patients who need dialysis treatment due to pneumonia, follow-up coagulation profile (Procalcitonin, LDH, D-dimer), liver-renal function (ALT, AST, Creatine, Urea, Albumin), assessing signs of DVT and psychological support. 89 patients (74.2%) received corticosteroid, 73 patients (60.8%) received expectorant, 61 patients (50.8%) received vitamin C or B complex, 110 patients (91.7%) received anticoagulant and 73 patients (60.8%) received antibiotics. All of the COVID-19 pneumonia patients received the antiviral drug. Conclusion: As the disease progresses, differences in laboratory results and radiological findings may indicate that some complications have developed. COVID-19 pneumonia draws attention with liver function tests such as AST / ALT, LDH, infection markers in the blood, and the high rate of coagulation factors such as PCT and D-dimer during the hospital stay. The fact that these elevated values may cause necrosis in the kidneys also brings about the truth. Careful monitoring of laboratory findings such as elevation of AST / ALT, LDH, PCT, and D-dimer in patients who develop pneumonia due to COVID-19 may provide early action for kidney damage.

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Section: Discussionsupporting

confidence: 76%

“…A series of events such as protein degradation and excessive release of methylation factors occur in association with metabolic damage in the aggravating picture of COVID-19. It can cause the breakdown of residual products by the liver and increase liver enzymes [14][15][16][17].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Effect of COVID-19 Pneumonia on Kidney Function

ARSLAN¹

2022

CMRR

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“…A total of 21 papers describe the regulation of contact between infants and mothers who are infected with COVID-19 or at risk of COVID-19. The types of interventions recommended by previous authors include avoiding skin-to-skin contact [ 56 , 138 – 142 ], isolation of infants in negative pressure incubators [ 60 , 67 , 111 , 143 , 144 ] or isolation separately from the mother for 14 days [ 55 , 77 , 111 , 120 , 138 , 140 ], rooming-in provision [ 61 , 68 , 147 ], and wear a face mask when breastfeeding or in close contact with infants [ 55 – 59 , 62 , 143 ].…”

Section: Discussionmentioning

confidence: 99%

“…Discharge planning intervention recommendations were found to differ in knowledge preparation, re-examination, and post-treatment care. Before discharging a pediatric patient with COVID-19, children and families should be provided with knowledge about the post-treatment isolation period [ 60 , 64 , 86 , 92 , 142 , 156 , 158 ] and family tracing [ 172 ]. In addition, it must be ensured that newborns are cared for by parents or caregivers who are free from COVID-19 infection [ 124 ].…”

Section: Discussionmentioning

confidence: 99%

Nursing care recommendation for pediatric COVID-19 patients in the hospital setting: A brief scoping review

Efendi

Natalia²,

Utami

et al. 2022

PLoS ONE

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Background The hospitalization of children during the COVID-19 pandemic has affected their physical and mental health. Pediatric nurses have faced challenges in providing high-quality nursing care for children and their families. However, the pediatric nursing care recommendations for COVID-19 patients in the hospital setting remain unclear. The current scoping review provides recommendations for nursing interventions for pediatric COVID-19 patients in the hospital setting. Methods and findings The selected articles containing management and nursing recommendations for COVID-19 that have occurred in pediatric patients ages 0–19 years old. A search strategy was developed and implemented in seven databases. We included peer-reviewed articles that reported observational or interventional studies, as well as policy papers, guides or guidelines, letters and editorials, and web articles. A total of 134 articles and other documents relevant to this review were included. We categorized the results based on The Nursing Intervention Classification (NIC) taxonomy which consists of six domains (e.g., Physiological: Basic); eleven classes (e.g., Nutrition Support); and eighteen intervention themes (e.g., Positioning, Family Presence Facilitation, Family Support, and Discharge Planning). Conclusion Apart from the intervention of physical problems, there is a need to promote patient- and family-centered care, play therapy, and discharge planning to help children and families cope with their new situation.

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“…After severe COVID‐19 disease, many patients experience a deficit in self‐management, functional ability and participation (Brown et al, 2017; Herridge et al, 2016): a continuity of care plan to improve these handicaps would be welcome. In a recent nursing consensus (Zhang et al, 2020) on caring for patients with COVID‐19, the authors stressed the need to assess the health needs of patients using scales to evaluate and find abnormalities during this process, and intervene early to improve connections with the community, hospitals, and other institutions to provide extended care for the patient. During the first pandemic wave of COVID‐19, many rehabilitative services had, like ours, to be re‐adapted (Simonelli et al, 2020; Vitacca, Migliori, et al, 2020) to sustain health care in patients coming from the acute wards.…”

Section: Discussionmentioning

confidence: 99%

Patients recovering from COVID‐19 pneumonia in sub‐acute care exhibit severe frailty: Role of the nurse assessment

Mandora

Comini

Olivares

et al. 2021

Journal of Clinical Nursing

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Aims and Objectives To document the level of frailty in sub‐acute COVID‐19 patients recovering from acute respiratory failure and investigate the associations between frailty, assessed by the nurse using the Blaylock Risk Assessment Screening Score (BRASS), and clinical and functional patient characteristics during hospitalisation. Background Frailty is a major problem in patients discharged from acute care, but no data are available on the frailty risk in survivors of COVID‐19 infection. Design A descriptive cross‐sectional study (STROBE checklist). Methods At admission to sub‐acute care in 2020, 236 COVID‐19 patients (median age 77 years – interquartile range 68–83) were administered BRASS and classified into 3 levels of frailty risk. The Short Physical Performance Battery (SPPB) was also administered to measure physical function and disability. Differences between BRASS levels and associations between BRASS index and clinical parameters were analysed. Results The median BRASS index was 14.0 (interquartile range 9.0–20.0) denoting intermediate frailty (32.2%, 41.1%, 26.7% of patients exhibited low, intermediate and high frailty, respectively). Significant differences emerged between the BRASS frailty classes regards to sex, comorbidities, history of cognitive deficits, previous mechanical ventilation support and SPPB score. Patients with no comorbidities (14%) exhibited low frailty (BRASS: median 5.5, interquartile range 3.0–12.0). Age ≥65 years, presence of comorbidities, cognitive deficit and SPPB % predicted <50% were significant predictors of high frailty. Conclusions Most COVID‐19 survivors exhibit substantial frailty and require continuing care after discharge from acute care. Relevance to clinical practice The BRASS index is a valuable tool for nurses to identify those patients most at risk of frailty, who require a programme of rehabilitation and community reintegration.

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Expert Consensus on Nurses’ Human Caring for COVID-19 Patients in Different Sites

Cited by 10 publications

References 14 publications

Evaluation of the Effect of COVID-19 Pneumonia on Kidney Function

Evaluation of the Effect of COVID-19 Pneumonia on Kidney Function

Nursing care recommendation for pediatric COVID-19 patients in the hospital setting: A brief scoping review

Patients recovering from COVID‐19 pneumonia in sub‐acute care exhibit severe frailty: Role of the nurse assessment

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