摘要
总结1例单核细胞减少与分枝杆菌感染综合征伴肺泡蛋白沉积症患儿行造血干细胞移植的护理经验。护理要点:成立多学科团队,完善入移植仓前准备;通过精细化护理控制感染,促进骨髓造血功能重建;密切监测病情变化,预防心肺功能衰竭;实施预见性护理,加强疾病管理;制订精准的服药方案,观察药物疗效及不良反应;开展叙事护理,缓解患儿负性情绪;制订个性化随访计划,实施优质的延续性护理。经过精心的治疗与护理,患儿顺利完成造血干细胞移植,移植后第41天,康复出院。随访1个月,恢复良好。
To summarize the nursing experience of hematopoietic stem cell transplantation for a child with monocytopenia and mycobacterium infection syndrome complicated with pulmonary alveolar proteinosis.The key aspects of nursing encompass the establishment of a multidisciplinary diagnostic and treatment team,as well as the enhancement of warehousing preparation.Fine nursing plays a pivotal role in infection prevention and control,while also promoting hematopoietic reconstruction.Vigilant monitoring of condition changes is crucial to proactively prevent cardiopulmonary failure.Moreover,an intensified management approach towards underlying diseases should be implemented alongside predictive nursing interventions.The utilization of precision medication plans allows for the observation of drug efficacy and adverse reactions.Narrative nursing serves as a foundation to alleviate the child’s inner concerns,while personalized follow-up plans ensure the continuity of high-quality care.With careful treatment and care,the child successfully underwent hematopoietic stem cell transplantation.After 41 days post-transplantation,the child was discharged from the hospital after a successful recovery.The follow-up after a month showed good progress.
作者
周玮炜
周钰珊
潘政雯
许丽炜
章建丽
金爱云
周晓瑜
ZHOU Weiwei;ZHOU Yushan;PAN Zhengwen;XU Liwei;ZHANG Jianli;JIN Aiyun;ZHOU Xiaoyu
出处
《中华护理杂志》
CSCD
北大核心
2024年第11期1319-1323,共5页
Chinese Journal of Nursing
关键词
免疫缺陷
单核细胞减少与分枝杆菌感染综合征
肺泡蛋白沉积症
造血干细胞移植
护理
Immunodeficiency
Monocytopenia and Mycobacterium Infection Syndrome
Alveolar Proteinosis
Hematopoietic Stem Cell Transplantation
Nursing Care
