Importance of Nurse Support For The Covid- 19 Positive Patients During Hospitalization and After Discharge: Case Report

Yıl 2022, Cilt: 11 Sayı: 3, 1274 - 1284, 27.09.2022

Esra Sağlam , Eylem Topbaş

https://doi.org/10.37989/gumussagbil.848741

Öz

As a result of the pandemic, patients feel alone and isolated. Social isolation and disease caused by the Covid-19 epidemic can have psychological effects such as anxiety, insomnia, stress and depression as well as physiological effects on individuals. Telephone support comes to the fore in the healthcare system during the pandemic process. The purpose of this case report is; It is to provide nursing care in line with Gordon's Functional Health Patterns Model of the patient with a positive diagnosis of Covid-19, and to determine the importance of telephone support given during the hospitalization period and after discharge. In this case report, the effect of anxiety and stress on breathing pattern and sleep pattern of a female patient who was hospitalized in the same ward with her husband (Covid-19 positive) was examined. WhatsApp and phone support were used in the nursing care process. Nursing support provided by the telephone has also contributed to the increase in communication with the patient, improvement in the patient's breathing pattern, reducing the risk of loneliness and anxiety of the patient, eliminating sleep problems and overcoming the grief process in a healthy way.

Anahtar Kelimeler

Covid-19, Nursing, Communication, Phone Support

Covid-19 Pozitif Tanısı Olan Hastanın Hastane Sürecinde ve Taburculuktan Sonra Hemşire Desteğinin Önemi: Olgu Sunumu

Öz

Pandeminin sonucu olarak hastalar kendilerini yalnız ve izole edilmiş hissetmektedir. Covid-19 salgınının neden olduğu sosyal izolasyonun ve hastalığın bireyler üzerinde fizyolojik etkileri kadar anksiyete, uykusuzluk, stres ve depresyon gibi psikolojik etkileri de olabilmektedir. Pandemi sürecinde sağlık sisteminde telefon desteği ön plana çıkmaktadır. Bu olgu sunumunun amacı; Covid-19 pozitif tanısı olan hastanın Gordonun Fonksiyonel Sağlık Örüntüleri Modeli doğrultusunda hemşirelik bakımının verilmesi ve hasta eğitiminde hastanede yattığı süre içerinde ve taburculuk sonrasında verilen telefonla desteğin öneminin belirlenmesidir. Bu olgu sunumunda eşiyle (Covid-19 pozitif) birlikte aynı serviste yatışı yapılan kadın hastanın Covid-19 hastalığına bağlı yaşadığı anksiyete ve stresin solunum örüntüsüne, uyku düzenine etkisi incelendi. WhatsApp ve telefon desteği hemşirelik bakım sürecinde kullanıldı. Telefon ile verilen hemşirelik desteğinin hasta ile olan iletişimin artmasına, hastanın solunum örüntüsünde iyileşmeye hastanın yalnızlık riskinin ve anksiyete düzeyinin azaltılmasına, uyku sorunlarının giderilmesine ve yas sürecinin sağlıklı bir şekilde atlatılmasında etkili olmuştur. olmuştur.

Anahtar Kelimeler

Covid-19, Hemşirelik, İletişim, Telefon Desteği

Kaynakça

• 1. Chan, J.F.W, Yuan, S, Kok, K.H, To, K.K.W, Chu, H. and Yang, J. (2020). “A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster”. The Lancet, 395 (10223), 514-523. doi:10.1016/S0140-6736(20)30154-9
• 2. Şirin, H. ve Özkan, S. (2020). “Dünyada ve Türkiye’de COVID-19 Epidemiyolojisi”. Kulak Burun Boğaz ve Baş Boyun Cerrahisi Dergisi, 28, 6-13.
• 3. Chen, N, Zhou, M, Dong, X, Qu, J, Gong, F. and Han, Y. (2020). “Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study”. Lancet, 395,507–513. doi: 10.1016/S0140-6736(20)30211-7
• 4. Huang, C, Wang, Y, Li, X, Ren, L, Zhao, J. and Hu, Y. (2020). “Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China”. Lancet, 395 (10223),497-506. doi: 10.1016/S0140-6736(20)30183-5.
• 5. Harapan, H, Itoh, N, Yufika, A, Winardi, W, Keam, S. and Te, H. (2020). “Coronavirus disease 2019 (COVID-19): A literature review”. Journal of Infection and Public Health, 13 (5), 667–673. doi: 10.1016 / j.jiph.2020.03.019.
• 6. Wang, Y, Kang, H, Liu, X. and Tong, Z. (2020). “Combination of RT-qPCR testing and clinical features for diagnosis of COVID-19 facilitates management of SARS-CoV-2 outbreak”. Journal of Medical Virology, 92 (6), 538-539. doi: 10.1002/jmv.25721.
• 7. Zu, Z.Y, Jiang, M.D, Xu, P.P, Chen, W, Ni, Q.Q. and Lu, GM. (2020). “Coronavirus disease 2019 (COVID-19): a perspective from China”. Radiology, 296 (2), 15-25. doi: 10.1148/radiol.2020200490.
• 8. Jin, Y.H, Cai, L, Cheng, Z.S, Cheng, H, Deng, T. and Fan, Y.P. (2020). “A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version)”. Military Medical Research, 7 (1),4. doi: 10.1186 / s40779-020-0233-6.
• 9. Li, X, Zai, J, Wang, X. and Li, Y. (2020). “Potential of large "first generation" human-to-human transmission of 2019-nCoV”. Journal Medical Virology, 92 (4),448-454. doi: 10.1002 / jmv.25693.
• 10. Rothe, C, Schunk, M, Sothmann, P, Bretzel, G, Froeschl, G, Wallrauch, C, Zimmer, T, Thiel, V, Janke, C, Guggemos, W, Seilmaier, M, Drosten, C, Vollmar, P, Zwirglmaier, K, Zange, S, Wölfel, R. and Hoelscher, M. (2020). “Transmission of 2019-nCoV Infection from an Asymptomatic Contact in Germany”. The New England Journal of Medicine, 382 (10),970-971. doi: 10.1056 / NEJMc2001468.
• 11. Palacios Cruz, M, Santos, E, Velázquez Cervantes, M.A. and León Juárez, M. (2020). “COVID-19, a Worldwide Public Health Emergency.” Revista Clinica Espanola, 221(1), 55–61. doi: 10.1016/j.rce.2020.03.001.
• 12. Zhou, D, Zhang, P, Bao, C, Zhang, Y. and Zhu, N. (2020). “Emerging understanding of etiology and epidemiology of the novel coronavirus (COVID-19) infection in Wuhan, China”. Preprints 2020, 2020020283. doi: 10.20944/preprints202002.0283.v1.
• 13. Chatterjee, K. and Chauhan, V.S. (2020). “Epidemics, quarantine and mental health”. Medical Journal Armed Forces India, 76 (2), 125–7. doi: 10.1016/ j.mjafi.2020. 03.017. 14. Marlay, B, Attenborough, J. and Kutcher, V. (2020). “Living in limbo’: the views and experiences of young people in Australia at the start of the COVID-19 pandemic and national response”. Sydney, UNICEF Australia.
• 15. “Australian Bureau of Statistics. Household Impacts of COVID-19 Survey, 29 Apr–4 May 2020”. Canberra, ABS, 2020.
• 16. Parlapani, E, Holeva, V, Nikopoulou, V.A, Sereslis, K, Athanasiadou, M. and Godosidis, A. (2020). “Intolerance of Uncertainty and Loneliness in Older Adults During the COVID-19 Pandemic”. Frontiers in Psychiatry, 11, 842. doi: 10.3389/fpsyt.2020.00842.
• 17. Hassaniazad, M, Ghazisaeedi, M. and Baniasadi, T. (2020). Technology-Based Solutions to Improve Management of COVID-19: A Call for More Utilization in Iran”. Iranian Journal Public Health, 49 (8), 1588-1589. doi: 10.18502 / ijph.v49i8.3912.
• 18. Gong, M, Liu, L, Sun, X, Yang, Y, Wang, S. and Zhu, H. (2020). “Cloud-Based System for Effective Surveillance and Control of COVID-19: Useful Experiences from Hubei, China”. Journal of Medical Internet Research, 22 (4), 18948. doi: 10.2196 / 18948.
• 19. Agyapong, V.I.O., Hrabok, M, Vuong, W, Gusnowski, A, Shalaby, R. and Mrklas, K. (2020). “Closing the Psychological Treatment Gap During the COVID-19 Pandemic With a Supportive Text Messaging Program: Protocol for Implementation and Evaluation”. JMIR Res Protoc, 9 (6),20240. doi: 10.2196 / 19292.
• 20. Agyapong, V.I.O., Hrabok, M, Vuong, W, Gusnowski, A, Shalaby, R. and Mrklas, K. (2020). “Closing the Psychological Treatment Gap During the COVID-19 Pandemic With a Supportive Text Messaging Program: Protocol for Implementation and Evaluation”. JMIR Res Protoc, 9 (6),20240. doi: 10.2196 / 19292.
• 21. Sher, L. (2020). “The impact of the COVID-19 pandemic on suicide rates”. QJM: Monthly Journal of the Association of Physicians, 113 (10), 707–712. doi: 10.1093 / qjmed / hcaa202.
• 22. Espinoza, J, Crown, K. and Kulkarni, O. (2020). “A Guide to Chatbots for COVID-19 Screening at Pediatric Health Care Facilities”. JMIR Public Health and Surveillance, 6 (2), 18808. doi: 10.2196 / 18808.
• 23. Zhang, M. and Smith, H.E. (2020). “Tools to Ameliorate Psychological Symptoms Associated With COVID-19: Scoping Review”. Journal of Medical Internet Research, 22(8), 19706. doi: 10.2196 / 19706.
• 24. Enç, N. ve Can, G. (Ed.). (2017). “İç Hastalıkları Hemşireliği Uygulama Öğrenci Modülü (3. Baskı)”. İstanbul: Nobel Tıp Kitabevleri Tic. Ltd. Şti.
• 25. Birol, L. (2009). “Hemşirelik Süreci”. İzmir: Etki Matbaacılık Yayıncılık Ltd. Şti.
• 26. Acaroğlu, R. ve Kaya, H. (Ed.). (2020). “Hemşirelik Tanıları Tanımlar ve Sınıflandırma 2018-2020 (11.Baskı)”. İstanbul: Nobel Tıp Kitabevleri Tic. Ltd. Şti.