การพยาบาลผู้ป่วยวิกฤตโรคติดเชื้อไวรัสโคโรนา 2019

Esara   Yoriya; Jetsadaporn  I-gumnerd; Sopah  Raksatham

Authors

Esara Yoriya Faculty of Nursing, Lampang Rajabhat University
Jetsadaporn I-gumnerd Boromarajonani College of Nursing, Phrae, Faculty of nursing, Praboromarajchanok Institute, Ministry of Public Health
Sopah Raksatham Boromarajonani College of Nursing Bangkok, Faculty of nursing, Praboromarajchanok Institute, Ministry of Public Health

Keywords:

Coronavirus disease 2019, critical ill patients with COVID-19, nursing care for critical ill patients with COVID-19

Abstract

The Coronavirus Disease 2019 (COVID-19) is a human-to human transmitted disease that rapidly spread worldwide. Although most of the infected patients are asymptomatic or have mild symptoms, some patients develop pneumonia. Others patients have a rapid and severe disease progression leading to acute respiratory failure and need ventilator support, which is high risk for mortality. Patients, therefore, need a complex, continuous, rapid, and timely care. Therefore, nurses play a pivotal role in caring for the COVID-19 critically ill patients as they are the front line and close contact with patients in a multidisciplinary team. This article aims to review the epidemic situation, disease progression, treatment, and nursing care of COVID-19 patients with critical condition to provide knowledge about disease progression and guidelines for nurses in caring for critically ill patients with COVID-19 to receive effective care. Results of the literature review showed that the key domains of nursing care for the COVID-19 patients with acute respiratory failure includes: 1) intubation and ventilation care, 2) extracorporeal membrane oxygenation (ECMO) care, 3) venous thromboembolism (VTE) prevention, 4) nutrition care, and 5) psychological support.

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