21例肿瘤并发疥疮患者的临床特征与护理对策
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摘要
目的总结肿瘤并发疥疮患者的临床特征、排查方法与护理对策,以为临床上疥疮的诊治、护理提供指导。方法选择解放军第四二二医院肿瘤科2015年8月至2017年8月期间收治的21例肿瘤并发疥疮患者为研究对象,所有患者均由我科制定的疥疮患者疥疮排查评分表筛查后确诊,该表主要依据头发(长度、洁净度)、指甲(长度、洁净度)、服装(洁净度)、皮肤瘙痒、出疹等方面组成,同时进行积极的治疗及护理干预。结果 21例肿瘤并发疥疮的患者入院后,疥疮均得到了及时有效的治疗,疥疮的平均治愈时间为(11.4±2.3)d。家属、医务人员零感染。结论疥疮排查评分表能够有效地对非皮肤专科患者进行排查,采取积极的护理干预措施可以有效地预防疥疮传播。
Objective To summarize the clinical characteristics, investigation method and nursing countermeasures of patients with tumors complicating scabies, and to provide guidance for the diagnosis and treatment of scabies in clinic. Methods A total of 21 patients with tumors complicating scabies treated in Department of Oncology, No. 422 Hospital of Chinese PLA from August 2015 to August 2017 were selected as research subjects. All the patients were screened by self-made Scabies Investigation Scale for diagnosis, including hair(length, cleanliness), nail(length,cleanliness), clothing(cleanliness), skin itching, rash. At the same time, active treatment and positive nursing intervention were implemented. Results All the 21 patients received timely and effective treatment after admission. The average healing time of scabies was(11.4 ± 2.3) days. No infection was found in the family members and medical staff.Conclusion The self-made Scabies Investigation Scale can effectively screen the disease among non-dermatological patients, and nursing interventions can effectively prevent the spread of scabies.
Objective To summarize the clinical characteristics, investigation method and nursing countermeasures of patients with tumors complicating scabies, and to provide guidance for the diagnosis and treatment of scabies in clinic. Methods A total of 21 patients with tumors complicating scabies treated in Department of Oncology, No. 422 Hospital of Chinese PLA from August 2015 to August 2017 were selected as research subjects. All the patients were screened by self-made Scabies Investigation Scale for diagnosis, including hair(length, cleanliness), nail(length,cleanliness), clothing(cleanliness), skin itching, rash. At the same time, active treatment and positive nursing intervention were implemented. Results All the 21 patients received timely and effective treatment after admission. The average healing time of scabies was(11.4 ± 2.3) days. No infection was found in the family members and medical staff.Conclusion The self-made Scabies Investigation Scale can effectively screen the disease among non-dermatological patients, and nursing interventions can effectively prevent the spread of scabies.
引文
[1]刘涛,曾秀红,刘影,等.疥疮的流行因素调查[J].现代预防医学,2011,38(6):1004-1006.
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[10]张秀娟,刘洪燕,林凯.精神科病房疥疮感染原因分析及护理对策[J].中国实用护理杂志,2015,31(28):2144-2145.
[11]于海燕.1例疥疮患者致多名医务人员感染的护理[J].中国实用护理杂志,2013,29(24):73-74.
[12]刘涛,曾秀红,张会君,等.疥疮患者心理因素分析及护理[J].护理研究,2010,24(33):3056-3057.
[13]张秀娟,刘洪燕,林凯.精神科病房疥疮感染原因分析及护理对策[J].中国实用护理杂志,2015,31(28):2144-2145.
[14]孙艳,辛淑君,王去非.一例疥疮患者引发医院感染的原因分析及护理[J].中华现代护理杂志,2014,20(3):363-364.
[2]张学军,李春阳.皮肤性病学[M].6版.北京:人民卫生出版社,2004:86-87.
[3]齐焕英,班慧珍.3种方法治疗疥疮的疗效分析[J].中国中西医结合皮肤性病学杂志,2013,12(2):112-113.
[4]钟旭,崔莉.联合治疗结合综合护理干预治疗终末期肾病皮肤瘙痒患者的疗效观察[J].海南医学,2012,23(11):147-149.
[5]谢丽君,索继江,祈丽晔,等.综合医院暴发疥疮感染的流行病调查与分析[J].中华医院感染学杂志,2011,21(21):4518-4519.
[6]齐焕英,班慧珍.3种方法治疗疥疮的疗效分析[J].中国中西医结合皮肤性病学杂志,2013,12(2):112-113.
[7]王继东,曹玲珍,赵徐萍.老年病房暴发疥疮感染的流行病学调查与控制对策[J].中华医院感染学杂志,2013,23(23):5707-5708.
[8]白彩萍,邢晓金.疥疗散治疗疥疮60例患者的临床观察与护理[J].全科护理,2013,11(3):229-230.
[9]王芳,高天君,药晨,等.一起医院内疥疮感染暴发的调查及防控对策研究[J].中国消毒学杂志,2014,31(11):1227-1229.
[10]张秀娟,刘洪燕,林凯.精神科病房疥疮感染原因分析及护理对策[J].中国实用护理杂志,2015,31(28):2144-2145.
[11]于海燕.1例疥疮患者致多名医务人员感染的护理[J].中国实用护理杂志,2013,29(24):73-74.
[12]刘涛,曾秀红,张会君,等.疥疮患者心理因素分析及护理[J].护理研究,2010,24(33):3056-3057.
[13]张秀娟,刘洪燕,林凯.精神科病房疥疮感染原因分析及护理对策[J].中国实用护理杂志,2015,31(28):2144-2145.
[14]孙艳,辛淑君,王去非.一例疥疮患者引发医院感染的原因分析及护理[J].中华现代护理杂志,2014,20(3):363-364.