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2021, vol. 38, br. 4, str. 324-333
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Pregled preporuka za kućno lečenje pacijenata sa sumnjom na KOVID-19 koji se manifestuje blagim simptomima
Review on home care recommendations for patients with suspected COVID-19 presenting with mild symptoms
aTabriz University of Medical Sciences, School of Nursing and Midwifery, Department of Medical-Surgical Nursing, Tabriz, Iran bTabriz University of Medical Sciences, School of Nursing and Midwifery, Department of Pediatric Nursing, Tabriz, Iran cGriffith University, School of Medicine, Academic Lead in Paramedic Education, Queensland, Australia
e-adresa: haydarpoor22@yahoo.com
Sažetak
Nega pacijenata kod kuće sa kovidom-19 predstavlja globalni izazov. Cilj ove studije bio je pregled preporuka o kućnoj nezi pacijenata sa sumnjom na kovid-19 koji se manifestuje blagim simptomima. Ovo je pregled naučne literature o kovidu-19 i kućnoj nezi pretraživanjem sledećih medicinskih elektronskih baza podataka: PubMed, ProQuest, Google Scholar i CINAHL. Elektronske baze su pretraživane od početka 2019. godine do kraja avgusta 2020. godine. Termini za istraživanje bili su: kućna nega, kovid-19, virus korone 2019, nega i nega bolesnika. U istraživanje su uključeni radovi koji su opisivali aspekte kućne nege bolesnika sa blagim kliničkim simptomima kovida-19. Radovi u kojima je opisivano lečenje pacijenata u zdravstvenim institucijama, terapijski protokol koji nije moguće sprovesti u kućnim uslovima, kao i radovi koji se nisu uklapali u studiju bili su isključeni iz istraživanja. Pregledane su i referentne liste preuzetih časopisa. Ukupno je identifikovano 1970 radova. Devetsto pedeset studija su bile duplikati, zbog čega su uklonjene, nakon čega je za pregled ostalo 500 naslova i abstrakata. Pregledom naslova i apstrakata pronađeno je 60 radova koji su ispunjavali kriterijume studije. Nakon analize celih radova, 12 radova je uključeno u studiju. Glavni termini koji su pokrivali kućnu negu se mogu sumirati kao: kućni karantin, lečenje kontakata obolelih, rana dijagnoza kod kuće, kontrola kliničkih simptoma (na primer, temperatura i kašalj), adekvatna ishrana i unos tečnosti, uspostavljanje centara za praćenje bolesti, psihološka podrška i telemedicina. Primena kućnog karantina za osobe sa blagom kliničkom slikom kovida-19 moguća je uz dodatnu podršku, što će smanjiniti opterećenje bolnica.
Abstract
Caring for COVID-19 patients at home is a global challenge. This study aimed to review recommendations put forward on home care for patients with suspected COVID-19 presenting with mild clinical features. This is a review of the scientific literature covering COVID-19 and home care from the medical electronic databases such as PubMed, ProQuest, Google Scholar, and CINAHL. The electronic databases were searched from the beginning of 2019 to the end of August 2020. The search terms included home care, COVID-19, coronavirus disease 2019, caring, and nursing care. Articles were included if they reported on aspects of home care for managing patients with mild clinical features of COVID-19. Articles were excluded if they reported on management within healthcare facilities, were about therapeutic management not possible in home care, and non-study type articles. Reference lists of retrieved journals were also reviewed. There was a total of 1,970 identified articles; 950 studies were duplicates and were removed, after which 500 titles and abstracts remained for review. Review of the title and abstracts found 60 articles which met the inclusion criteria. After analysis of the full text articles, 12 articles were included in this study. The main areas covering home care can be summarized as home-based quarantine, management of contacts, early diagnosis at home, control of clinical features (i.e. fever and cough), appropriate nutrition and adequate fluid intake, establishment of a monitoring center, psychological support, and telemedicine. The use of home quarantine for people with mild clinical features of COVID-19 is possible with support services and will assist in reducing the demand on hospitals.
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