頁籤選單縮合
題 名 | 感染海洋弧菌的危險因子與相關護理=Risk Factors and Nursing of Vibrio vulnificus |
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作 者 | 劉金珍; 林虹良; | 書刊名 | 高雄護理雜誌 |
卷 期 | 29:2 2012.08[民101.08] |
頁 次 | 頁40-48 |
分類號 | 419.73 |
關鍵詞 | 海洋弧菌; 危險因子; 盛行率; 護理; Vibrio vulnificus; Risk factor; Prevalence; Nursing; |
語 文 | 中文(Chinese) |
中文摘要 | 臺灣地處亞熱帶,居民常引進海水養殖牡蠣、蝦等海產食物為主。當養殖海域受海洋弧菌的汙染時,民眾在執行養殖作業時受傷或接觸受污染之海水而感染海洋弧菌。感染後主要的健康問題為敗血症和軟組織感染,當傷口感染合併敗血性休克,死亡率高達 90%以上且在 24至 36小時內死亡。 台灣自 1985年發現第一位案例後,病例數顯著的增加,每 1000萬人的疾病盛行率達 12.37%,與海洋弧菌感染有關的危險因子包括具肝臟疾病史、地理環境、飲食習慣與接觸史。鑒於該疾病在臨床表現的猛爆性及高死亡率,急性期護理措施應包含提供呼吸道的通暢與功能、維持傷口組織完整性、減輕開放性傷口的疼痛感、提供情緒支持及身體心像改變的諮商協助,以及降低其害怕與焦慮,對於維持生命、緩解症狀及降低死亡率上將有極大助益。 |
英文摘要 | Taiwan is situated in a subtropical region. The residents usually introduce seawater to cultivate seafoods for a living (aquaculture), such as oysters and shrimps. If the aquacultural area is contaminated by vibrio vulnificus, residents easily become infected if they are injured during marine fishery work, or if they contact it via contaminated seawater. The related health problems are mainly septicemia and soft-tissue infection. The mortality rate of patients with wound infection and septic shock can be as high as 90%. The patient might die within 24-36 hours. In 1985, the first case was discovered. Since then, the number of new cases has increased significantly in Taiwan. The prevalence rate of v. vulnificus infection is about 12.37% per 10 million residents. The risk factors of v. vulnificus infection include preexisting liver diseases, geographical environment, food, and exposure history. V. vulnificus infections are fulminant and fatal. Nursing interventions should include preservation of airway patency and function, maintenance of tissue integrity, control of wound pain, support of emotional needs, consultation for body image alterations, and alleviation of fear and anxiety. These interventions are beneficial to maintaining a patient’s life, symptom relief and lowering the mortality rate. |
本系統中英文摘要資訊取自各篇刊載內容。