The Risk of Hemorrhage and Nursing Care in Patients with Crimean-Congo Hemorrhagic Fever Kırım-Kongo Kanamalı Ateşi Tanılı Hastalarda Kanama Riski ve Hemşirelik Bakımı


Korkmaz Binay Ş., ÖZAKGÜL A.

Nefroloji Hemsireligi Dergisi, cilt.17, sa.1, ss.39-46, 2022 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 17 Sayı: 1
  • Basım Tarihi: 2022
  • Doi Numarası: 10.47565/ndthdt.2022.52
  • Dergi Adı: Nefroloji Hemsireligi Dergisi
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.39-46
  • Anahtar Kelimeler: Crimean-Congo Hemorrhagic Fever, Hemorrhage, Nursing Care, Thrombocytopenia
  • İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet

Özet

Thrombocytopenia is seen at a rate of 95-100% in patients diagnosed with Crimean-Congo Hemorrhagic Fever (CCHF). Activation of the coagulation cascade with the effect of endothelial damage leads to thrombocytopenia, hemorrhage, disseminated intravascular coagulation and multi-organ failure. The presence of poor prognosis factors causes the thrombocytopenia to rapidly deepen, and insufficient transfusion causes increased mortality rates. In patients with CCHF, independent nursing interventions include identification of hemorrhage/hemorrhage risk, determining the factors causing hemorrhage and solving the hemorrhage risk problem. Hence, the nurses who work in the unit where CCHF patients are treated should identify the hemorrhage risk in detail, specify individualized nursing interventions, follow evidence-based practice and be in collaboration with other health staff. This review presents information about nursing care aiming at hemorrhage/hemorrhage risk developing from thrombocytopenia in patients with CCHF.