COVID-19’lu veya COVID-19 Saptanan Gebelerde Holistik Yaklaşım

Koronavirüs hastalığı (COVID-19) yeni keşfedilen bir korona virüs türünün neden olduğu bir enfeksiyon hastalığıdır. İlk vakalar 2019’un Aralık ayında Çin’in Wuhan şehir merkezinde görülmüştür. Korona virüs salgının hızla yayılması ile Dünya Sağlık Örgütü tarafından ‘Uluslararası Öneme Sahip Acil Halk Sağlığı Durumu’ olarak ilan edilmiştir. Hastalığın ciddi enfektivitesi ve gebelik üzerine olan etkilerinin büyük ölçüde bilinmemesi nedeni ile gebelik süreci ile ilgili endişeler de artmaktadır. Gebelik immün sistemin kısmi olarak baskılandığı bir durumdur ve mevcut kanıtlar COVID-19 enfeksiyonunun gebelikte Şiddetli Akut Solunum Yolu Sendromu (SARS-CoV) ve Orta Doğu Solunum Sendromu’na (MERS-CoV) neden olan virüslere oranla daha az agresif seyrettiğini gösterse de gebeler özel bakım gerektiren, hastalığa karşı dayanıksız bir popülasyon olarak düşünülmelidir. Pandemi sürecinde gebelerin özel bakımının ve ihtiyaçlarının karşılanmasında, holistik bakıma olan ihtiyaç artmaktadır. COVID-19 hastalığında gebelerin bakımı, modern sağlık bakım kavramlarının yanı sıra holistik (bütünsel) bir yaklaşımla ele alınmalıdır. Gebelerin özel bakımının karşılanması ve hastalığın yönetiminde holistik bakım yöntemi ebelere ve hemşirelere rehberlik edebilir. Gebelerin tüm salgın sürecinde holistik bakım alması bakımın kalitesinin artması açısından önemlidir

Holistic Approach in Pregnant Women with COVID-19

Coronavirus disease (COVID-19) is an infectious disease caused by a newly discovered species of corona virus. The first cases were seen in Wuhan, China, in December 2019. With the rapid spread of the corona virus outbreak, it has been declared an ‘Internationally Important Emergency Public Health Situation’ by the World Health Organization. Concerns about the pregnancy process are also increasing since the severe infectivity of the disease and that its effects on pregnancy is largely unknown. Pregnancy is a condition which the immune system is partially suppressed, and although current evidence shows that COVID-19 infection is less aggressive in pregnancy than the Severe Acute Respiratory Syndrome and Middle East Respiratory Syndrome virus, pregnant women should be considered as an unstable population that requires special care. In the pandemic process, the need for holistic care increases in supplying with the special care and needs of pregnant women. In COVID-19 disease, the care of pregnant women should be addressed with a holistic (holistic) approach as well as modern health care concepts. Holistic care method satisfies the special care of pregnant women and guides midwives and nurses. Holistic care during the entire epidemic process of pregnant women is important for improving the quality of care.

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