COVID-19 ile İlişkili Pediatrik Multisistem İnflamatuar Sendromu ve Hemşirelik Yaklaşımı

Multisistem İnflamatuar Sendromu (Multisystem Inflammatory Syndrome in Children / MIS-C), COVID-19’un nadir görülen komplikasyonu olarak tanımlanan, Nisan 2020 tarihinden itibaren COVID-19 geçirildikten 2-4 hafta sonra ortaya çıktığı varsayılan bir sendromdur. MIS-C’de; sıklıkla ateş, döküntü, bilateral konjonktivit, gastrointestinal sisteme ait semptomlar, aşırı yorgunluk hissi veya miyokardit gibi bulgular görülmektedir. Hemşireler pediatrik hastaların fiziksel, mental ve spiritüel ihtiyaçlarını anlayarak ve karşılayarak bütüncül bir yaklaşımla kaliteli, bireyselleştirilmiş ve aile merkezli bakım vermeye özen göstermelidir. Bakımda izolasyon önlemleri alınmalı ve uygun kişisel koruyucu ekipmanlar kullanılmalı, kişisel koruyucu ekipmanlara yönelik çocuk ve ailenin eğitimi bakımın bir parçası olmalıdır. MIS-C yeni bir sendrom olduğundan sağlık ekibi üyeleri, pediatrik hastaların ve ailelerinin birçok sorusu ile karşı karşıya kalacaklarından bu süreçte literatürü takip etmeleri oldukça önemlidir. Bu derlemede, 2021 Ocak – Şubat aylarında PubMed veritabanında yer alan COVID-19 ile ilişkili MIS-C tanılı hastaların olgu sunumlarındaki hastalığın seyri ve buna yönelik hemşirelik yaklaşımı ele alınmıştır.

Anahtar Kelimeler:

COVID-19, hemşirelik, pediatri, multisistem inflamatuar sendromu.

Pediatric Multisystem Inflammatory Syndrome Related to COVID-19 and Nursing Approach

Multisystem Inflammatory Syndrome (MIS-C) is a syndrome defined as a rare complication of COVID-19, which is assumed to occur 2-4 weeks after COVID-19 as of April 2020. In MIS-C, symptoms such as fever, rash, bilateral conjunctivitis, symptoms of the gastrointestinal system, feeling of extreme tiredness or myocarditis are frequently observed. Nurses should take care to provide quality, individualized and family- centered care in a holistic approach by understanding and meeting the physical, mental, and spiritual needs of pediatric patients. Isolation measures should be taken care of, appropriate personal protective equipment should be used, and education of the child and family should be a part of the care for personal protective equipment. It is very important for healthcare members to follow the literature in this process, as they will face many questions from patients and their families. In this review, the course of the disease and the nursing approach to this in the case reports of patients with a diagnosis of MIS-C associated with COVID-19 in the PubMed database between January and February 2021 were discussed.

Keywords:

nursing, pediatrics, COVID-19, multisystem inflammatory syndrome.,

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