Study on severe early warning index and nursing countermeasures for severe hemorrhagic fever with renal syndrome in elderly patients
LI Yun
DU Hong
DANG Xiao
LI Pei
LIAN Jianqi
LI Xiaofeng
Abstract：Objective To investigate the early warning indicators of severity and corresponding nursing interventions for elderly patients suffering from hemorrhagic fever with renal syndrome (HFRS). Methods This study encompassed 146 clinically and laboratory-confirmed elderly patients (aged 60 years or above) diagnosed with HFRS and admitted to the Infectious Department of the Second Affiliated Hospital of Air Force Military Medical University between January 2018 and December 2022. The patients were categorized into 2 groups based on the severity of their condition:the mild group (comprising of mild and moderate cases) (n=64) and the severe group (including severe and critical cases) (n=82). Data on various clinical parameters such as gender,age,comorbidities,symptoms,and signs were collected. Multivariate Logistic regression analysis was employed to identify the early warning indicators of severity in these elderly patients,and accordingly,appropriate nursing interventions were proposed. Results The positive rates of symptoms such as fever,anorexia,chest tightness/shortness of breath,nausea/vomiting,abdominal pain/diarrhea,decreased urine volume,skin and mucosal bleeding,chemosis,renal area tenderness,and multi-stage overlap were significantly higher in the severe group compared to the mild group (P<0.05). Multivariate Logistic regression analysis revealed that chest tightness/shortness of breath,nausea/vomiting,decreased urine volume,skin and mucosal bleeding,and the presence of multiple overlapping symptoms served as significant severe warning indicators for elderly patients with HFRS (P<0.05). Conclusions In clinical practice,medical personnel should be vigilant about the severe warning indicators specific to elderly patients with HFRS. For those experiencing early symptoms of chest tightness/shortness of breath,nausea/vomiting,decreased urine volume,skin and mucosal bleeding,and multiple overlapping symptoms,there is a higher risk of progression to severe disease. Therefore,prompt early warning systems and targeted individualized nursing interventions are imperative.
Keywords：hemorrhagic fever with renal syndromeelderlysevere illnessearly warning indicatorsnursing strategy
Publication Date：2024-06-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 260-264 )