File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Severe acute respiratory syndrome (SARS) in Hong Kong: Patients' experiences

TitleSevere acute respiratory syndrome (SARS) in Hong Kong: Patients' experiences
Authors
Issue Date2003
PublisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/nursoutlook
Citation
Nursing Outlook, 2003, v. 51 n. 5, p. 212-218 How to Cite?
AbstractBackground: This past year there was an outbreak of Severe Acute Respiratory Syndrome (SARS) in Hong Kong. During that time we investigated the clinical features, treatment, and nursing care of 36 patients and reported on 12 of these patients' perceptions of their illness experience. Purpose: The purpose of this article is to describe the clinical features, treatment, nursing care and perceptions of the illness experience of patients with SARS in Hong Kong in order to better inform nurses caring for patients with this highly contagious and potentially lethal disease. Method: We abstracted data from the medical and nursing records on the clinical features, treatment and nursing care of 36 patients (21 women, 15 men) in whom SARS was diagnosed and who were admitted to the Queen Mary Hospital in Hong Kong between March 15 and April 15, 2003. A review of the hospital's policy and procedures on infection control was also undertaken. Semi-structured interviews were conducted with 12 of the patients to elicit their perceptions of the illness experience. Findings: The most common symptoms were cough (83%), dyspnea (80.6%), malaise (69.4%) and fever (61%). Less common symptoms included headache (38.9%), diarrhea (38.9%), dizziness (30.6%), myalgia (25%), chills (19.4%), nausea and vomiting (19.4%) and rigor (the occurrence of a sensation of hot-and-cold and shivering in addition to teeth chattering and bed shaking) (8.3%). All 36 patients received a combination of corticosteroids and ribavirin. The patients were at risk of drug-related adverse reactions and deterioration of respiratory function, and nursing vigilance was required. Conclusion: Nursing patients with SARS was challenging as the disease was highly contagious and potentially lethal, and not much was known about this disease. In addition to the use of frontline treatment, infection control and sensitivity to individual responses to sudden and catastrophic illness were required to support these patients. From this outbreak of SARS, we have learned the importance of infection control in containing and controlling the disease. Other lessons included the need to strengthen the surge capacity in our hospitals and support health care workers during the crisis.
Persistent Identifierhttp://hdl.handle.net/10722/88251
ISSN
2015 Impact Factor: 2.287
2015 SCImago Journal Rankings: 0.891
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorTiwari, Aen_HK
dc.contributor.authorChan, Sen_HK
dc.contributor.authorWong, Aen_HK
dc.contributor.authorTai, Jen_HK
dc.contributor.authorCheng, Ken_HK
dc.contributor.authorChan, Jen_HK
dc.contributor.authorTsang, Ken_HK
dc.date.accessioned2010-09-06T09:40:51Z-
dc.date.available2010-09-06T09:40:51Z-
dc.date.issued2003en_HK
dc.identifier.citationNursing Outlook, 2003, v. 51 n. 5, p. 212-218en_HK
dc.identifier.issn0029-6554en_HK
dc.identifier.urihttp://hdl.handle.net/10722/88251-
dc.description.abstractBackground: This past year there was an outbreak of Severe Acute Respiratory Syndrome (SARS) in Hong Kong. During that time we investigated the clinical features, treatment, and nursing care of 36 patients and reported on 12 of these patients' perceptions of their illness experience. Purpose: The purpose of this article is to describe the clinical features, treatment, nursing care and perceptions of the illness experience of patients with SARS in Hong Kong in order to better inform nurses caring for patients with this highly contagious and potentially lethal disease. Method: We abstracted data from the medical and nursing records on the clinical features, treatment and nursing care of 36 patients (21 women, 15 men) in whom SARS was diagnosed and who were admitted to the Queen Mary Hospital in Hong Kong between March 15 and April 15, 2003. A review of the hospital's policy and procedures on infection control was also undertaken. Semi-structured interviews were conducted with 12 of the patients to elicit their perceptions of the illness experience. Findings: The most common symptoms were cough (83%), dyspnea (80.6%), malaise (69.4%) and fever (61%). Less common symptoms included headache (38.9%), diarrhea (38.9%), dizziness (30.6%), myalgia (25%), chills (19.4%), nausea and vomiting (19.4%) and rigor (the occurrence of a sensation of hot-and-cold and shivering in addition to teeth chattering and bed shaking) (8.3%). All 36 patients received a combination of corticosteroids and ribavirin. The patients were at risk of drug-related adverse reactions and deterioration of respiratory function, and nursing vigilance was required. Conclusion: Nursing patients with SARS was challenging as the disease was highly contagious and potentially lethal, and not much was known about this disease. In addition to the use of frontline treatment, infection control and sensitivity to individual responses to sudden and catastrophic illness were required to support these patients. From this outbreak of SARS, we have learned the importance of infection control in containing and controlling the disease. Other lessons included the need to strengthen the surge capacity in our hospitals and support health care workers during the crisis.en_HK
dc.languageengen_HK
dc.publisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/nursoutlooken_HK
dc.relation.ispartofNursing Outlooken_HK
dc.rightsNursing Outlook. Copyright © Mosby, Inc.en_HK
dc.titleSevere acute respiratory syndrome (SARS) in Hong Kong: Patients' experiencesen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0029-6554&volume=51&spage=212&epage=219&date=2003&atitle=Severe+Acute+Respiratory+Syndrome+(SARS)+in+Hong+Kong:+Patients%27+experiencesen_HK
dc.identifier.emailTiwari, A: tiwari@hku.hken_HK
dc.identifier.emailChan, S: scsophia@hku.hken_HK
dc.identifier.authorityTiwari, A=rp00441en_HK
dc.identifier.authorityChan, S=rp00423en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/S0029-6554(03)00176-3en_HK
dc.identifier.pmid14569227-
dc.identifier.scopuseid_2-s2.0-0142248946en_HK
dc.identifier.hkuros84953en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0142248946&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume51en_HK
dc.identifier.issue5en_HK
dc.identifier.spage212en_HK
dc.identifier.epage218en_HK
dc.identifier.isiWOS:000186129600009-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridTiwari, A=7101772273en_HK
dc.identifier.scopusauthoridChan, S=7404255378en_HK
dc.identifier.scopusauthoridWong, A=8593855600en_HK
dc.identifier.scopusauthoridTai, J=36892829900en_HK
dc.identifier.scopusauthoridCheng, K=36986607200en_HK
dc.identifier.scopusauthoridChan, J=14521851900en_HK
dc.identifier.scopusauthoridTsang, K=7201555024en_HK

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats