Nursing care of a patient with scrub typhus combined with multi-organ failure

Background Scrub typhus is a zoonotic disease caused by Orientia tsutsugamushi infection and transmitted by the bite of scrub typhus larvae. The diagnosis and treatment of scrub typhus and the level of care of health care workers in different regions are uneven, and the way of its nursing measures has become a clinical focus and difficulty, and there is an urgent need to summarize the nursing experience report of this type of serious cases to provide evidence-based basis for scientific care in clinical care. Aim Summarize the nursing experience of a patient with multiple organ failure due to scrub typhus. Methods By reviewing the severe cases of scrub typhus admitted to the hospital and selecting cases with typical characteristics by purposive sampling, data and information were collected through a circular form review method combined with semi-structured interviews in a multidisciplinary team to summarize the nursing priorities and difficulties. Results Nursing key points: a multidisciplinary health care team was formed to make joint decisions to implement treatment and care; Transnasal endotracheal intubation with ventilator-assisted respiration combined with prone position ventilation was implemented for the patient to improve acute respiratory distress syndrome, intensive nursing care management to promote fluid resuscitation, highly efficient cooperation with electronic tracheoscopy professional nursing care to promote the recovery of organ function, and psychological nursing care combined with health education to alleviate the anxiety of the patient and his family. After active treatment and multidisciplinary teamwork, the patient's condition improved, and he was transferred to a specialist to continue treatment and was discharged on the 14th day of admission.