长期卧床患者基于功能恢复系统化护理干预.docVIP

长期卧床患者基于功能恢复系统化护理干预 　　【摘要】 目的：探讨系统化护理干预对长期卧床患者身体功能恢复的影响效果。方法：将本院住院的长期卧床患者178例按照住院号的奇偶数分为两组，每组各89例。对照组实行常规的治疗和护理，观察组则在对照组基础上给予系统化护理干预措施，比较两组的护理效果。结果：两组护理后焦虑和抑郁评分均明显的下降，观察组患者在躯体功能、心理功能、社会功能和物质状态功能上的得分均高于对照组，观察组患者自理能力显著地优于对照组，两组比较差异均有统计学意义（P0.05）。结论：系统化的护理干预让长期卧床患者的焦虑抑郁情绪降低，肌力和关节活动度增加，每天活动度增加，能提高患者的自理能力、生活质量及护理满意度，减轻家庭负担和提高个人尊严。 　　【关键词】 长期卧床； 身体功能恢复； 系统化护理干预 　　【Abstract】 Objective：To investigate the effects of systematic nursing interference on the recovery of long-term bedridden patients.Method：178 long-term bedridden patients were selected in our hospital and divided them equally into two groups according to the odevity of the patients ID，89 cases in each group.The observation group received systematic nursing interferences in addition to regular nursing treatment and monitoring while the control group received only regular treatment and nursing monitoring，the nursing effect of the two groups were compared.Result：Anxiety and depression scores were significantly decreased after nursing care of the two groups，the observation group in physical function，psychological function，social function and material function scores were higher than those of control group，the observation group self-care ability of patients were significantly better than those in the control group，compared the two groups，the differences were statistically significant（P0.05）.Conclusion：Systematic nursing interference was proved effective in reducing anxiety and depression，improving patients’ self-caring ability and satisfactory to their quality of life. 　　【Key words】 Long-term bedridden； Body function recovery； Systematic nursing interference 　　医院住院患者中，长期卧床的患者很多，尤其是在ICU、CCU、神经内科、神经外科、骨科及各专科重症监护室[1]。患者因长期卧床导致生活不能自理的同时，伴有各个器官功能障碍，生活质量下降，并发症发生率高，住院频率高[2-3]。随着社会人口老龄化的逐渐来临，老年人医疗、保健、护理等问题凸显，与年龄相关疾病年患病率渐增，长期卧床的老年患者也逐年增多[4]。长期卧床患者丧失自主活动能力和自理能力，生命质量基本为零并消耗了大量人力、物力、财力，成为医疗卫生事业的负担[5]。由于人的老化、疾病导致的功能障碍，严重影响患者的日常生活。对长期卧床患者的康复护理原则首先采取“维持基础生活护理和预防并发症”为主要目的，重点是要解决患者的心理、运动和日常生活能力等[6]。对于长期卧床患者只要对其制定周密的系统化护理干预，严格执行护