个性化康复护理结合音乐治疗对重症肺炎并发多脏器功能衰竭效果1例.PDF

中国康复理论与实践2018年4月第24卷第4期 ChinJRehabilTheoryPract,Apr.,2018,Vol.24,No.8 - 488 - DOI: 10.3969/j.issn. 1006-9771.2018.04.020 ·康复护理 · 个性化康复护理结合音乐治疗对重症肺炎并发 多脏器功能衰竭效果1 例报道① 马志明，苏洁，孙晖，何莎，苏国栋 中国康复研究中心北京博爱医院，北京市100068 通讯作者：马志明。E-mai: bananam@ 163.com 摘要 目的 总结1例重症肺炎并发多脏器功能衰竭的个性化康复护理效果。 方法 在全面评估患者的基础上，制定危重护理、个性化康复护理、个性化音乐治疗等康复方案并实施相应护 理措施及肌肉训练。 结果 经过精心护理、音乐治疗及各项肌力训练7 d 后，患者急性生理学及慢性健康状况评分系统(APACHE Ⅱ) 评分由28 分降至14分；左侧上肢肌力由 Ⅰ级升至Ⅲ级，左侧下肢肌力由 Ⅰ级升至Ⅳ级，右侧上、下肢肌 力均由Ⅲ级升至Ⅴ级；焦虑自评量表评分从71 分降至52 分；Fugl-Meyer 评定量表评分由38 分升至80 分；改良Barthel 指数由0 分升至55 分。 结论 对于重症肺炎并发多脏器功能衰竭患者实施个性化康复护理，可有效促进患者康复，增强患者自理能力。 关键词 重症肺炎；多脏器功能衰竭；个性化康复护理；音乐治疗 Application of Individualized Rehabilitation Nursing Combined with Music Therapy in Severe Pneumonia Complicated with Multiple Organ Failure: One Case Report MA Zhi-ming, SU Jie, SUN Hui, HE Sha, SU Guo-dong Beijing Boai Hospital, China Rehabilitation Research Center, Beijing 100068, China Correspondence to MA Zhi-ming. E-mail: bananam@ 163.com Abstract Objective To summarize the effect of individualized rehabilitation nursing combined with music therapy on one patient with severe pneumonia complicated with multiple organ failure. Methods Based on the comprehensive evaluation of patients, the rehabilitation programs including critical care, person- alized rehabilitation care and personalized music therapy were established, and the corresponding nursing mea- sures and muscle training were implemented. Results After careful nursing, music therapy and muscle training for seven days, the score of Acute Physiology and Chronic Health Evaluation Scoring System (APACHE II) decreased from 28 to 14; the upper limb muscle strength increased; the score of Self-rat