床上运动操在老年肿瘤长期卧床患者中的应用

Application of bed exercises to the elderly bedridden patients with tumor

目的:探讨床上运动操在老年肿瘤长期卧床患者中的应用效果。方法:将80例老年肿瘤长期卧床患者随机分为观察组和对照组各40例。对照组采用常规护理,观察组在此基础上实施床上运动操,干预时间为4周,比较两组疗效。结果:观察组压疮发生率、院内感染率低于对照组(P<0.05),观察组患者握力、臂肌围及右侧膝关节主动屈膝的角度均高于对照组(P<0.01)。结论:床上运动操可有效减少老年肿瘤长期卧床患者的并发症,且操作性强、简单、方便,患者容易接受,值得临床推广。

Objective： To investigate the application effect of bed exercises in the elderly bedridden patients with tumor. Methods： 80 elderly bedridden patients with tumor were randomly divided into observation and control groups （40 cases for each group）. The routine nursing care was implemented in the control group and the bed exercises were applied to the patients under the nurse＇s guidance based on the routine one in the observation group. The effect was compared between the two groups after the intervention for 4 weeks. Results ： The incidence of pressure ulcers and nosocomial infection rate were lower in the observation group than the control group （P 〈 0.05 ） ; the patient＇s grip strength, arm muscle circumference and active flexion angle of the right knee were stronger and bigger in the observation group than the control group （P 〈 0.01）. Conclusion： The bed exercises can effectively reduce complications of the elderly bedridden patients with tumor and they are feasible, simple, convenient and easily accepted by the patients.