下肢截肢患者安装假肢前的康复护理

Rehabilitation Nursing for Patients with Lower Limb Amputation before Prosthetic Fitting

目的讨论对下肢截肢患者安装假肢前进行系统性康复护理后的临床效果。方法对2009年1月-2012年12月50例下肢截肢患者在安装假肢前,由康复治疗小组成员进行评定,对存在的康复问题进行评估后给出相应康复护理措施,对护理干预前后患者一般情况及肌力进行比较。结果经过系统性的康复护理后,患者出院时康复护理健康教育知识达标率和护理质量满意率分别为87.24%和93.25%,48例(96.0%)的患者肌力达4级或4级以上,达到安装假肢的标准。结论针对下肢截肢患者安装假肢前进行系统康复护理措施,可有效降低患者的功能残损,提高生活自理能力和生活质量,改善整体康复效果,减轻患者及家属的负担,早日回归社会。

Objective To explore the clinical effect of systematic rehabilitation nursing for patients with lower limb amputation before prosthesis fitting. Methods Fifty patients with lower limb amputation before prosthetic fitting from January 2009 to December 2012 were assessed by rehabilitation team members, and then received the nursing progress according to the assessment results. The conditions of the patients before and after nursing intervention were evaluated and compared. Results After the patients received systematic rehabilitation nursing intervention, the standard rate of rehabilitation nursing knowledge and satisfaction rate of the nursing quality at the departure of the patients was 87.24% and 93.25% respectively. The muscle strength reached level 4 or higher in 4 patients, who could have the prosthesis fitting. Conclusions Systematic rehabilitation nursing for patients with lower limb amputation before prosthesis fitting can help patients to reserve the function as possible, improve the ability of living and quality of life, and reduce the burden of the patients and family to return to society earlier.