Purpose: Belt electrode skeletal muscle electrical stimulation (B-SES) can stimulate large portions of muscles including deep sites without localisation of the stimulation area. The purpose of this study is to investi...Purpose: Belt electrode skeletal muscle electrical stimulation (B-SES) can stimulate large portions of muscles including deep sites without localisation of the stimulation area. The purpose of this study is to investigate both immediate treatment effects of B-SES and long-term treatment effects of B-SES with passive exercise on range of motion (ROM) and muscle tone of lower extremities in bedridden elderly patients. Methods: Outcome measures before and after B-SES treatment alone (4 Hz, 20 min, both lower extremities) were examined for the immediate effect. Outcome measures were: ROM and Modified Ashworth scale (MAS) of hip flexion and adduction;knee flexion and extension;and knee joint distance at position of flexion abduction in hip (distance of knee). A randomized crossover trial was conducted to examine the long-term effect of adding B-SES to passive exercise on ROM and MAS. Results and Discussion: The immediate effect study had 18 patients. ROM and MAS of 4 joint angles in 2 joints and distance of knee significantly improved after B-SES treatment. The long-term effect study had 11 patients. Friedman test revealed ROM and MAS of 4 joint angles in 2 joints and distance of knee significantly improved during B-SES intervention but not control intervention. B-SES in addition to passive stretch has a more statistically significant effect on contracture and spasticity in large portions of the lower extremities of bedridden elderly patients than passive stretching alone. Conclusions: We consider B-SES a useful tool to improve the ROM in lower extremities of bedridden patients.展开更多
<span style="font-family:Verdana;">Bedridden patients remain in bed for various reasons, such as chronic illness, old age, and disability, and they cannot perform self-care activities completely or par...<span style="font-family:Verdana;">Bedridden patients remain in bed for various reasons, such as chronic illness, old age, and disability, and they cannot perform self-care activities completely or partially. The provision of care for bedridden patients is a major issue in the aging population. Effective rehabilitation is associated with several factors such as cooperation between the patient and the medical staff, selection of effective facilities, and the financial burden. The objective of this study was to evaluate the effect on the activities of daily living (ADL) of occlusion restoration using removable dentures in bedridden older people.</span><span> </span><span style="font-family:Verdana;">This case</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">control study comprised 32 bedridden older patients who were divided into two groups as follows: denture (n </span><span style="font-family:Verdana;">=</span><span style="font-family:Verdana;"> 18) and no-denture (n </span><span style="font-family:Verdana;">=</span><span style="font-family:Verdana;"> 14). No rehabilitation was provided to any of the patients. The patients were evaluated 3 months after placing the denture, and the ADLs were compared between the two groups. Of the 18 bedridden patients who received removable dentures, 55.6% demonstrated improvements in the ADLs, and the effects persisted for </span><span style="font-family:Verdana;">at least 3 months. No improvement in the ADL was observed in the no-denture</span><span style="font-family:Verdana;"> group.</span><span> </span><span style="font-family:Verdana;">The results of this study suggested that adequate occlusal support can improve the ADL of the elderly. Thus, it is important to take care of oral health early in life in order to maintain oral health, which could help prevent the decrease in the ADL during the later stages of life.</span>展开更多
The objective of the study was to access the effect and the effectiveness of sit-up training on elderly bedridden patients with severe pneumonia.A total of 150 elderly bedridden patients diagnosed with severe pneumoni...The objective of the study was to access the effect and the effectiveness of sit-up training on elderly bedridden patients with severe pneumonia.A total of 150 elderly bedridden patients diagnosed with severe pneumonia were recruited for this study.They were divided equally into the observation group and control group,that is,75 cases in each group.All patients were selected from January 2016 to April 2018.On this basis,both groups were treated with the same routine nursing care except with the addition of 30–60 min situp trainings twice daily for the control group under supervision.The clinical hospitalization outcomes,length of hospital stay,and patient care satisfaction of the two groups were compared.The clinical hospitalization outcomes,length of hospital stay,and patient satisfaction of the observation group were found to be superior to the control group,and the difference was significant.In bedridden elderly patients with severe pneumonia,sit-up training had positive effects and beneficial in improving the clinical outcomes and recovery rate.展开更多
目的探讨基于领导生命周期理论(situational leadership theory,SLT)的神经外科卧床患者肺康复干预方案的制订与实施效果,评价神经外科卧床患者肺康复干预方案的实用性。方法选取暨南大学附属第五医院2022年1月—2023年3月100例神经外...目的探讨基于领导生命周期理论(situational leadership theory,SLT)的神经外科卧床患者肺康复干预方案的制订与实施效果,评价神经外科卧床患者肺康复干预方案的实用性。方法选取暨南大学附属第五医院2022年1月—2023年3月100例神经外科卧床患者为研究对象,按照组间资料均衡且具有可比性的原则,将研究对象分为对照组和观察组,各50例。对照组实施常规肺康复方案,观察组在对照组基础上实施基于SLT理论制订的肺康复干预方案,首先组建研究小组,构建基于SLT理论的肺康复干预方案并实施,连续干预4周。干预后比较两组患者用力肺活量(forced vital capacity,FVC)、第1秒用力呼气容积(forced expiratory volume in the first second,FEV_(1))水平、康复依从性、生活质量和护理满意程度的差异性。结果观察组干预后的FVC、FEV_(1)指标均优于对照组,差异有统计学意义(P<0.05)。观察组干预后的康复依从性高于对照组,差异有统计学意义(P<0.05)。观察组干预后各项生活质量评分中的生理、心理、躯体疼痛、社会功能评分均高于对照组,差异有统计学意义(P<0.05)。观察组护理满意程度高于对照组,差异有统计学意义(P<0.05)。结论基于SLT理论制定肺康复干预计划符合神经外科卧床患者需求,该模式能够促进患者肺康复和生活质量的提升,患者康复依从性良好,有利于提高护理满意程度,是一种可行、可借鉴的康复护理模式。展开更多
目的旨在梳理智能照护系统在卧床老年人二便照护的应用现状、效果和存在的不足,为多学科解决卧床老年人二便智能照护问题提供参考。方法以范围综述方法为框架,确定研究问题,系统检索PubMed、Embase、CINAHL、Web of Science、Scopus、Co...目的旨在梳理智能照护系统在卧床老年人二便照护的应用现状、效果和存在的不足,为多学科解决卧床老年人二便智能照护问题提供参考。方法以范围综述方法为框架,确定研究问题,系统检索PubMed、Embase、CINAHL、Web of Science、Scopus、Cochrane Library、Ovid、中国生物医学文献数据库、中国知网、万方数据库、维普数据库中有关卧床老年人二便智能照护的文献,检索时限为建库至2024年3月,根据纳入和排除标准筛选文献,对纳入文献进行资料提取,收集、总结和报告研究结果。结果纳入39篇文献。卧床老年人二便智能照护包括智能护理床和智能护理机器人、智能监测技术、智能系统3个方面,功能逐步完善和智能化,使用场景以医院、居家、养老院或疗养院居多。研究涉及专业包括机械类、电气类、护理学类、生物医学工程类、电子信息类、计算机类、临床医学类、公共卫生与预防医学类、自动化类、心理学类、管理科学与工程类,显示其跨学科的研究特性。二便智能照护技术可减轻照护者负担,提高卧床老年人的生活质量,然而其应用面对技术、功能、设计、伦理、隐私多方面挑战。结论未来应攻克技术难题,增加二便能力评估和个性化康复训练处方功能,设计更符合人体结构、美观、关注伦理和隐私的智能装备,加强多学科交叉合作,同时进行临床验证。展开更多
文摘Purpose: Belt electrode skeletal muscle electrical stimulation (B-SES) can stimulate large portions of muscles including deep sites without localisation of the stimulation area. The purpose of this study is to investigate both immediate treatment effects of B-SES and long-term treatment effects of B-SES with passive exercise on range of motion (ROM) and muscle tone of lower extremities in bedridden elderly patients. Methods: Outcome measures before and after B-SES treatment alone (4 Hz, 20 min, both lower extremities) were examined for the immediate effect. Outcome measures were: ROM and Modified Ashworth scale (MAS) of hip flexion and adduction;knee flexion and extension;and knee joint distance at position of flexion abduction in hip (distance of knee). A randomized crossover trial was conducted to examine the long-term effect of adding B-SES to passive exercise on ROM and MAS. Results and Discussion: The immediate effect study had 18 patients. ROM and MAS of 4 joint angles in 2 joints and distance of knee significantly improved after B-SES treatment. The long-term effect study had 11 patients. Friedman test revealed ROM and MAS of 4 joint angles in 2 joints and distance of knee significantly improved during B-SES intervention but not control intervention. B-SES in addition to passive stretch has a more statistically significant effect on contracture and spasticity in large portions of the lower extremities of bedridden elderly patients than passive stretching alone. Conclusions: We consider B-SES a useful tool to improve the ROM in lower extremities of bedridden patients.
文摘<span style="font-family:Verdana;">Bedridden patients remain in bed for various reasons, such as chronic illness, old age, and disability, and they cannot perform self-care activities completely or partially. The provision of care for bedridden patients is a major issue in the aging population. Effective rehabilitation is associated with several factors such as cooperation between the patient and the medical staff, selection of effective facilities, and the financial burden. The objective of this study was to evaluate the effect on the activities of daily living (ADL) of occlusion restoration using removable dentures in bedridden older people.</span><span> </span><span style="font-family:Verdana;">This case</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">control study comprised 32 bedridden older patients who were divided into two groups as follows: denture (n </span><span style="font-family:Verdana;">=</span><span style="font-family:Verdana;"> 18) and no-denture (n </span><span style="font-family:Verdana;">=</span><span style="font-family:Verdana;"> 14). No rehabilitation was provided to any of the patients. The patients were evaluated 3 months after placing the denture, and the ADLs were compared between the two groups. Of the 18 bedridden patients who received removable dentures, 55.6% demonstrated improvements in the ADLs, and the effects persisted for </span><span style="font-family:Verdana;">at least 3 months. No improvement in the ADL was observed in the no-denture</span><span style="font-family:Verdana;"> group.</span><span> </span><span style="font-family:Verdana;">The results of this study suggested that adequate occlusal support can improve the ADL of the elderly. Thus, it is important to take care of oral health early in life in order to maintain oral health, which could help prevent the decrease in the ADL during the later stages of life.</span>
文摘The objective of the study was to access the effect and the effectiveness of sit-up training on elderly bedridden patients with severe pneumonia.A total of 150 elderly bedridden patients diagnosed with severe pneumonia were recruited for this study.They were divided equally into the observation group and control group,that is,75 cases in each group.All patients were selected from January 2016 to April 2018.On this basis,both groups were treated with the same routine nursing care except with the addition of 30–60 min situp trainings twice daily for the control group under supervision.The clinical hospitalization outcomes,length of hospital stay,and patient care satisfaction of the two groups were compared.The clinical hospitalization outcomes,length of hospital stay,and patient satisfaction of the observation group were found to be superior to the control group,and the difference was significant.In bedridden elderly patients with severe pneumonia,sit-up training had positive effects and beneficial in improving the clinical outcomes and recovery rate.
文摘目的探讨基于领导生命周期理论(situational leadership theory,SLT)的神经外科卧床患者肺康复干预方案的制订与实施效果,评价神经外科卧床患者肺康复干预方案的实用性。方法选取暨南大学附属第五医院2022年1月—2023年3月100例神经外科卧床患者为研究对象,按照组间资料均衡且具有可比性的原则,将研究对象分为对照组和观察组,各50例。对照组实施常规肺康复方案,观察组在对照组基础上实施基于SLT理论制订的肺康复干预方案,首先组建研究小组,构建基于SLT理论的肺康复干预方案并实施,连续干预4周。干预后比较两组患者用力肺活量(forced vital capacity,FVC)、第1秒用力呼气容积(forced expiratory volume in the first second,FEV_(1))水平、康复依从性、生活质量和护理满意程度的差异性。结果观察组干预后的FVC、FEV_(1)指标均优于对照组,差异有统计学意义(P<0.05)。观察组干预后的康复依从性高于对照组,差异有统计学意义(P<0.05)。观察组干预后各项生活质量评分中的生理、心理、躯体疼痛、社会功能评分均高于对照组,差异有统计学意义(P<0.05)。观察组护理满意程度高于对照组,差异有统计学意义(P<0.05)。结论基于SLT理论制定肺康复干预计划符合神经外科卧床患者需求,该模式能够促进患者肺康复和生活质量的提升,患者康复依从性良好,有利于提高护理满意程度,是一种可行、可借鉴的康复护理模式。
文摘目的旨在梳理智能照护系统在卧床老年人二便照护的应用现状、效果和存在的不足,为多学科解决卧床老年人二便智能照护问题提供参考。方法以范围综述方法为框架,确定研究问题,系统检索PubMed、Embase、CINAHL、Web of Science、Scopus、Cochrane Library、Ovid、中国生物医学文献数据库、中国知网、万方数据库、维普数据库中有关卧床老年人二便智能照护的文献,检索时限为建库至2024年3月,根据纳入和排除标准筛选文献,对纳入文献进行资料提取,收集、总结和报告研究结果。结果纳入39篇文献。卧床老年人二便智能照护包括智能护理床和智能护理机器人、智能监测技术、智能系统3个方面,功能逐步完善和智能化,使用场景以医院、居家、养老院或疗养院居多。研究涉及专业包括机械类、电气类、护理学类、生物医学工程类、电子信息类、计算机类、临床医学类、公共卫生与预防医学类、自动化类、心理学类、管理科学与工程类,显示其跨学科的研究特性。二便智能照护技术可减轻照护者负担,提高卧床老年人的生活质量,然而其应用面对技术、功能、设计、伦理、隐私多方面挑战。结论未来应攻克技术难题,增加二便能力评估和个性化康复训练处方功能,设计更符合人体结构、美观、关注伦理和隐私的智能装备,加强多学科交叉合作,同时进行临床验证。