全喉切除术后的康复护理

目的 探讨喉癌患者全喉切除术后的康复护理效果。方法 对13例行全喉切除术的喉癌患者进行术后语言康复训练、吞咽功能训练、气管造口护理、心理护理。结果 患者的语言功能、吞咽功能、心理功能、造口护理能力均有明显改善。结论 全喉切除术后的康复护理可明显提高患者的生存质量，值得引起重视。     

建立喉癌全喉切除术病友互助小组的作用探讨

目的 促进癌全喉切除术患者的心理康复。方法 攻性建立喉癌切除术病友互助小组,通过患者问的现身说法及相互心理扶持,对喉癌全喉切除术患者进行心理康复治疗。结果 喉癌全喉切除术后患者在病友互助小组中能够相互交流、相互心理扶持,积极参与治疗和护理。结论 建立喉癌全喉切除术病友互助小组,对患者心理康复和逐步回归社会有积极作用。     

咽喉癌全喉全食管切除术患者的围手术期护理

目的 探讨咽喉癌全喉全食管切除术患者围手术期的护理方法及体会.方法 回顾性分析3例咽喉癌全喉全食管切除术患者的一般资料,从术前、术后2方面分析给予患者的护理措施,并观察患者并发症的情况.结果 本组3例患者在行咽喉癌全喉全食管切除术的术前术后均给予全面、综合、精心的护理,1例患者切口感染,给予延长鼻饲时间、补充蛋白粉、换药、局部使用重组牛碱性成纤维细胞生长因子等治疗后自动愈合,其余2例未出现并发症.结论 临床对咽喉癌全喉全食管切除术患者围手术期的护理应当特别重视,精心的护理措施能够促进患者的病情康复,改善患者的病情及预后,提高患者的生活质量,在对患者进行生理护理的同时应当配合适当的心理护理,以达到最佳的护理效果.     

喉全切除术围手术期34例的护理

目的:总结喉全切除术围手术期的护理方法及效果。方法:对4 a来34例喉全切除术的患者,术前进行全面心理护理,术前准备,术后病情观察、常规护理等细致全面的整体护理。结果:34例喉全切除术患者均获成功护理,无一例护理并发症发生。结论:对喉全切除术的患者术前进行良好的心理护理,术后细致的观察和护理是喉全切除术成功的关键,能够减少并发症,缩短住院时间,促进早日康复。     

喉癌合并2型糖尿病患者的围手术期护理

目的 总结喉癌合并2型糖尿病患者的围手术期护理经验.方法 2005年7月-2010年6月,对62例喉癌合并2型糖尿病患者围手术期护理的临床资料进行归纳总结.结果 25例行喉全切除术、20例行垂直半喉切除术、17例行水平半喉切除术.经过精心护理和专科处理,患者均顺利度过围手术期康复出院.结论 对喉癌合并2型糖尿病患者,其...     

喉癌手术10例心理护理及康复指导

近年来,我们对10例喉癌患者行半喉或全喉切除术,并给予心理护理及康复指导,效果满意。现报告如下。1临床资料本组10例,男9例,女1例;46~68岁,平均53岁;声门上型癌2例,声门型癌8例。均采用手术治疗,8例行半喉切除术(包括水平半喉和垂直半喉),术后患者全部拔管成功,无伤口感染,且发音较好;2例行全喉切除术,术后辅以放疗,带套管出院。2护理2.1心理护理2.1.1术前心理护理喉癌患者术前普遍担心的问题是术后能否有语言功能、术后能不能拔出气管套管、进食是否呛咳等。告知患者喉部分切除可以很快恢复语言功能;全喉切除后,虽暂时不能发音,但患者可以…     

加速康复外科理念在全喉切除术患者中的应用效果研究

目的 观察全喉切除术患者实施加速康复外科护理的效果。方法 采用整群抽样和历史对照研究方法,将2018年1月至2019年6月入住上海市某三级甲等医院行全喉切除手术的60例患者作为对照组,2019年7月至2020年12月入住医院行全喉切除手术的60例患者作为干预组。对照组给予常规护理,干预组在对照组基础上制订并实施加速康复护理方案,比较两组术后各时间点的疼痛评分及焦虑评分、术后恢复情况、术后并发症发生情况以及对护理工作的满意度。结果 干预组术后各时间点的疼痛评分及焦虑评分显著低于对照组(P<0.01);与对照组相比,干预组的术后恢复情况更优(P<0.01),术后并发症发生率更低(P<0.05),护理满意度更高(P<0.05)。结论 加速康复外科理念应用于全喉切除术后康复优势明显,可以明显加快全喉切除患者术后康复过程,降低住院时间及费用。     

全喉切除患者围手术期的心理康复护理

目的 通过对全喉切除患者围手术期的心理康复护理,增加患者战胜疾病的信心,促进其身心康复,使其尽早回归社会.方法 根据全喉切除患者围手术期心理变化特点,对78例全喉切除患者进行心理康复指导.结果 通过心理康复护理,患者能以积极、乐观、健康的心身状态面对疾病,积极配合治疗和护理,顺利度过围手术期.结论 对全喉切除患者在围手术期进行针对性心理康复护理,有利于减轻围手术期患者心身压力,促进疾病转归.     

社区护士接受喉切除术后相关知识培训的效果评价

目的通过对社区护士进行喉切除术后相关知识的培训,提高社区护理支持对促进患者康复的作用。方法 2010年8月—2011年6月选择上海9大区域社区医院的16名护理人员,随机分为两组各8名,实验组由耳鼻喉科专科护士进行喉切除术后相关知识的培训,共35～50学时,对照组不培训,比较两组护士专科理论与实践的考核情况。结果实验组经培训后对喉切除相关知识的掌握程度与对照组比较差异有统计学意义(P<0.05)。结论对社区护士进行喉切除术后相关知识的培训,有助于提高社区护士对喉切除术后相关知识的掌握程度,能为喉切除术后患者提供正确的社区护理支持,对促进患者的康复起到积极的作用。     

喉癌患者全喉切除术后经历的调查

目的 了解喉癌患者在全喉切除术后的内心体验和生存状况.方法 访谈了9例全喉切除术后的喉癌患者,采用Bers归纳法对所获资料进行分析、整理.结果 喉癌患者在全喉切除术后1年中的内心体验和生存状况归纳为4个主题.①丧失发音功能后,经历了否认、排斥、受挫、愤怒、无助、悲衷等心理变化;②患者的饮食习惯、生活细节及家庭生活方式发生了改变;③患者提平结束工作生涯、承受经济压力及面临着田归社会的难题;④健康知识缺乏及渴望支持.结论 护士应深入了解全喉切除手术对患者心理状况和生存状态的巨大影响,加强对术后出院患者的随访和支持,以促进他们的身心康复.     

青少年脊柱侧凸的围手术期护理

目的探讨青少年脊柱侧凸的围手术期护理。方法对5例青少年脊柱侧凸患者术前做好骨盆牵引及呼吸道准备的护理,同时加强心理护理;并对所有患者进行术前整体护理评估。术后做好生命体征监测、疼痛管理,加强对管道及预防并发症护理,并按计划指导患者进行康复锻炼。结果5例患者术后脊柱侧凸均得到不同程度的矫正,无并发症康复出院。结论术前充分的整体护理及评估,术后完善的基础及专科护理,结合及时的术后康复锻炼指导是青少年脊柱侧凸手术成功的重要保证。     

批量烧伤全程护理体系的研发与应用

目的探讨全程护理体系在成批烧伤患者救治中的应用效果。方法通过对批量烧伤患者从院前急救,院内救护、手术护理、康复护理、心理干预等全程护理体系,规范批量烧伤的应急处置流程,优化院外及院内救护各个环节,早期进行全程心理干预、实施专业化功能锻炼等方法。结果通过全程、规范、专业的护理,有效缩短院前急救时间,缩短住院周期,提高批量烧伤伤员的抢救成功率,降低并发症及死亡率。结论批量烧伤全程护理体系的应用,能够优化护理流程,可确保救治流程的畅通,提高批量烧伤伤员救治成功率。     

Critical care elements in a rehabilitation nursing course.

This article describes a specialized rehabilitation education program, based on adult learning theory, that was developed to promote retention of rehabilitation nurses at MetroHealth Center for Rehabilitation in Cleveland. The curriculum encompasses the skills required to care for rehabilitation patients needing both advanced rehabilitation nursing and critical care nursing. Critical care and rehabilitation nurses collaborated in the presentation of topics and were guided by the course coordinators. Learners were chosen based on experience in rehabilitation, with priority given to those certified in rehabilitation nursing. A variety of evaluation methods elicited positive responses. A 6-month postcourse survey also was completed to assess the long-term effects of the course.     

Rationale and principles of early rehabilitation care after an acute injury or illness

Patients hospitalized for an acute illness or injury are at risk of experiencing a significant loss of functioning as defined by the International Classification of Functioning, Disability and Health (ICF). The risk of a significant loss of functioning is increased in critically ill patients, in patients with complications or long-term intensive care stays, in persons with disabilities or with pre-existing chronic conditions and in the elderly. Early identification of rehabilitation needs and early start of rehabilitation can reduce healthcare costs by reducing dependence and nursing care, length of stay and prevention of disability. Two principles of rehabilitation for acute and early post-acute care can be distinguished. First, the provision of rehabilitation by health professionals who are generally not specialized in rehabilitation in the acute hospital. And second, specialized rehabilitation care provided by an interdisciplinary team. There is large variation how this specialized, typically post-acute rehabilitation care is organized, provided, and reimbursed in different countries, regions, and settings. For instance, it may be provided either in the acute hospital or in a rehabilitation or nursing setting. Most in-patients do not receive specialized rehabilitation at all during their whole stay in the acute hospital. But, it is important to point out that health professionals working in acute hospitals and who are not specialized in rehabilitation need to be able to recognize patients' needs for rehabilitation care and to perform rehabilitation interventions themselves or to assign patients to appropriate rehabilitation care settings. The principles outlined in this paper can serve as a basis for the development of clinical assessment instruments to describe and classify functioning, health and disability of patients receiving acute or early post-acute rehabilitation care.     

Rationale and principles of early rehabilitation care after an acute injury or illness

Patients hospitalized for an acute illness or injury are at risk of experiencing a significant loss of functioning as defined by the International Classification of Functioning, Disability and Health (ICF). The risk of a significant loss of functioning is increased in critically ill patients, in patients with complications or long-term intensive care stays, in persons with disabilities or with pre-existing chronic conditions and in the elderly. Early identification of rehabilitation needs and early start of rehabilitation can reduce healthcare costs by reducing dependence and nursing care, length of stay and prevention of disability. Two principles of rehabilitation for acute and early post-acute care can be distinguished. First, the provision of rehabilitation by health professionals who are generally not specialized in rehabilitation in the acute hospital. And second, specialized rehabilitation care provided by an interdisciplinary team. There is large variation how this specialized, typically post-acute rehabilitation care is organized, provided, and reimbursed in different countries, regions, and settings. For instance, it may be provided either in the acute hospital or in a rehabilitation or nursing setting. Most in-patients do not receive specialized rehabilitation at all during their whole stay in the acute hospital. But, it is important to point out that health professionals working in acute hospitals and who are not specialized in rehabilitation need to be able to recognize patients' needs for rehabilitation care and to perform rehabilitation interventions themselves or to assign patients to appropriate rehabilitation care settings. The principles outlined in this paper can serve as a basis for the development of clinical assessment instruments to describe and classify functioning, health and disability of patients receiving acute or early post-acute rehabilitation care.     

高龄髋部骨折病人行髋关节置换术的围术期康复护理

总结56例75岁以上高龄髋部骨折病人行髋关节置换术的围术期康复护理措施,包括心理护理、术前的评估、术后预防感染、体位护理、疼痛护理、并发症预防护理和康复锻炼等,认为加强围术期康复护理可明显提高病人的生存质量.     

脑卒中吞咽障碍患者功能训练与心理护理

目的 :探讨心理护理在脑卒中吞咽障碍患者功能训练中的作用。方法 :6 0例脑卒中吞咽功能障碍患者随机分为心理组和对照组各 30例 ;2组均接受吞咽功能训练 ,心理组同时给予心理护理。结果 :经过 3个月的治疗 ,心理组吞咽功能的优良率明显高于对照组 (P <0 .0 5 )。结论 :对脑卒中吞咽障碍患者在开展康复功能训练的同时结合心理治疗 ,效果更为显著     

Nursing models and self-concept in patients with spinal cord injury--a comparison between UK and Taiwan

The purpose of this study is to investigate rehabilitation nurses' care for patients with spinal cord injury (SCI). It also examines how rehabilitation nurses perceive their role in assessing the alteration of self-concept and the interventions they use in helping patients to develop a more positive perception of themselves. A critical review of common models in use was undertaken including Roper, Logan and Tierney's Activities of Living Model, Roy's Adaptation Model and Orem's Self-care Deficit Nursing Theory. A nursing framework has been developed for rehabilitation nursing. Data were collected by questionnaire. The findings indicate that rehabilitation nurses are aware of the alteration in self-concept for patients with SCI. Although nursing interventions include physiological, psychological and social aspects of care, nurses do not feel that current nursing models are useful in SCI nursing and tend to support the specially designed model.     

乳腺癌术后患者人文关怀和心理护理的临床研究

目的 研讨常规护理基础上加人文关怀和心理护理对乳腺癌术后患者康复的促进作用.方法 将2008年1月至2010年1月行乳腺癌手术治疗的460例患者随机分为观察组和对照组各230例.对照组患者按术后护理常规进行护理;观察组患者术后除常规护理外,加人文关怀和心理护理.对2组患者心理障碍减低或解除的程度及对护理工作的满意程度进行对照分析.结果 观察组患者心理障碍解除率为62.2%,对照组患者心理障碍解除率为40.4%;观察组患者对护理工作满意度为95.2%,对照组患者对护理工作满意度为71.7%,2组比较差异显著.结论 人文关怀和心理护理能有效解除患者心理障碍,促进其及早康复,也能提高患者对护理工作的满意度.

Abstract：

Objective To discuss the promoting effect of humanistic care plus psychological cage on basis of conventional nursing on rehabilitation of patients after breast cancer surgery.Methods 460 cases of breast cancer patients from January 2008 to January 2010 were randomly divided into the control group and the observation group with 230 cases in each group.The control group received routine nursing care after surgery,while for the observation group,in addition to conventional care,they received humanistie care and psychological care.The alleviation degree of psychological barrier and degree of satisfaction of the two groups were compared.Results The alleviation degree of psychological barrier was 62.2% .and was 40.4% in the control group.The patients'satisfaction rate was 95.2% in the observation group,and 71.7% in the control group.the difference Was significant.Conclusions Humanistic care and psychological care can effectively relieve mental disorders of patients,promote their early recovery,also can improve their satisfaction degree with nursing work.     

退变性腰椎侧凸患者行后路手术的护理

目的 探讨对进行后路固定融合的退变性腰椎侧凸患者的积极有效的护理措施,以提高手术疗效,减少并发症发生率.方法 通过对34例退变性腰椎侧凸手术患者进行详细的术前心理评估与护理、术前训练以及术后生命体征的观察,通过各种措施预防早期并发症,进行积极康复训练等,观察良好的临床护理对促进患者康复的作用.结果 34例退变性腰椎侧凸患者术后均恢复良好,未出现因护理不当而导致的各种并发症,取得了满意效果.结论 提高对退变性腰椎侧凸的护理水平,对于提高临床疗效,减少术后并发症发生率,促进患者康复具有重要的意义.