脊髓损伤患者照顾者的照顾负担及其影响因素研究

目的调查脊髓损伤患者照顾者的照顾负担水平,并分析其影响因素。方法通过便利抽样法,采用生活自理能力量表、照顾者为患者提供护理情况问卷、一般自我效能量表、社会支持量表、Zarit护理负担量表和简易应对方式问卷,对150例脊髓损伤患者及其照顾者进行调查。结果脊髓损伤患者照顾者的照顾负担总分(52.91±11.56)分,88%的照顾者的负担处于中、重度水平;多元逐步回归分析显示,照顾者照顾负担的影响因素有:并发症、照顾时间、消极应对方式、患者的自理能力、照顾者的照顾能力、自我效能及积极应对方式。结论护理工作者应重视脊髓损伤患者照顾者的照顾负担,鼓励患者自理,增强社会支持系统,指导其采取积极的应对方式,以减轻照顾者的照顾负担。     

探讨对脊髓损伤病人进行健康教育

健康教育是通过专业护士在病人住院的整个过程中进行的一系列的教育。通过生理，心理，社会以及与健康密切相关的知识．教育改变不利康复的各种行为习惯，建立科学的生活方式，具有自我保健能力。     

脊髓损伤患者照顾者照顾负担的质性研究

目的 探讨脊髓损伤(SCI)患者照顾者照顾负担的真实情况.方法 采用质性研究中现象学研究方法,以半结构访谈法收集江西地区15例脊髓损伤患者家庭照顾者资料,并以Colaizzi 7步分析法分析资料.结果 归纳出4个主题:社会支持系统薄弱,经济负担沉重,照顾能力不足,身心疲惫;其中身心疲惫包括体力透支、生活方式改变、悲伤/无助感3个次主题.结论 脊髓损伤患者照顾者照顾负担沉重,包括社会、身体、心理、照顾能力不足4个方面的负担,护理工作者应关注照顾者的健康状况,针对性地进行护理干预,使照顾者较好地适应照顾者角色,从而维持和促进患者及其所在家庭的高水平的健康.     

健康教育对脊髓损伤患者康复效果的影响

目的 探讨健康教育对脊髓损伤患者康复效果的影响.方法 60例脊髓损伤患者随机分为实验组和观察组,每组各30例.实验组进行有目的 、有计划、个体化的健康教育指导;对照组给予传统的方法护理.结果 实验组并发症发生率、伤残率均低于对照组,康复效果优于对照组,差异有显著性（P〈0.05）.结论 健康教育对促进脊髓损伤患者的康复起着至关重要的作用.     

脊髓损伤患者主要照顾者照顾负担与积极感受的相关性研究

目的了解脊髓损伤患者主要照顾者照顾负担与积极感受的现状及其相关性。方法以脊髓损伤患者的主要照顾者作为研究对象,采用"Zarit照顾负担量表"和"照顾者积极感受量表"对他们进行问卷调查,分析他们的照顾负担与积极感受及其相关性。结果 120例脊髓损伤患者主要照顾者的照顾负担总分为(38.770±13.050)分,积极感受总分为(26.031±6.447)分,责任负担与生活展望呈显著负相关(P0.01),照顾负担总分与积极感受总分呈负相关(P0.01)。结论脊髓损伤患者照顾者负担处于中度水平,积极感受处于轻偏中度水平。医护人员应全面认识照顾者的照顾感受,对其进行个体化干预,以提高他们的积极感受水平,降低照顾负担,最终提高脊髓损伤患者及其主要照顾者的生活质量。     

个体化出院健康教育对高龄脊髓损伤伴肢体瘫痪患者康复的影响

脊髓损伤是一种严重的致残性损伤[1],特别是高龄患者身体机能下降,护理不当更易发生各种并发症.因此,做好高龄脊髓损伤患者的家庭康复护理,制定一份合理的个体化出院健康教育计划并进行正确有效的指导,能帮助患者消除或减少多种并发症的发生,提高其生活质量.我院骨伤科从2008年开始,针对高龄脊髓损伤患者出院时处于不同的疾病康复阶段,由责任护士和家属共同制定一份个体化出院健康教育计划,护士在患者出院前教会家属各种护理技巧,应用于脊髓损伤患者的家庭护理中,起到了很好的康复效果.现报告如下.     

脊髓损伤患者照顾者照顾负担与自我效能的调查分析

目的 调查脊髓损伤患者照顾者的照顾负担及自我效能水平并分析其相关关系.方法 通过便利抽样法,采用Zarit护理负担量表、一般自我效能量表,对150例脊髓损伤患者及其照顾者进行调查.结果 脊髓损伤患者照顾者的照顾负担总分为(52.91±11.56)分,照顾者自我效能得分为(19.63±4.85)分,照顾者的照顾负担与自我效能水平显著负相关.结论 应重视提高脊髓损伤患者照顾者的自我效能感,以减轻其照顾负担,提高照顾能力及患者所在家庭的健康水平.     

健康教育在脊柱脊髓损伤患者中的应用

目的探讨健康教育在脊柱脊髓损伤患者中的应用价值.方法病人入院后护理人员通过运用语言交流、形象对比、文字图片、典型事例等方法,进行疾病常识教育、心理适应教育、战胜疾病信念教育、预防并发症措施教育、康复教育等.结果96例均获得满意效果.结论健康教育对脊柱脊髓损伤患者心理、生理恢复是必要的和有益的.     

101例脊髓损伤患者皮肤护理的健康教育

脊髓损伤(SCI)患者均有不同程度的神经损伤，致使感觉与运动功能丧失。压疮是最常见的合并症之一，与SCI患者的感觉障碍、身体活动障碍、血液循环障碍等密切相关。压疮严重影响了患者的康复治疗效果和日常生活。因此患者的皮肤护理尤为重要，健康教育是其中重要环节。     

脊髓损伤患者恢复期皮肤的自我管理

我院康复科2005-01~2007-03收治的脊髓损伤患者36例,对脊髓损伤患者恢复期皮肤的自我管理体会如下。1临床资料本组男31例,女5例,年龄15~60岁,平均41岁。车祸伤23例,高处摔伤11例,机械碰撞伤2例。所有患者入院后意识清楚,无其他重要脏器损伤。2护理措施2.1去除潮湿,保持平整干燥选择适当的床,如:各种类型的气垫床,转动翻身床,大块海绵组合床,空气流动床等,床通气性好,身体不宜凹陷,宜活动,床的高度与轮椅同高。床单不宜使用塑料、橡胶类,以平纹棉布为宜,尿布垫子不可缠在阴部和臀部,卧位时铺在臀部之下,坐位时置于阴部和阴茎之上,注意除湿保…     

The investigation of care burden and coping style in caregivers of spinal cord injury patients

PurposeThe level of care burden experienced by caregivers of patients with spinal cord injury and their coping style were evaluated in order to identify ways to improve their capacity to respond and reduce the care burden.MethodsA convenience sampling method was used to select 150 spinal cord injury patients who were discharged from the Second and the Third Affiliated Hospital of Nanchang University and their primary caregivers. The Chinese version of the Zarit Caregiver Burden Interview and the Simplified Coping Style Questionnaire were distributed to assess caregiver burden and coping strategies.ResultsThe care burden score of the caregivers of patients with spinal cord injury was 52.91 ± 11.56 points. Eighty-eight percent of caregivers reported moderate or severe care burden levels. The largest proportion of caregivers were female spouses, who were less likely to use an active coping strategy. A negative coping strategy was more frequently used by caregivers compared to healthy adults, and was positively correlated with burden of care. In contrast, a negative correlation was found between the care burden and an active coping style.ConclusionPrimary caregivers of spinal cord injury patients report a heavy burden of care. As active coping strategies are more beneficial, medical care providers should encourage caregivers to make more use of these coping styles to promote physical and mental health for themselves, their patients and their family, as well as to improve the quality of care provided.     

康复健康教育对脊髓损伤患者康复治疗依从性的研究

目的探讨康复健康教育对脊髓损伤(SCI)患者康复治疗依从性的临床意义。方法 2012年1月至2013年12月该院收治的SCI患者62例,随机分为观察组与对照组,各31例。对照组予以常规治疗与康复护理,观察组在对照组的基础上实施个性化康复健康教育,比较2组患者康复治疗的依从性。结果观察组患者对SCI疾病的认知水平和康复治疗的依从性评分显著高于对照组,差异有统计学意义(P0.05),观察组患者并发症发生率显著低于对照组,差异有统计学意义(P0.05)。结论对SCI患者实施康复健康教育,有利于提高患者康复治疗的依从性,降低其并发症发生率。     

脊髓损伤病人的康复护理

从心理护理、制定康复护理目标、饮食指导、体位护理、膀胱功能训练、并发症的预防和护理、肢体功能训练、康复教育等8个方面介绍了脊髓损伤病人的康复护理。     

脊髓损伤病人的康复护理

从心理护理、制定康复护理目标、饮食指导、体位护理、膀胱功能训练、并发症的预防和护理、肢体功能训练、康复教育等8个方面介绍了脊髓损伤病人的康复护理。     

脊髓损伤病人便秘的护理

介绍了脊髓损伤病人便秘的临床表现 ,重点综述了便秘病人的饮食调节、理疗、药物治疗及手术治疗的方法及护理     

Symptom burden in persons with spinal cord injury

OBJECTIVE: To determine (1) the frequency, severity, and reported course of 7 symptoms in persons with spinal cord injury (SCI) and (2) the association between these symptoms and patient functioning. DESIGN: Postal survey. SETTING: Community. INTERVENTION: A survey that included measures of the frequency, severity, and recalled course of pain, fatigue, numbness, weakness, shortness of breath, vision loss, and memory loss, as well as a measure of community integration and psychologic functioning was mailed to a sample of persons with SCI. One hundred forty-seven usable surveys were returned (response rate, 43% of surveys mailed). MAIN OUTCOME MEASURES: The frequency and average severity of each symptom was computed, and the frequencies of each type of reported course were noted. Analyses estimated the associations among the symptoms, and between symptom severity and measures of patient functioning. RESULTS: The most common symptoms were pain, weakness, fatigue, and numbness. All symptoms were reported to remain the same or to get worse more often than they were reported to improve once they began. Pain, weakness, fatigue, and memory loss were the symptoms most closely associated with patient functioning. CONCLUSIONS: Patients with SCI must deal with a number of secondary complications in addition to any disability caused by the injury itself. Of 7 symptoms studied, pain, weakness, and fatigue appeared to be most common and most closely linked to patient social and mental health functioning. Research is needed to identify the causal relationships between perceived symptoms and quality of life in patients with SCI and to identify effective treatments for those symptoms shown to impact patient functioning.