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目的探讨渐进式康复护理方案提高迁延性意识障碍患者生活质量的效果。方法对7例迁延性意识障碍患者,分阶段循序渐进实施温浴刺激、反射性诱发运动及用手背部轻微振动等渐进式康复护理方案,根据患者的意识、身体情况、关节活动度、饮食方式等,由康复医师、物理治疗师、作业治疗师等共同评估其效果。结果对所有患者实施平均半年的本康复护理方案后,7例患者生活质量均明显改善,其中1例中学生患者重新返校;5例患者的上、下肢关节挛缩有所改善,可经口摄食,能回家与家人一起正常生活。所有患者均对康复效果表示满意。结论实施渐进式康复护理方案,能够提高迁延性意识障碍患者的康复护理效果,改善患者生命质量,可为我国意识障碍患者的康复护理等提供借鉴。
Objective To explore the effect of progressive rehabilitation nursing program on improving quality of life in patients with persistent impairment of consciousness. Methods Seven patients with persistent disturbance of consciousness were treated with progressive rehabilitation nursing programs such as warm bath stimulation, reflex induced exercise and slight back hand vibration in stages. According to patients’ consciousness, body condition, joint activity and diet, By the rehabilitation physician, physical therapist, occupational therapist, etc. to assess their effectiveness. Results All the patients received an average of six months after the rehabilitation program, the quality of life of 7 patients were significantly improved, of which 1 case of high school students returned to school; 5 patients with upper and lower limb joint contracture improved, can be oral feeding, Can go home and family with normal life. All patients are satisfied with the rehabilitation effect. Conclusions The implementation of progressive rehabilitation nursing program can improve the rehabilitation nursing effect of patients with persistent impairment of consciousness and improve the quality of life of patients, which can provide reference for the rehabilitation nursing of patients with impaired consciousness in China.