外科术后康复护理中深化护理文化建设的探索与实践  

Exploration and practice of deepening nursing culture construction in rehabilitation nursing after surgical operation

作　　者：莫新少[1] 余宁先[1] 何晓红[1] 陆利生[1] 卢桂花[1] 磨琨[1] 

机构地区：[1]广西医科大学第一附属医院外科,南宁530021

出　　处：《现代护理（上旬版）》2007年第1期22-23,共2页Modern Nursing

基　　金：广西教育厅资助项目（2004122）

摘　　要：目的 探讨在外科术后专科康复护理中深化护理文化建设的实践与效果。方法 选择符合诊断标准的乳腺癌改良根治术、脑卒中偏瘫及脊髓损伤、腰椎间盘突出患者随机分成实验组和对照组，实验组患者术后应用自制辅助卧位枕辅助维持康复体位及VCD光盘辅助指导功能锻炼，对照组采用传统方法辅助卧位及健康教育方法。结果 实验组患者疼痛减轻，舒适度及依从性优于对照组（P〈0．05）；特定知识的知晓率及功能锻炼正确率高于对照组（P〈0．05）。结论 自制系列辅助康复卧位枕及VCD光盘辅助指导功能锻炼的应用可让患者感到舒适、方便，实践了人性化护理与专科护理技术的有机结合，丰富了护理文化的内涵，值得推广。Objective To explore the effect of deepening nursing culture construction in rehabilitation nursing after surgical operation. Methods The patients with mammary cancer of improved radical operation or hemiplegia after cerebral apoplectic stroke or hurts in spinal cord or hernia of intervertebral discs or artificial total hip replacement were divided randomly into test group and control group. Test group received healing posture by assistant healing decubitus pillow and guided by watching the training lectures video disc which was made by us, and control group used the traditional posture and health education. Results Compared with control group, the pain and comfortable level as well as compliance of the test group were better （P 〈 0.05）. The patients in test group had higher mastering rate of the knowledge and correct rate of function exercise than that of the patients in control group （P 〈 0.05）. Conclusions The assistant healing decubitus pillow and the training video disc made by us can made the patients be more comfortable and convenient. It combines the specialized nursing with humanistic care and enriches the humanistic nursing, and is worth to applying in clinic.

关 键 词：外科手术 康复护理 体位 功能锻炼 

分 类 号：R473.6[医药卫生—护理学]