脊柱外伤床上体疗操的设计与应用研究  

Design and application of in-bed physical exercises to inpatients with spinal trauma

作　　者：刘庆芬[1] 刘秋鸣[2] 邱双玲[3] 徐晓燕[3] 

机构地区：[1]上海交通大学医学院附属第三人民医院护理门诊,上海201900 [2]上海交通大学医学院附属第三人民医院护理部,上海201900 [3]上海交通大学医学院附属第三人民医院脊柱外科,上海201900

出　　处：《护理学杂志》2012年第14期78-80,共3页

基　　金：上海交通大学医学院科技基金项目(JYH0911)

摘　　要：目的探讨脊柱外伤患者卧床治疗期间床上功能锻炼体疗操的临床效果,使患者达到运动康复治疗的目的。方法将120例胸椎、腰椎外伤患者(截瘫患者除外)按住院时间顺序分为对照组和观察组各60例。对照组采用常规功能锻炼的指导方法;观察组通过体疗操进行功能锻炼,体疗操共8节,通过文献回顾法、专家咨询法、临床试验择优法自行编制,并制作成视频文件。评估两组患者住院3周后功能锻炼掌握情况、并发症发生率及功能锻炼的依从性。结果观察组患者功能锻炼的掌握情况、功能锻炼的依从性显著优于对照组(均P<0.01),便秘发生率显著低于对照组(P<0.01)。结论体疗操有助于脊柱外伤患者系统有效地进行康复锻炼,达到康复治疗的目的,减少并发症的发生。Objective To explore a set of in-bed physical exercises for inpatients with spinal trauma,and to boost their rehabilitation.MethodsA total of 120 patients with thoracic or lumbar spinal column trauma（paraplegia patients excluded） were assigned into a control group of 60 and an observation group of 60 according to admission time.The control group were guided to do conventional functional rehab exercises.For the observation group,nurses designed a set of in-bed physical exercises which had 8 moves through literature reviewing,expert consultation,and clinical trials.The exercises were videotaped. The observation group were instructed to perform in-bed physical exercises with assistance of multimedia.Three weeks later,the proficiency in performing the exercises,and compliance with rehab exercises between the 2 groups were compared. ResultsThe proficiency in and compliance with functional rehab exercises in the observation group were better than those in the control group（P〈0.01 for both）,and the incidence of constipation in the observation group was lower than that in the control group（P〈0.01）.ConclusionThe in-bed physical exercises help patients with spinal trauma perform functional activity,which boosts rehabilitation of patients and reduces incidence of complications.

关 键 词：脊柱骨折 体疗操 多媒体 康复护理 

分 类 号：K473.6[历史地理—历史学] R493[历史地理—世界史]