新型冠状病毒肺炎患者康复护理工作指导意见  

Rehabilitation Nursing Practice Guiding for Patients with COVID-19

作　　者：无 丁慧[3] 李秀云[4] 郑彩娥[5] 无;DING Hui;LI Xiuyun;ZHENG Cai'e(Rehabilitation Nursing Committee of Chinese Society of Rehabilitation Medicine;Chinese Committee of Consortium of Cardiopulmonary Rehabilitation Nursing;Jiangsu Provincial Hospital,Nanjing,Jiangsu 210029,China;Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei 430000,China;District of Wangjiangshan,Zhejiang Provincial People's Hospital,Hangzhou,Zhejiang 310000,China)

机构地区：[1]中国康复医学会康复护理专业委员会 [2]中国心肺康复护理联盟专业委员会 [3]江苏省人民医院,江苏南京210029 [4]华中科技大学同济医学院附属同济医院,湖北武汉430000 [5]浙江省人民医院望江山院区,浙江杭州310000

出　　处：《康复学报》2020年第4期255-258,共4页Rehabilitation Medicine

摘　　要：新型冠状病毒肺炎(新冠肺炎)疫情给人民身心健康带来严重威胁,对新冠肺炎的全面认识,预防-临床-康复(护理)三个环节缺一不可。中国康复医学会康复护理专业委员会联合中国心肺康复联盟护理专业委员会组织相关专家制订了《新型冠状病毒肺炎患者康复护理工作指导意见》,内容包括:康复护理管理、康复护理原则、康复护理中的训练指导、心理及营养康复护理指导等几个方面。康复护理管理主要从院内感染管理、区域安全管理、患者/陪护管理、预警机制管理等方面提出具体要求,在新冠肺炎康复护理工作中要加强院内感染管理,严格执行标准预防和病区消毒隔离管理要求,建立预警报告机制,加强住院患者和陪护的管理;康复护理原则强调的是呼吸功能、肢体功能、心肺功能康复护理的指导原则;康复护理中的训练指导主要从呼吸功能、肢体功能、心肺功能康复训练方法进行具体指导,要因地制宜、因人而异地开展呼吸康复指导训练,以帮助患者改善肺通气,提高肺功能,恢复体能和心理调整,增强活动能力,最大程度地恢复日常生活活动能力、提高生活质量,早日回归家庭和社会;心理及营养康复主要从自我心理状态评估、心理问题干预、营养康复护理等方面进行具体指导,强调要根据患者的个体情况开展心理、营养康复指导。该指导意见对加强新冠肺炎患者康复护理工作的科学性管理及规范性指导患者呼吸功能康复训练,具有重要的指导意义。The outbreak of Coronavirus Disease 2019(COVID-19)has serious effect on physical and mental health of human.With the more understanding of COVID-19,we recognized that prevention and control measures,clinical practice and rehabilitation nursing are indispensable.Experts from Rehabilitation Nursing Committee of Chinese Society of Rehabilitation Medicine and Chinese Committee of Consortium of Cardiopulmonary Rehabilitation Nursing banded together to formulate the rehabilitation nursing practice guidings for patients infected with COVID-19.The contents of the guidings include four aspects:the rehabilitation nursing management,principles of rehabilitation nursing,training guiding of rehabilitation nursing,rehabilitation guiding of psychological and nutritional.The rehabilitation nursing management consists of the requirements of nosocomial infection management,regional safety management,patient management and companion,management of early warning system,which should strengthen the management of rehabilitation nursing,enforcing the standard for prevention and ward disinfection and quarantine,establishing the report system of early warning,reinforcing the management of inpatient and the companion.The principles of rehabilitation nursing emphasize the guidings of rehabilitation nursing on respiratory function,limb function,cardiac and pulmonary function.The training guidance of rehabilitation nursing mainly includes the training guidance of respiratory function,limb function,cardiac and pulmonary function.The rehabilitation guiding of psychological and nutritional mainly includes self-evaluation of psychological state,intervention of psychological problems and nutritional rehabilitation nursing,When nurses guide patients for the training of psychological and nutritional rehabilitation or respiratory,they will work according to the suitable measures to local conditions and different persons.These will help to improve patients'pulmonary ventilation function and lung function,restore their physical and psychological adjustm

关 键 词：新型冠状病毒肺炎 康复护理 呼吸功能 心肺功能 指导意见 

分 类 号：R47[医药卫生—护理学]