2例心肺移植患者术前体外膜肺氧合辅助下实施步行康复训练的护理

doi:10.3761/j.issn.0254-1769.2025.17.014

中华护理杂志 ›› 2025, Vol. 60 ›› Issue (17): 2137-2140.DOI: 10.3761/j.issn.0254-1769.2025.17.014

2例心肺移植患者术前体外膜肺氧合辅助下实施步行康复训练的护理

王金宁(), 潘向滢(), 陈臣侃, 金佳家, 李佳

310024 杭州市浙江大学医学院附属第一医院护理部

收稿日期:2025-01-10 出版日期:2025-09-10 发布日期:2025-08-29
通讯作者: 潘向滢，E-mail：xiangyingpan@126.com
作者简介:王金宁：女，硕士，主管护师，E-mail：moran18326600105@163.com
基金资助:
浙江省医药卫生科技项目(2025KY781)

Nursing care of 2 heart or lung transplant patients with walking rehabilitation training assisted by extracorporeal membrane oxygenation before surgery

WANG Jinning(), PAN Xiangying(), CHEN Chenkan, JIN Jiajia, LI Jia

Received:2025-01-10 Online:2025-09-10 Published:2025-08-29

摘要/Abstract

摘要：

总结2例心肺移植患者术前体外膜肺氧合辅助下实施步行康复训练的护理经验。护理要点：组建多学科团队，制订康复运动方案；分阶段康复运动，完善步行训练前身体机能准备；多维度安全管理，预防及应对步行训练相关并发症；加强评估与监测，落实个性化营养方案；开展积极心理学干预，缓解焦虑情绪。2例经过积极治疗和护理，实施3、6 d体外膜肺氧合辅助下步行训练，最终均顺利进行器官移植，术后恢复良好，转入普通病房继续治疗。

关键词: 移植, 体外膜肺氧合, 康复训练, 危重症护理, 康复护理

Abstract:

To summarize the nursing experience of walking rehabilitation training assisted by extracorporeal membrane oxygenation in 2 cases of heart or lung transplant patients before surgery. The main points of nursing care：to set up a multidisciplinary team to formulate a rehabilitation exercise program；phased rehabilitation exercise to improve the preparation of body functions before walking training；multi-dimensional safety management to prevent and deal with walking training-related complications；to strengthen the assessment and monitoring，and implement personalized nutritional programs；to carry out positive psychological interventions to alleviate the anxiety. After undergoing active treatment and care，and after 3 d and 6 d of walking exercise assisted by extracorporeal membrane oxygenation，respectively，both of them finally underwent organ transplantation successfully，recovered well after the operation，and were transferred to the general ward to continue treatment.

Key words: Transplantation, Extracorporeal Membrane Oxygenation, Rehabilitation Training, Critical Care, Rehabilitation Care

王金宁, 潘向滢, 陈臣侃, 金佳家, 李佳. 2例心肺移植患者术前体外膜肺氧合辅助下实施步行康复训练的护理[J]. 中华护理杂志, 2025, 60(17): 2137-2140.

WANG Jinning, PAN Xiangying, CHEN Chenkan, JIN Jiajia, LI Jia. Nursing care of 2 heart or lung transplant patients with walking rehabilitation training assisted by extracorporeal membrane oxygenation before surgery[J]. Chinese Journal of Nursing, 2025, 60(17): 2137-2140.

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2例心肺移植患者术前体外膜肺氧合辅助下实施步行康复训练的护理

Nursing care of 2 heart or lung transplant patients with walking rehabilitation training assisted by extracorporeal membrane oxygenation before surgery

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