25例肺移植患者术前预康复的护理

doi:10.3761/j.issn.0254-1769.2022.17.005

中华护理杂志 ›› 2022, Vol. 57 ›› Issue (17): 2080-2084.DOI: 10.3761/j.issn.0254-1769.2022.17.005

• 呼吸系统疾病护理专题 • 上一篇下一篇

25例肺移植患者术前预康复的护理

曾妃(), 兰美娟(), 梁江淑渊, 吴文英

310000 杭州市浙江大学医学院附属第二医院综合ICU（曾妃,梁江淑渊,吴文英）,护理部（兰美娟）

收稿日期:2021-10-22 出版日期:2022-09-10 发布日期:2022-09-07
通讯作者: 兰美娟,E-mail： lanmj@zju.edu.cn
作者简介:曾妃：女,本科（硕士在读）,副主任护师,科护士长,E-mail： zengfei@zju.edu.cn
基金资助:
浙江省医药卫生科技计划项目(2020KY580);浙江省医药卫生科技计划项目(2021KY713)

Nursing care for preoperative rehabilitation in 25 patients with lung transplantation

ZENG Fei(), LAN Meijuan(), LIANG Jiangshuyuan, WU Wenying

Received:2021-10-22 Online:2022-09-10 Published:2022-09-07

摘要/Abstract

摘要：

总结对25例肺移植患者实施术前预康复的护理经验。护理要点：组建肺移植预康复团队,实施以家庭为中心的积极心理干预,实施以目标为导向的营养管理和精准化分级运动。同时提供情境化肺康复适应性训练,包括呼吸模式、俯卧位通气和康复设备的适应性训练。在积极干预下,25例患者在等待器官过程中病情均未发生恶化,其中,一部分患者机体状态获得改善,所有患者均顺利接受肺移植术。

关键词: 肺移植, 预康复, 手术前护理

Abstract:

The nursing experience of pre-rehabilitation for 25 lung transplant patients was summarized. Key points include as following. Pre-rehabilitation mainly includes psychological support,nutritional support and physical exercise,providing family-centered active psychological intervention,goal-oriented nutrition management program and precise graded exercise program,respectively. Pre-rehabilitation also provides simultaneous adaptive training on contextualized lung rehabilitation,including breathing mode,prone ventilation,and adaptive training for rehabilitation equipment. Under the active intervention of pre-rehabilitation,the condition of 25 patients did not deteriorate during the waiting for organs,and some of the patients improved their body condition. All patients received an uneventful lung transplantation successfully.

Key words: Lung Transplantation, Pre-Rehabilitation, Preoperative Care

曾妃, 兰美娟, 梁江淑渊, 吴文英. 25例肺移植患者术前预康复的护理[J]. 中华护理杂志, 2022, 57(17): 2080-2084.

ZENG Fei, LAN Meijuan, LIANG Jiangshuyuan, WU Wenying. Nursing care for preoperative rehabilitation in 25 patients with lung transplantation[J]. Chinese Journal of Nursing, 2022, 57(17): 2080-2084.

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25例肺移植患者术前预康复的护理

Nursing care for preoperative rehabilitation in 25 patients with lung transplantation

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