doi:10.3761/j.issn.0254-1769.2020.05.0026

Abstract

Key words: Chemical Burns, Functional Training, Rehabilitation Nursing

摘要：

总结1例100%体表面积深度化学烧烫伤患者的康复护理经验。结合患者的病情及特异性进行综合评估,在床单位的选择、管路的选择及休克期补液等常规护理措施方面做了针对性调整;以烧伤康复指南为指导,在功能康复、营养康复、心理康复方面制订了康复护理方案。功能康复的实施由患者、医护人员、康复治疗师及家属共同参与,在重症期、稳定期及离院前康复期采用不同的康复方案,其中体位摆放、关节活动度的维持、主动锻炼和被动锻炼结合、瘢痕预防是护理难点也是护理关键点。个性化的营养策略以及心理护理贯穿康复期全过程,2个月后患者由重症监护病房转入普通病房,6个月后患者出院。

关键词: 化学烧伤, 功能锻炼, 康复护理

刘丽芸, 王淑君, 鲁虹言, 张子娟, 董金平, 宋喜鹤, 陈丽华, 陈媛媛, 张叶. 1例100%体表面积深度化学烧烫伤患者的康复护理[J]. 中华护理杂志, 2020, 55(5): 762-765.

Figures/Tables 1

References 12

[1]	程文凤 . 中国烧伤流行病学研究现状及多中心大面积烧伤患者流行病学调查分析[D]. 北京:中国人民解放军医学院, 2017: 21-33.
[2]	Yao Y, Liu YC, Zhou JH , et al. The epidemiology ofcivilianinpatients’burns in Chinese militaryhospitals,2001-2007[J]. Burns, 2011,37(6):1023-1032. DOI URL PMID
[3]	柴家科 . 实用烧伤外科学[M]. 北京: 人民军医出版社, 2014.
[4]	方利, 王凡, 孙珂岱 , 等. 烧伤患者中心静脉导管相关性感染发生情况及其危险因素分析[J]. 中华烧伤杂志, 2016,32(4):243-248.
[5]	中华医学会烧伤外科学分会, 中国医师协会烧伤科医师分会. 烧伤康复治疗指南[J]. 中国烧伤杂志, 2013,29(6):497-503.
[6]	周敏, 黄建琼, 吴直惠 , 等. 大面积烧伤患者营养护理[J]. 华西医学, 2010,25(7):1249-1251.
[7]	杨宗城 . 烧伤治疗学[M]. 北京: 人民卫生出版社, 2005: 421-460.
[8]	杨琳娜, 李峰 . 基于Excel程序自制的营养计算程序在危重烧伤患者膳食营养管理中的应用[J]. 中华烧伤杂志, 2019,35(8):622-623.
[9]	Stroebe M, Schut H, Finkenauer C . The traumatization of grief? A conceptual framework for understand ding the trauma-bereavement interface[J]. Isr J Psychiatry Relat Sci, 2001,38(3/4):185-201. URL PMID
[10]	张建芬, 张元海, 何小莺 , 等. 手部氢氟酸烧伤的护理[J]. 中华护理杂志, 2015,50(7):812-816.
[11]	Kouigore R, Pondelicek I . Psychology associated with mass burn disasters[J]. Burns, 1981,8(1):64. DOI URL PMID
[12]	祝红娟, 王淑君, 史巍 , 等. 特重度烧伤患者康复期家庭照护者生活质量现状及其影响因素研究[J]. 中华护理杂志, 2018,53(8):907-912.

[1]	SI Qianqian, WANG Ying, ZHAO Fuyun, MA Xiaoxiao, LIU June. Construction and application of early phase Ⅰ cardiopulmonary rehabilitation program for patients with Type A aortic dissection [J]. Chinese Journal of Nursing, 2024, 59(9): 1037-1042.
[2]	WANG Xuan, WEN Xianxiu, GOU Li, ZHOU Lijuan, CHEN Fuli, WU Haiyan, WANG Liang. The cardiac rehabilitation adherence assessment tools：a systematic review of psychometric properties [J]. Chinese Journal of Nursing, 2024, 59(6): 736-743.
[3]	LÜ Dan, ZHAO Ying, HE Yan, LIU Qing, SONG Fujuan, LI Meng, ZHANG Xinyue, WANG Xiaoping. Construction and application of an advanced pulmonary rehabilitation programme for patients undergoing high-flow nasal cannula oxygen therapy [J]. Chinese Journal of Nursing, 2024, 59(17): 2053-2061.
[4]	HU Shujing, SUN Jing, WANG Yi, GAO Bao, ZHU Hong, QI Xingyu. Facilitators and barriers of home pulmonary rehabilitation for lung transplant recipients：a qualitative study [J]. Chinese Journal of Nursing, 2024, 59(17): 2070-2076.
[5]	CHEN Yu’e, GAO Yuan, KONG Dan, GU Siqi, KANG Shanshan, XIE Tao. Application of static progressive stretch in perioperative rehabilitation nursing of patients with unicompartmental knee arthroplasty [J]. Chinese Journal of Nursing, 2024, 59(12): 1462-1467.
[6]	YAN Yinzhi, WEN Fang, WANG Min, ZHOU Xuemei, YANG Qi, WU Huifang, ZHANG Yiming. Exercise intervention in children with hematopoietic stem cell transplantation：a scoping review [J]. Chinese Journal of Nursing, 2024, 59(11): 1331-1339.
[7]	ZHU Hongxuan, PANG Jianmei, SUN Shengnan, LI Yan. A qualitative study of the factors of pulmonary rehabilitation behavior of elderly patients with lung cancer in the post-operative transitional period [J]. Chinese Journal of Nursing, 2024, 59(1): 15-21.
[8]	LIN Qi, LIU Yurong, YANG Hui, YANG Fengjuan, WANG Dan, CHEN Ruiyun. Development and validation of an Exercise Behavior Perception Scale for Lung Cancer Patients [J]. Chinese Journal of Nursing, 2024, 59(1): 22-28.
[9]	HUANG Binbin, WANG Hui. Nursing care of postoperative lung re-expansion in an elderly hemiplegic patient with a massive pulmonary tumor [J]. Chinese Journal of Nursing, 2024, 59(1): 29-32.
[10]	GU Jie, MA Qianyun, GAO Xu, LI Huizhen, MENG Xiaohong, XIE Shuangyi, FAN Fan, ZHOU Yi, CAO Jie. Construction and application of a rehabilitation management programme for urinary incontinence after prostate cancer surgery [J]. Chinese Journal of Nursing, 2023, 58(9): 1029-1036.
[11]	LIANG Jiangshuyuan, ZENG Fei, GU Peipei, GUO Luyao. Construction and application of a matching exercise training program for patients after lung transplantation [J]. Chinese Journal of Nursing, 2023, 58(8): 901-906.
[12]	SHEN Lifeng, ZHU Hui, SUN Meirong, QIAN Yafen, LI Ying, GUO Haiwei, JIN Aixiang. Application of somatosensory movement combined with percutaneous acupoint electrical stimulation rehabilitation nursing program in patients with thyroid cancer after operation：a randomized controlled trial [J]. Chinese Journal of Nursing, 2023, 58(8): 963-970.
[13]	MA Xining, BAI Yanjuan, KONG Siming, HUANG Rong, ZHANG Jing, YAO Hui. Summary of the best evidence on exercise guidance programs for patients with ankylosing spondylitis [J]. Chinese Journal of Nursing, 2023, 58(7): 864-870.
[14]	ZHANG Xueru, HAO Xijun, CHEN Changxiang. Application of Forbrain training in patients with cognitive impairment after traumatic craniocerebral injury [J]. Chinese Journal of Nursing, 2023, 58(5): 552-557.
[15]	XIA Yaoyao, LI Yi, XIONG Xiaoyun, ZHOU Liang, WANG Yanhui, MA Lanying. Study on information needs and self-management of cardiac rehabilitation in patients undergoing percutaneous coronary intervention [J]. Chinese Journal of Nursing, 2023, 58(4): 398-405.

1例100%体表面积深度化学烧烫伤患者的康复护理

RichHTML

PDF

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 1

References 12

Related Articles 15

Recommended Articles

Metrics