Rehabilitation Nursing for Patients with Lower Limb Amputation before Prosthetic Fitting_West China Medical Journal

Authors：

 CHENJia-jia , WANGJiao , ZHOUYong ,  DUChun-ping

Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

DUChun-ping, Email: ducp118@126.com

Keywords：

Amputation; Prosthesis; Rehabilitation nursing

DOI：

10.7507/1002-0179.20150602

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To explore the clinical effect of systematic rehabilitation nursing for patients with lower limb amputation before prosthesis fitting. Methods Fifty patients with lower limb amputation before prosthetic fitting from January 2009 to December 2012 were assessed by rehabilitation team members, and then received the nursing progress according to the assessment results. The conditions of the patients before and after nursing intervention were evaluated and compared. Results After the patients received systematic rehabilitation nursing intervention, the standard rate of rehabilitation nursing knowledge and satisfaction rate of the nursing quality at the departure of the patients was 87.24% and 93.25% respectively. The muscle strength reached level 4 or higher in 4 patients, who could have the prosthesis fitting. Conclusion Systematic rehabilitation nursing for patients with lower limb amputation before prosthesis fitting can help patients to reserve the function as possible, improve the ability of living and quality of life, and reduce the burden of the patients and family to return to society earlier.

Citation： CHENJia-jia, WANGJiao, ZHOUYong, DUChun-ping. Rehabilitation Nursing for Patients with Lower Limb Amputation before Prosthetic Fitting. West China Medical Journal, 2015, 30(11): 2128-2132. doi: 10.7507/1002-0179.20150602 Copy

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1. 杜春萍, 包芸, 刘素珍. 康复医学科护理手册[M]. 北京:科学出版社, 2011:125-130.
2. 杜春萍, 陈佳佳, 曾晓梅, 等. 地震挤压伤截肢伤员的康复护理[J]. 华西医学, 2009, 24(3):549-551.
3. 高英华. 截肢患者术后心理分析及护理[J]. 山西医药杂志, 2009, 38(1):92-93.
4. 熊恩富. 骨科康复学[M]. 北京:人民卫生出版社, 2008:168-178.
5. 周勇, 张金龙, 雷中杰, 等. 地震伤员下肢假肢安装前的处理及功能重建[J]. 华西医学, 2009, 24(3):557-559.
6. 黄飞燕, 陈希妹, 彭贤娟, 等. 截肢患者患肢痛的护理干预[J]. 中国实用医药, 2008, 3(21):174-175.
7. 陈佳佳, 高强, 龚巧鹭, 等. 医护治一体化工作模式在下肢截肢患者健康教育中应用[J]. 中国康复理论与实践, 2014, 20(12):1196-1198.
8. 燕铁斌. 康复护理学[M]. 3版. 北京:人民卫生出版社, 2012:174-175.
9. 陈玉梅, 王应琼, 江少平, 等. 截肢患者术后身体外形认知与社会生活能力状况调查[J]. 中国康复理论与实践, 2012, 18(9):878-880.
10. 张鸿. 急诊创伤性截肢患者心理护理及康复指导[J]. 中国医药科学, 2013, 3(2):138, 144.
11. 黄日妹, 博爱风, 易小青. 早期康复护理对幻知觉患者心理状况的影响[J]. 现代临床护理, 2008, 7(4):33-34.
12. 邓海涨, 崔秀梅, 陈何凤, 等. 截肢术后患者残肢包扎塑形技术的应用与护理[J]. 中华现代护理杂志, 2012, 18(10):1215-1216.
13. 黄展鸿, 刘肇华, 余明年, 等. 泌尿系统恶性肿瘤患者的社会心理支持与生活质量评定[J]. 中国临床康复, 2005, 9(28):78-79.
14. 唐继全, 罗平, 黄丽华, 等. 创伤性截肢术后残端伤口不愈合原因分析及预防措施[J]. 创伤外科杂志, 2013, 15(1):78.
15. 高永露, 朱丹, 朱毅. 浅析自我管理在截肢患者康复过程中的积极作用[J]. 医学与社会, 2012, 25(5):18-20.

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