CAJ | 학술논문

目的探讨床上康复操护理干预对肾移植患者术后早期康复的影响.方法将126例肾移植手术患者随机分为康复操组和对照组各63例.两组均进行常规治疗及护理,康复操组从术后24h开始由护士指导并协助患者每天进行2次自编床上康复操训练.应用功能综合评定量表(FCA)对两组患者每日运动功能(自我照料、转移、行走能力)进行评分,并统计两组患者住院期间并发症的发生率.结果术后第1天康复操组FCA总分为(32.87±1.76)分,高于对照组的(30.22±1.39)分,至术后第5天康复操组FCA评分为(59.13±1.27)分,仍高于对照组的(47.10±1.24)分,两组患者FCA总分的变化经重复测量方差分析,差异具有统计学意义(F=994.67,P＜0.01).康复操组下床时间为(3.00±0.89)d,对照组为(5.00±0.58)d,两组比较差异有统计学意义(t=-3.261,P＜0.01).康复操组并发症发生率与对照组差异无统计学意义(P＞0.05).结论床上康复操有利于提高肾移植患者术后自我照料、转移、行走能力,缩短患者卧床时间,降低并发症的发生率.
목적 탐토상상강복조호리간예대신이식환자술후조기강복적영향.방법 장126례신이식수술환자수궤분위강복조조화대조조각63례.량조균진행상규치료급호리,강복조조종술후24h개시유호사지도병협조환자매천진행2차자편상상강복조훈련.응용공능종합평정량표(FCA)대량조환자매일운동공능(자아조료、전이、행주능력)진행평분,병통계량조환자주원기간병발증적발생솔.결과 술후제1천강복조조FCA총분위(32.87±1.76)분,고우대조조적(30.22±1.39)분,지술후제5천강복조조FCA평분위(59.13±1.27)분,잉고우대조조적(47.10±1.24)분,량조환자FCA총분적변화경중복측량방차분석,차이구유통계학의의(F=994.67,P＜0.01).강복조조하상시간위(3.00±0.89)d,대조조위(5.00±0.58)d,량조비교차이유통계학의의(t=-3.261,P＜0.01).강복조조병발증발생솔여대조조차이무통계학의의(P＞0.05).결론 상상강복조유리우제고신이식환자술후자아조료、전이、행주능력,축단환자와상시간,강저병발증적발생솔.
Objective To explore the effect of on-bed rehabilitation exercise on the early rehabilitation of patients after renal transplantation.Methods One hundred and twenty-six patients with renal transplantation were randomly divided into the rehabilitation exercise and the control group,each with 63 cases.Both groups were performed conventional treatment and nursing.The patients in rehabilitation exercise group were administrated rehabilitation exercise twice per day from 24 hours after operation by the nurses to guide and assist.The daily movement functions including self-care,transfer and walking ability were assessed by function comprehensive assessment (FCA),and the incidence rate of complication was analyzed during hospitalization in both two groups.Results On the first day after operation,the FCA score of the rehabilitation exercise group was (32.87 ± 1.76),which was significantly higher than that of the control group (30.22 ± 1.39).On the fifth day after operation,the FCA score of the rehabilitation exercise group was (59.13 ± 1.27),which was significantly higher than that of the control group (47.10 ± 1.24),and the difference of FCA scores change of two groups with by repetitive measure analysis of variance was statistically significant (F =994.67,P ＜ 0.01).Getting out of bed time in the rehabilitation exercise group was (3.00 ± 0.89) d,which was significantly shorter than that of the control group (5.00 ± 0.58) d,and the difference was statistically significant (t =-3.261,P ＜ 0.01).The difference in the incidence rate of complication was not statistically significant between two groups(P ＞ 0.05).Conclusions On-bed rehabilitation exercise is helpful to improve self-care,transfer and walking ability in patients after renal transplantation,shorten the time lie in bed,and reduce the incidence rate of complication.