CAJ | 학술논문

目的：探讨综合康复护理方案对改善长期意识障碍患者的意识程度及生活行为能力的康复护理效果。方法对5例长期意识障碍患者实施温浴刺激、反射性诱发运动及用手背部轻微振动等综合康复护理方案，以意识障碍重轻度等级评分（NASVA）评价康复护理效果。结果与实施综合康复护理方案前比较，5例患者的NASVA 总值明显提高；上下肢关节挛缩有所改善，可经口摄食，可沟通等效果。结论实施康复护理方案有利于促进长期意识障碍患者的意识及生活行为能力的恢复。
목적：탐토종합강복호리방안대개선장기의식장애환자적의식정도급생활행위능력적강복호리효과。방법대5례장기의식장애환자실시온욕자격、반사성유발운동급용수배부경미진동등종합강복호리방안，이의식장애중경도등급평분（NASVA）평개강복호리효과。결과여실시종합강복호리방안전비교，5례환자적NASVA 총치명현제고；상하지관절련축유소개선，가경구섭식，가구통등효과。결론실시강복호리방안유리우촉진장기의식장애환자적의식급생활행위능력적회복。
Objective To investigate the effect of a long-term rehabilitation nursing program on the con-sciousness and daily life behavior of the patients with long-term consciousness disorder.Methods Multiple rehabilitation nursing methods which include stimulation with warm bath,exercise induced reflex and slightly vibrating the dorsum by hand have been applied to 5 patients with long-term consciousness disor-der.To evaluate the effect of these nursing methods,we have used the evaluation form for consciousness disorder from NASVA,Japan.Results Before and after the rehabilitation nursing program,NASVA value of 5 patients significantly improved;their upper and lower joint contractures are improved.They are able to eat food by mouth,and communicate with others.Conclusion The rehabilitation nursing program is useful for improving the consciousness and daily life behavior of patients with consciousness disorder.