CAJ | 학술논문

目的：探讨系统性康复护理程序改善长期意识障碍患者生命质量的效果。方法将7例长期意识障碍患者为研究对象,应用温浴刺激、背部轻微振动、运动训练等自制康复护理程序,以意识障碍重轻度等级评分( NASVA)评价患者生命质量改善的效果。结果按照康复护理程序实施4个阶段(平均6个月)的康复护理后,7例患者中,2例患者的去大脑僵直完全解除,5例患者的上、下肢关节挛缩有所改善。在运动、摄食、排泄、认知、语言表达、口头指令及其总分等方面的NASVA评分均高于实施康复护理前,差异均有统计学意义(P<0.01)。7例患者生活质量(QOL)均改善,其中1例中学生患者重新返校,4例患者的上、下肢关节挛缩有所改善,可经口摄食,可回家与家人一起正常生活。结论实施系统性康复护理程序,能提高长期意识障碍患者的康复护理效果,改善患者生命质量。
목적：탐토계통성강복호리정서개선장기의식장애환자생명질량적효과。방법장7례장기의식장애환자위연구대상,응용온욕자격、배부경미진동、운동훈련등자제강복호리정서,이의식장애중경도등급평분( NASVA)평개환자생명질량개선적효과。결과안조강복호리정서실시4개계단(평균6개월)적강복호리후,7례환자중,2례환자적거대뇌강직완전해제,5례환자적상、하지관절련축유소개선。재운동、섭식、배설、인지、어언표체、구두지령급기총분등방면적NASVA평분균고우실시강복호리전,차이균유통계학의의(P<0.01)。7례환자생활질량(QOL)균개선,기중1례중학생환자중신반교,4례환자적상、하지관절련축유소개선,가경구섭식,가회가여가인일기정상생활。결론실시계통성강복호리정서,능제고장기의식장애환자적강복호리효과,개선환자생명질량。
Objective To investigate the application of systematic rehabilitation nursing procedure on improving the life quality of patients with long-term conscious disturbance. Methods A total of 7 patients with long-term conscious disturbance had been chosen as sampling and applied warm bath to stimulate, back slight vibration, sports training and other rehabilitation nursing program. The mild disturbance of consciousness re-scoring( NASVA ) was used to evaluate the quality of life improving in patients. Results The 7 patients received four stages rehabilitation nursing care ( average 6 months) as its procedure, in which two patients got rid of decerebrate rigidity completely while five patients minimized the upper and lower extremity contractures of joint. Compared with the implementation of rehabilitation care before, the 7 cases of patients with long-term conscious disturbance improved their exercise, feeding, excretion, cognition, language expression, verbal commands and other aspects of NASVA score after rehabilitation care with statistically differences (P<0. 01). Quality of life of 7 patients were significantly improved, of which one patients return to school to continue study, and four patients′contractures of lower and upper extremity joint improved and they could go back home,and live with their family and eat by mouth. Conclusions Implementation of systematic rehabilitation nursing procedure can improve the rehabilitation effects for patients with long-term conscious disturbance and contributes to those patients′quality of life.