Rehabilitation nursing for a patient with stroke and severe pneumonia
一例脑卒中合并重症肺炎患者的康复护理

摘要

本文报告一例脑卒中合并重症肺炎患者在重症病房、亚重症病房至居家一体化全周期的早期综合康复护理。该患者由以专科护士为主导的专业康复团队实施一对一的康复护理。其整个过程的护理要点：实施机械通气的护理、呼吸管理结合阶段性运动康复，确保患者早期脱机、预防各种并发症及加速其康复进程；指导吞咽训练及提供营养支持，改善患者的营养状况；实施家庭参与式护理及心理支持，缓解、消除患者紧张、焦虑情绪，增加自信心；制定个性化出院康复处方，提高患者居家生活质量，降低再住院率。经过45天的治疗和护理患者恢复良好，所有指标明显好转，顺利出院。出院后监督患者居家锻炼，2月后患者基本回归正常生活。

Abstract

This article reports a case of stroke combined with severe pneumonia, who received early comprehensive rehabilitation care from the intensive care unit, subintensive care unit to home. The patient received one-on-one rehabilitation care from a professional rehabilitation team led by specialist nurses. The key points of the whole process are: implementing mechanical ventilation care, respiratory management combined with staged exercise rehabilitation to ensure early weaning of the patient, prevent various complications and accelerate the recovery process; guiding swallowing training and providing nutritional support to improve the nutritional status of the patient; implementing family participatory care and psychological support to relieve and eliminate the patient's tension and anxiety and increase self-confidence; formulating personalized discharge rehabilitation prescriptions to improve the patient's quality of life at home and reduce the rate of rehospitalization. After 45 days of treatment and care, the patient recovered well, all indicators improved significantly, and was discharged smoothly. After discharge, the patient was supervised to exercise at home, and the patient basically returned to normal life after 2 months.