Nursing program in patients with thoracolumbar spi -

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Nursing program in patients with thoracolumbar spinal cord tumor surgery in early rehabilitation of limb

Freedom,[link widoczny dla zalogowanych], guiding patients bed and wheelchair, wheelchair and toilet transfer of training, and a bath in the bathroom; ④ standing guidance training,[link widoczny dla zalogowanych], supporting a bed stand their own standing by a Rotary stand, standing, hand protection and stability to walk after the exercise. 1.2.5 Evaluation of early rehabilitation in patients before or after training. Of limb muscle strength and daily living were evaluated. Determine the method of limb muscle strength: Zhu Huanzhe active exercise to test the active muscle, but also Zhu Huanzhe maintain a certain position, were forced to change the check in order to test its combat power. Muscle is divided into 6 levels: 0: complete paralysis; a: visible muscle contraction, but no limb movement; 2: to remove the effect of gravity. Limb can be used for active movement: 3: can be made to overcome gravity and the limited active movement; 4: to be against the resistance movement, but the lack of strength; 5: normal muscle strength. Daily living,[link widoczny dla zalogowanych], including hair, shaving, dressing,[link widoczny dla zalogowanych], oral hygiene,[link widoczny dla zalogowanych], bathing and personal hygiene activities modified. 1.2.6 Statistical Methods The statistical methods ×: test. 2 Results 2.1 The early rehabilitation compared before and after limb muscle strength can be seen from Table 1. Early rehabilitation after limb muscle strength compared, P <0.05, the difference was statistically significant. Table 1 Early rehabilitation training compared before and after limb muscle strength in patients before and after the 2.2 early rehabilitation of daily living can be seen from Table 2 Comparison. Early rehabilitation of daily living in patients before and after comparison = 36.023, P <O. 05, the difference was statistically significant. Modern Clinical Nursing (ModemClinicalNursing) 2008.8 ( Super

57 Table 2, patients with early rehabilitation of daily living before and after comparison n (%) 3 to discuss the significance of early rehabilitation of 3.1 due to various causes of spinal cord compression is a common nervous system disorders, is a set of features with space-occupying lesion within the spinal canal, can cause spinal cord edema, degeneration and necrosis. Lead to loss of spinal cord function. Pressure occurs below the level of limb movement, reflection, feeling, sphincter dysfunction. Seriously affect the lives of patients and the ability to work [Citation. For a long time in patients with spinal cord tumors in the early limb rehabilitation training, mostly from the patient to leave the Department of Neurosurgery, into rehabilitation began, but now patients have lost the most valuable rehabilitation time. A tumor from the spinal cord and traumatic spinal cord injury, like spinal cord injury, early rehabilitation should be emphasized that [Citation. 3.2 The implementation of the use of early care and physical rehabilitation program on the role of the whole concept of modern nursing care is based on the guidance of the nursing program at the core of the new care model. Nursing program is a scientific and systematic methods of work, provide patients with continuous, circular, dynamic care process. Acute phase should be made to maintain good function in patients with limb position, when the patients vital signs were stable after the use of nursing process to start the rehabilitation of limb function implementation of care. The results showed that after the early rehabilitation of patients with limb muscle strength and daily living compared with before training, the difference was statistically significant. This is due to thoracic spinal cord tumor in the body of early rehabilitation of patients. The use of nursing process five steps to a goal of early recovery into a planned, sequential mode in the system, by identifying the needs of patients and their families. In patients evaluated before training, dynamic observation of patients, establishing rehabilitation goals, select the recovery method, care plan and the implementation of different training methods, the implementation of rehabilitation programs, the evaluation of effects of early rehabilitation on limb objectives, content, effects, a comprehensive evaluation of methods to determine the rehabilitation process, the adequacy of each step, the problem is resolved. Such as problem solving, summarizing the experience in the education sector; if not resolved to find out the causes, unresolved problems and new issues and then assess the resulting level of care for a new round of rehabilitation training. The formation of science education model of rehabilitation, a program of continuity of care, systematic and targeted rehabilitation care, combining the individual.

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