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截肢的患者的康复护理

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正确答案:

1.截肢是指将没有生命和功能或因局部疾病严重威胁生命的肢体截除的手术。

(1)心理护理:帮助患者面对现实,树立生活信心;并对其进行健康教育,使其了解可能出现的并发症,假肢的选择,康复计划,训练方法,时间的安排及费用。

(2)残肢护理:正确使用弹性绷带包扎,预防残肢肿胀,脂肪沉积,以促使残肢早日定型。

(3)功能训练:①尽早安装假肢和进行功能训练,防止关节挛缩,残肢肌肉萎缩,残肢、骨盆和脊柱的畸形;②保持合理残肢体位;③功能训练:股四头肌的肌力训练、健侧腿的训练(镜前站立、连续单腿跳,站立位的膝关节屈伸运动)。

(4)假肢的安装放训练(假肢的穿脱训练、站立平衡训练、重心转移训练、迈步、步行、过障碍物,地上拾物及跌倒爬起的训练等)。

(5)并发症的护理(重点为皮肤护理和残肢痛的护理)。

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