Yazicioğlu K, Gündüz S, Ozgül A, Alaca R, Arpacioğlu O
Department of Physical Medicine and Rehabilitation, Gülhane Military Medical Academy, Ankara, Turkey.
Spinal Cord. 2001 Jan;39(1):47-50. doi: 10.1038/sj.sc.3101106.
The organized management of spinal cord injury is a team activity and the nurse is at the central position of that team. Nursing activities and caring should be superior in a spinal cord injury rehabilitation department. Nevertheless, nurses seldom undertake caring activities and usually perform therapeutic activities in developing countries. We recorded the care of 15 spinal cord injured patients around the clock for 10 working days. We asked the nurses, patients and their family carers to record every activity they performed on the forms. The activities were as follows: Oral care, face care, hand care, foot care, nail care, genitalia care, perineal care, catheterization, head bath, bed bath, bath, positioning, mobilization, exercising, wound dressing, room activities and the other nursing activities. The total number of nursing activities, performed was 3573. Subtotals were as follows: 2545 caring activities, 364 room activities, and 664 other nursing activities. While nurses performed 550 of the caring activities, patients and their family carers performed 988 and 1007 patient care activities. The distribution of the nurses' activities was as follows: 40% for caring, 11% for room activities, 48% for others. We discuss the importance of caring activities and the role of nurses in the rehabilitation team.
脊髓损伤的组织管理是一项团队活动，护士在该团队中处于核心地位。在脊髓损伤康复科室，护理活动和关怀应占据主导地位。然而，在发展中国家，护士很少从事关怀活动，通常进行治疗性活动。我们连续10个工作日对15名脊髓损伤患者的护理情况进行了记录。我们要求护士、患者及其家庭护理人员在表格上记录他们所进行的每一项活动。这些活动如下：口腔护理、面部护理、手部护理、足部护理、指甲护理、生殖器护理、会阴护理、导尿、头部沐浴、床上沐浴、全身沐浴、体位摆放、活动、锻炼、伤口换药、室内活动以及其他护理活动。总共进行的护理活动有3573项。分类如下：关怀活动2545项、室内活动364项、其他护理活动664项。护士进行了550项关怀活动，患者及其家庭护理人员分别进行了988项和1007项患者护理活动。护士活动的分布情况如下：关怀活动占40%、室内活动占11%、其他活动占48%。我们讨论了关怀活动的重要性以及护士在康复团队中的作用。
