Maček Z, Mandić M
Acta Med Croatica. 2016;70 Suppl 1:59-63.
Damage to the central nervous system leads to the loss of motor control, loss of consciousness, sensory, cognitive and perceptive dysfunction. Patients are immobile in the early phase of recovery, therefore therapeutic approach demands appropriate methods of patient positioning in bed. The positioning has to ensure conditions that will stimulate and promote functional rehabilitation and prevent complications of immobility. The positioning has to rely on functional assessment of the patient problem, while it should also be therapeutic and individually adjusted to the patient needs. In the methods of positioning an immobile patient, all medical team members take part, especially nurses, physical therapists and occupational therapists. Results of positioning are better if mobilization and integration of the abilities regained by the patient are included.
中枢神经系统损伤会导致运动控制丧失、意识丧失、感觉、认知和感知功能障碍。在恢复的早期阶段,患者无法活动,因此治疗方法需要合适的患者床上体位摆放方法。体位摆放必须确保能刺激和促进功能康复并预防因活动受限引起的并发症的条件。体位摆放必须基于对患者问题的功能评估,同时还应具有治疗作用并根据患者需求进行个性化调整。在为不能活动的患者摆放体位的方法中,所有医疗团队成员都要参与,尤其是护士、物理治疗师和职业治疗师。如果将患者恢复的能力的活动和整合纳入其中,体位摆放的效果会更好。