WakeMed Health & Hospitals, Raleigh, NC, USA.
East Carolina University, Greenville, NC, USA.
Rehabil Nurs. 2021;46(3):179-184. doi: 10.1097/RNJ.0000000000000289.
There are over 185,000 amputations annually in the United States, and most of these patients will receive a short inpatient rehabilitation hospital stay as part of their recovery. Complications in care after amputation can negatively impact rehabilitation and subsequent disposition and community reintegration after discharge. The purpose of this article is to discuss the literature, significance, and practice recommendations for three specific challenges-skin integrity, postamputation pain, and falls. The focus population is rehabilitation patients who have undergone nontraumatic, lower limb amputation. Information about the incidence and risks of these complications give nurses necessary knowledge to improve care delivery, reduce suffering, and improve patient safety for postamputation patients during inpatient rehabilitation.
在美国，每年有超过 185000 例截肢手术，其中大多数患者将在康复过程中接受短期住院康复医院治疗。截肢后的护理并发症会对康复以及出院后的处置和重返社区产生负面影响。本文的目的是讨论文献、意义以及针对三个具体挑战——皮肤完整性、截肢后疼痛和跌倒——的实践建议。重点人群是接受非创伤性下肢截肢的康复患者。这些并发症的发生率和风险的相关信息使护士能够更好地提供护理，减少患者痛苦，并提高截肢患者在住院康复期间的安全性。
