Kuroda Tomoko, Ichikawa Kazushige, Hinata Satoshi, Chiba Kaoru, Okabayashi Ken, Asato Yuko, Aono Hiromi, Marumo Kazuyoshi
Nursing Department Tokyo Metropolitan Police Hospital Tokyo Japan.
Rehabilitation Department Tokyo Metropolitan Police Hospital Tokyo Japan.
Respirol Case Rep. 2023 Oct 12;11(11):e01232. doi: 10.1002/rcr2.1232. eCollection 2023 Nov.
We share our experiences of instructing three patients with severe upper limb dysfunction on how to self-adjust CPAP/NPPV masks. In Case 1, we simplified the procedure by suturing a part of the headband as the left forearm was amputated. In Case 2, the patient had congenitally short limbs with short stature; thus, we provided an additional belt to the headband to maintain the headband's configuration while wearing the mask. In Case 3, the patient had left hemiplegia due to stroke and, repetitive coaching was conducted during the recovery phase rehabilitation program. Difficulties with self-adjusting NPPV/CPAP masks can occur whenever there is limited hand mobility above the head, including upper limb dysfunction. Simplifying procedures and providing sufficient time for instruction could help achieve independence. There have been no previous reports describing similar training details. We believe that sharing this knowledge will be helpful to both patients and healthcare professionals.
我们分享指导三名严重上肢功能障碍患者如何自行调整持续气道正压通气/无创正压通气（CPAP/NPPV）面罩的经验。在病例1中，由于患者左前臂截肢，我们通过缝合头带的一部分简化了操作程序。在病例2中，患者先天性四肢短小且身材矮小；因此，我们在头带上额外增加了一条带子，以便在佩戴面罩时保持头带的形状。在病例3中，患者因中风导致左侧偏瘫，在康复阶段的康复计划中进行了反复指导。只要头部上方的手部活动受限，包括上肢功能障碍，自行调整NPPV/CPAP面罩就可能会有困难。简化操作程序并提供足够的指导时间有助于实现独立。此前尚无描述类似训练细节的报告。我们相信分享这些知识对患者和医护人员都会有所帮助。
