Beck L A, Lovlien C A, Twedell D M
Rehabilitation Unit, Mayo Clinic, Rochester, MN, USA.
J Trauma Nurs. 1996 Oct-Dec;3(4):98-107; quiz 108-9. doi: 10.1097/00043860-199610000-00007.
As the number of obese people in the United States continues to increase, all nurses will encounter the unique challenges that result from the pathophysiological changes in this population. The combination of morbid obesity and spinal cord injury creates complex medical management for caregivers throughout hospitalization and after dismissal. Thus, the complications of spinal cord injury are intensified with obesity. Prevention and treatment of secondary complications require nursing practice to go above and beyond the standards of care. This article reviews complications and adjustments in the care of the morbidly obese spinal cord-injured patient, beginning at the scene of injury and through the emergency trauma, intensive care, and rehabilitation units.
随着美国肥胖人数持续增加，所有护士都将面临这一人群病理生理变化所带来的独特挑战。病态肥胖与脊髓损伤并存，给护理人员在患者住院期间及出院后的医疗管理带来了复杂性。因此，脊髓损伤的并发症因肥胖而加剧。继发性并发症的预防和治疗要求护理实践超越常规护理标准。本文回顾了病态肥胖脊髓损伤患者护理中的并发症及调整措施，涵盖从受伤现场到急诊创伤、重症监护及康复病房的全过程。
