Lung Kang Youdao | Long -term bed after discharge is not a matter of benefit

Author:Guangdong Provincial Hospital Time:2022.06.22

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[Lung Kang Youdao] The column aims to allow you to understand more about chronic respiratory diseases and thoracic surgery related to Chinese and Western medical lung rehabilitation knowledge, teach patients to learn how to manage themselves, and also have a more unblocked breathing.

Clinical case

Mr. Zhang, 78 years old, has a history of chronic obstructive pulmonary disease, respiratory failure, hypertension and other medical history. In January 2022, he was hospitalized due to "lung infection, chronic obstructive pulmonary disease acute aggravation". Old people have more on -site activities. However, the family felt that the elderly had a long -term illness, weight loss, too tired walking or standing, and it was not good for him, so he kept bed in bed at home. After 1 month of bed, Mr. Zhang's weakness and difficulty breathing did not see significant improvement, and his family found that his lower limbs were getting thinner and thinner, and his family was supported by his family. When the family took him back to the hospital, he asked the doctor: why the longer the bed rest at home, the worse and worse. For their doubts, the lung rehabilitation team will analyze the relevant knowledge of long -term bed braking and early activities.

Puzzle

1. The harm of long -term bed braking

1. Muscle atrophy, muscle quality and structure abnormal.

2. osteoporosis.

3. Cardiopulmonary function decreases and cough ability decreases.

4. Early limb venous thrombosis.

5. Prone to psychological problems such as anxiety and depression, emotional instability.

6. During the decline in appetite, constipation and other digestive tract problems.

7. The risk of diabetes, cardiovascular disease and cancer may be caused.

2. What are the benefits of early activities?

1. Reduce the risk of getting worse.

2. Reduce the risk of cardiovascular and cerebrovascular diseases, diabetes, and cancer.

3. Prevent or reduce osteoporosis.

4. Regular exercise and improvement of sleep, reducing stress and anxiety, and reducing the risk of depression.

3. How to get early activities

Early exercise therapy for severe patients is safe and effective, which can play a role in preventing muscle atrophy, reducing the occurrence of delirium, shortening mechanical ventilation time, shortening the total hospitalization time, and reducing mortality. For patients with discharged recovery periods, if the condition is basically stable, early activities can be performed under safety monitoring. The scheme of the activity should be gradual, not from bed in the state of bed. You can try the four steps of bed, sitting, standing, and walking, and gradually transition.

01 For patients who have long -term bed and awake, they can try to let patients actively actively move their hands and feet on the bed, and gradually raise the bedside.

02 Settlement of bed training, if there is no discomfort. You can try to sit down with assistance to sit alone, and pay attention to determining blood pressure, heart rate and blood oxygen saturation. Sitting time can gradually extend.

03 Sitting training, if there is no discomfort. Try to help stand on the chair and place on the chair and place, and pay attention to the determination of blood pressure, heart rate and blood oxygen saturation.

04 Standing training, if there is no discomfort. You can try to walk with assistance, walk independently, and pay attention to determining blood pressure, heart rate and blood oxygen saturation. The time for walking can gradually be extended.

Fourth, precautions

1. If the patient has the following situations after discharge, such as: unstable major fracture, mobilization bleeding, unavailable epileptic seizures, very restless or aggressive, heart rate, blood pressure, and blood oxygen are unstable, and early activity will be suitable. If the family members do not know the relevant knowledge of rehabilitation, they need to ask a professional doctor to conduct a safety assessment to eliminate taboos.

2. For patients discharged, if family members do not know how to let patients move or exercise, please consult a professional rehabilitation group. The recovery of home is as important as the recovery of hospitalization. The whole process requires the cooperation of family members.

3. For patients with chronic respiratory diseases, blood pressure meters and finger -type blood oxygen instruments can be kept at home.

Learn Chinese medicine together

"The Yellow Emperor's Classics · Su Wen · Xuanming Five Qi" is recorded: sedentary hurts meat for a long time, hurts the bones for a long time, lying for a long time, and hurting the muscles for a long time. Viewing, lying, sitting, standing, and walking are the five types of human life activities. Life activities can neither be quiet, nor can they survive. Too quiet and relaxing, lying for a long time, and sitting for a long time, you do not circulate, and you will hurt the person. After a long time, long -standing, long -standing, and long -term behavior, it exceeds the normal regulation and tolerance range of the human body, and it will also damage the human body. "Five labor injuries" remind us that healthy life activities should be combined and moderate. As long as these five activities are moderate, there is no harm at all. On the contrary, it can be turned into "five nourishment".

Editor

The lung rehabilitation team of the University of the University of Traditional Chinese Medicine Hospital mainly carried out chronic airway diseases (such as chronic obstructive lung disease, sleep respiratory suspension syndrome, bronchial dilation, etc.), bronchial dilation, etc.) Rong surgery, lung tumor surgery), lung recovery work.

【Medical Guidance】

Li Jiqiang, chief Chinese medicine practitioner, doctor of medicine, doctoral tutor. Master of the master of the teacher and Professor Liu Weisheng, a famous Chinese medicine doctor in Guangdong Province.

He is currently the vice president of the Federation of Federation of the Federation of the World Chinese Medicine Society, executive director of the Federation of Respiratory Diseases on Respiratory Diseases, the Chairman of the Chinese and Western Medicine Society of the Ceremony of Traditional Chinese and Western Medicine, the Chairman of the Council of the Ceremony Disease (fever) professional committee deputy chairman, member of the Chinese Medicine Society of Chinese Medicine, member of the Chinese Sleeping Research Association Sleep Resurrection Disadvantage Professional Committee, and member of the Activity Rehabilitation Professional Committee of the Guangdong Chemical Diseases Association.

It is mainly engaged in clinical, scientific research and teaching work of the combination of traditional Chinese and Western medicine, acute and critical illness, and integrated traditional Chinese and western medicine (infectious diseases).[Introduction to the author in this issue]

Cai Qian, a master's degree in medicine, a attending physician, a director of the Professional Committee of the World Lianzhong Luo Luo, a member of the World Zhonglian Fever Diseases Committee, a member of the Council of the Pulmonary Rehabilitation Specialist Committee of the CeremonyMember, member of the Home Rehabilitation Branch of the Guangdong Rehabilitation Medical Association.

Good at: exercise guidance for lung recovery, cardiopulmonary exercise tests, respiratory treatment of patients with severe patients, and respiratory diseases such as chronic obstructive pulmonary disease, bronchial asthma, pneumonia and other respiratory diseases using traditional Chinese and western medicine.

Contact: 020-39318650

Contact Address: No. 55, No. 55, West Road, University of Panyu District, Guangzhou, Guangzhou University City, No. 3 Floor, Hospital of University City Hospital, Guangdong Province

Supply: Comprehensive Third Department of Comprehensive Three Sciences of the University of the University of Traditional Chinese Medicine Hospital