目的 总结1例重症肺炎并发多脏器功能衰竭的个性化康复护理效果。方法 在全面评估患者的基础上,制定危重护理、个性化康复护理、个性化音乐治疗等康复方案并实施相应护理措施及肌肉训练。结果 经过精心护理、音乐治疗及各项肌力训练7 d后,患者急性生理学及慢性健康状况评分系统(APACHEⅡ)评分由28分降至14分;左侧上肢肌力由Ⅰ级升至Ⅲ级,左侧下肢肌力由Ⅰ级升至Ⅳ级,右侧上、下肢肌力均由Ⅲ级升至Ⅴ级;焦虑自评量表评分从71分降至52分;Fugl-Meyer评定量表评分由38分升至80分;改良Barthel指数由0分升至55分。结论 对于重症肺炎并发多脏器功能衰竭患者实施个性化康复护理,可有效促进患者康复,增强患者自理能力。

Objective To summarize the effect of individualized rehabilitation nursing combined with music therapy on one patient with severe pneumonia complicated with multiple organ failure.Methods Based on the comprehensive evaluation of patients, the rehabilitation programs including critical care, personalized rehabilitation care and personalized music therapy were established, and the corresponding nursing measures and muscle training were implemented.Results After careful nursing, music therapy and muscle training for seven days, the score of Acute Physiology and Chronic Health Evaluation Scoring System (APACHE II) decreased from 28 to 14; the upper limb muscle strength increased; the score of Self-rating Anxiety Scale (SAS) decreased from 71 to 52; the score of Fugl-Meyer Assessment (FMA) increased from 38 to 80; and modified Barthel index increased from 0 to 55.Conclusion Personalized rehabilitation care could effectively promote the recovery, and increase the activities of daily living of patients with severe pneumonia complicated with multiple organ failure.