2.3.3. Rapid recovery implementation process.
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RECRUITMENT
The nurses started the corresponding early rehabilitation program when the patient entered the ward. Through process optimization, all links are integrated and sorted, and the fast recovery standard and process of the whole process from postoperative to rehabilitation are established. When the patient is ready to be sent to the ward after the operation, the ward nurse needs to know the basic information about the patient in the operating room in advance, including the patient vital signs, whether tracheal intubation is performed, the operation method, and the operation site. The doctor decides whether to place the ventilator according to the basic situation, and the ward prepares the corresponding supplies for the patient early recovery.Routine nursing after MTIt mainly includes airway and nutrition management, close monitoring of vital signs, observation of consciousness, pupils, and muscle strength, close observation of blood pressure and control of blood pressure, improvement of postoperative review results, and observation of puncture sites and arteria dorsalis pedis.Rehabilitation trainingSwallowing function trainingIt is mainly guided by rehabilitation physicians and assisted by nurses. It includes explicitly swallowing organ training, mouth opening movement, lip movement, tongue movement, breathing training, sensory training, swallowing posture training, and eating training.Position trainingNurses step by step into position training for patients with AIS, including good limb position training, semirecumbent position training, position adaptability training, and autonomous position training.Pulmonary rehabilitationIt mainly includes breathing training, cough training, lung recruitment training, aerosol inhalation of diluted sputum, and chest percussion to promote sputum discharge.PhysicotherapeuticsThe rehabilitation physician and neurologist assess the patient condition and specify a specific physical therapy program administered by the nurse and the rehabilitation physician, including but not limited to active and passive limb joint movements, individual recognized training, acupuncture, and moxibustion therapy, neuromuscular electrical stimulation, tension and grip training, ankle pumping exercises, and bedside activities such as left and standing. After meeting the discharge requirements, patients can be discharged from the hospital or choose more professional rehabilitation institutions for professional rehabilitation treatment.Psychological rehabilitationIn the timely assessment of awake patients, there are related psychological problems, and they immediately seek expert consultations. Nurses also should comfort patients in their daily work and give patients confidence in treatment.