Integrated traditional Chinese and western rehabilitation nursing practice for a patient with acute disseminated encephalomyelitis based on the ACMMM model

This study summarizes the rehabilitation nursing of a patient with acute disseminated encephalomyelitis (ADEM) based on the assessment-communication-monitoring-modify patient-modify environment (ACMMM) model. Key nursing strategies included establishing a multidisciplinary rehabilitation team integrating both traditional Chinese and Western medicine to ensure rehabilitation quality and outcomes, and implementing a three-stage management plan for target temperature control. Guided by the ACMMM model, early rehabilitation was promoted through five dimensions: Assessment, Communication, Monitoring, Modify Patient, and Modify Environment. Interventions included: timely and accurate assessment to ensure personalized and scientific rehabilitation strategies; shared decision-making to enhance adaptability and effectiveness; continuous monitoring to ensure optimal rehabilitation outcomes and patient safety; integrated early functional rehabilitation training to shorten the rehabilitation course and improve recovery; and creation of an optimal rehabilitation environment to enhance psychological comfort and satisfaction, thereby accelerating recovery. At one-month follow-up, the patient had regained consciousness, demonstrated normal cognitive and limb motor function, significantly improved urinary frequency and restored bladder control, fully resumed daily activities and study, and successfully returned to work. (本文总结1例基于ACMMM管理模型的急性播散性脑脊髓炎的康复管理实践经验。护理要点包括: 组建多学科中西医结合康复团队, 保证康复质量和效果; 三阶段管理方案, 实现患者目标体温管理; 依托ACMMM模型推进早期康复, 从“评估-沟通-监测-患者-环境”五方面开展个性化干预: 及时准确评估, 保障康复管理策略的个性化和科学性; 医患共同决策, 保障康复管理策略的适应性和有效性; 持续监测康复效果, 保障康复最佳效果和患者安全; 开展一体化早期功能康复锻炼, 缩短康复疗程, 保障康复效果; 打造最佳康复环境, 提升患者心理舒适度和满意度, 加快康复进程。随访1个月后, 患者意识恢复、认知功能正常, 四肢肌力完全恢复正常, 尿频明显改善, 排尿控制能力恢复, 日常活动及学习恢复正常。)