Most of the traumatic paraplegic patients are young adults, which often causes heavy burden to patients and their families in psychological and life. Good home rehabilitation care can improve the quality of life of paraplegics, reduce the burden on society and families, and make them useful to society again. Psychological care After recovering the stability of the spine through treatment, patients with traumatic paraplegia gradually stabilize all aspects of their body and start to consider their future life from denial to recognition of the reality of their paraplegia. At this time, the patient often shows depressed mood, reluctance to talk with others, and a strong sense of inferiority. Patients think they have become a cripple, a burden to their families and society, so they worry all day long and even refuse treatment and food, and often have suicidal tendencies. Other people do not believe that they will be paraplegic forever, and keep seeking various treatment methods, even causing other injuries due to improper treatment. In response to the patient’s state of mind at this time, family members should actively guide and explain their condition to them step by step, so that they can fully understand their current situation, face the reality frankly, and build up confidence and courage to live. Zhang Peng, Department of Orthopedics, Qingfeng County People’s Hospital After spinal cord injury, the patient loses control of urinary function in the brain and lower centers, causing disorder or loss of urinary function, which is manifested as urinary retention. When urine accumulates in the bladder and the pressure increases, the urine will overflow on its own and the patient cannot control it. Moreover, there is a lot of residual urine in the bladder, which can easily cause urinary tract infection. At this time, the patient should be trained to urinate, and the volume of the bladder should be maintained by releasing urine and emptying the bladder regularly during catheterization. After the catheter is removed, the bladder should be massaged regularly to control urination. This can be done by slowly pushing and pressing from the lower abdomen from light to heavy until all urine in the bladder is discharged. Skin care Paraplegic patients are prone to decubitus ulcers due to loss of skin sensation below the paraplegic level and poor neurotrophic function. Therefore, regular turning and skin massage are very important. Patients should be encouraged to massage the skin of the pressurized area regularly and practice turning the lower limbs, sitting up in bed, supporting the trunk with both hands and lifting the buttocks to reduce local pressure. Prevention of infection Due to the limited mobility, long time in bed and few outdoor activities, paraplegic patients are prone to upper respiratory tract and urinary tract infections and bed sores because of the decrease in body resistance. Patients should be encouraged to actively perform upper limb exercises in bed. Such as the use of dumbbells, pullers, bed pullers, etc. for exercise. The patient should also participate in outdoor activities in a wheelchair as early as possible to enhance the body’s resistance and reduce the chance of infection. Dietary care Due to the uncoordinated anal sphincter and long-term bed rest, the intestinal peristalsis slows down and constipation often occurs in paraplegic patients. Therefore, diet should be adjusted. Patients should eat more fruits, vegetables and fiber-rich foods, and should not rely on laxatives and anal suppositories. Also pay attention to dietary hygiene and nutrition, prevent overeating, and avoid diarrhea caused by improper diet. Since paraplegics have no control over their bowels and have limited mobility, diarrhea can cause a lot of problems for patients and their families. Safety care Since paraplegic patients have lost skin sensation and have limited mobility, they should not only prevent accidental injuries such as burns, bruises and bumps, but also prevent self-inflicted injuries and suicides. When there is no one to take care of the patient, all kinds of utensils should be easily accessible to the patient and items should be placed securely. Patients themselves should have a sense of self-protection and consciously regulate their mental and emotional state. As the patient loses the motor function of the body below the paraplegic level, muscle atrophy, joint ankylosis or flexion contracture, foot drop, etc. are likely to occur. Not only should the patient be helped to carry out frequent passive movements of the limbs, but also to maintain the functional position of the joints, such as keeping the ankle joint at about 90 degrees to prevent sagging. And according to the requirements of rehabilitation and the patient’s condition and interest, gradually increase the intensity of training, increase muscle strength and coordination training of the nervous system. The patient should be trained to turn over, put on and take off clothes, pants, shoes and socks, handle menstruation, and put the toilet and urinate and defecate by themselves without relying on the escort.