首页|快速康复外科理念在肩袖损伤关节镜修复术患者围手术期护理中的应用分析

快速康复外科理念在肩袖损伤关节镜修复术患者围手术期护理中的应用分析

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目的 分析快速康复外科(FTS)理念在肩袖损伤(RCI)关节镜修复术患者围手术期护理中的应用效果.方法 选取2022年8月—2023年 7月于该院行关节镜修复术的 94例RCI患者为研究对象,按照随机数字表法将其分为对照组与研究组,各 47例.对照组接受常规围手术期护理,研究组在其基础上采用FTS理念进行围手术期护理.针对两组术后心理韧性量表(CD-RISC)评分、术后排气与住院时间、术后并发症、Constant-Murley肩关节功能评分(CMS)情况进行对比.结果 术后 3d,研究组CD-RISC评分高于对照组,差异有统计学意义(P<0.05).研究组术后排气时间、住院时间均短于对照组,组间差异有统计学意义(P<0.05).研究组术后并发症发生率低于对照组,差异有统计学意义(P<0.05).术后 1 个月时研究组CMS评分高于对照组,差异有统计学意义(P<0.05).结论 FTS理念在RCI关节镜修复患者围术期护理中取得了较为理想的应用效果,可以有效增强其心理韧性,降低术后并发症风险,加快疾病康复进程,保障肩关节功能康复效果.
Application of the Concept of Rapid Rehabilitation Surgery in Perioperative Nursing of Patients with Rotator Cuff Injury Undergoing Arthroscopic Repair
Objective To analyze the application effect of fast track surgery(FTS)concept in perioperative nursing of patients with rotator cuff tear(RCI)undergoing arthroscopic repair.Methods 94 patients with RCI who underwent arthroscopic repair in this hospital from August 2022 to July 2023 were selected as the research objects.According to the random number table method,they were divided into a control group and a study group,with 47 cases.Patients in the control group received routine perioperative nursing,while patients in the study group received perioperative nursing based on the concept of FTS.The postoperative Connor-Davidson Resilience Scale(CD-RISC)score,postoperative exhaust and hospitalization time,postoperative complications,Constant-Murley shoulder function score(CMS)were compared between the two groups.Results 3 d after operation,the CD-RISC score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The postoperative exhaust time and hospitalization time of the study group were shorter than those of the control group,and the differences between the two groups were statistically significant(P<0.05).The incidence of postoperative complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).1 month after operation,the CMS score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The concept of FTS has achieved ideal application effect in the perioperative nursing of RCI patients undergoing arthroscopic repair,which can effectively enhance their psychological resilience,reduce the risk of postoperative complications,accelerate the process of disease rehabilitation,and ensure the rehabilitation effect of shoulder joint function.

Fast track surgeryArthroscopic repairRotator cuff injuriesPerioperative nursing

张玉

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合肥市第一人民医院风湿关节骨科,安徽合肥 230000

快速康复外科理念 关节镜修复术 肩袖损伤 围手术期护理

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(3)
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