中华现代护理杂志2024,Vol.30Issue(34) :4734-4738.DOI:10.3760/cma.j.cn115682-20240221-00875

分阶段康复护理在肩关节镜下肩袖修复术后患者中的应用

Effects of staged rehabilitation nursing in patients undergoing arthroscopic rotator cuff repair

邱瑜 邢春苗 袁萍 王玉明 张林玲 陈情忠 葛敏
中华现代护理杂志2024,Vol.30Issue(34) :4734-4738.DOI:10.3760/cma.j.cn115682-20240221-00875

分阶段康复护理在肩关节镜下肩袖修复术后患者中的应用

Effects of staged rehabilitation nursing in patients undergoing arthroscopic rotator cuff repair

邱瑜 1邢春苗 2袁萍 1王玉明 1张林玲 1陈情忠 3葛敏1
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作者信息

  • 1. 南通大学附属医院护理部,南通 226001
  • 2. 南通大学卫生服务中心,南通 226001
  • 3. 南通大学附属医院手外科,南通 226001
  • 折叠

摘要

目的 探讨分阶段康复护理在肩关节镜下肩袖修复术后患者中的应用效果.方法 采用便利抽样法,选取南通大学附属医院手外科2021年1月-2022年12月收治的73例肩关节镜下肩袖修复术后患者为研究对象,按照随机数字表法分为对照(n=36)和观察组(n=37).对照组采用常规康复护理,观察组采用分阶段康复护理.干预前和术后6个月比较两组患者美国加州大学(UCLA)肩关节评分、美国肩肘外科协会(ASES)评分、Constant-Murley肩关节评分和康复期间两组并发症情况.结果 术后6个月,两组UCLA评分、ASES评分均较干预前提高(P<0.05),且观察组均高于对照组,差异有统计学意义(P<0.05).术后6个月,观察组Constant-Murley评分的日常生活、肩关节活动度评分高于对照组,差异有统计学意义(P<0.05).康复期间,观察组并发症发生率低于对照组,差异有统计学意义(P<0.05).结论 分阶段康复护理在肩关节镜下肩袖修复术后患者中的应用效果较好,可以有效促进患者康复.

Abstract

Objective To explore the effect of staged rehabilitation nursing in patients undergoing arthroscopic rotator cuff repair.Methods From January 2021 to December 2022,convenience sampling was used to select 73 patients who underwent arthroscopic rotator cuff repair in the Department of Hand Surgery at Affiliated Hospital of Nantong University as participants.According to the random number table method,patients were divided into a control group(n=36)and an observation group(n=37).Control group received routine rehabilitation nursing,while observation group received staged rehabilitation nursing.The University of California,Los Angeles(UCLA)Shoulder Rating Scale score,American Shoulder and Elbow Surgeons(ASES)Rating Scale score,Constant-Murley Shoulder Scale score,and complications during rehabilitation were compared between two groups of patients before and six months after intervention.Results Six months after surgery,both groups showed an increase in UCLA scores and ASES scores compared to before the intervention(P<0.05),and the scores of observation group were higher than those of control group,with statistical differences(P<0.05).Six months after surgery,the Constant-Murley Shoulder Scale scores for daily life and shoulder range of motion in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).During the rehabilitation period,the incidence of complications in observation group was lower than that in control group with a statistical difference(P<0.05).Conclusions Staged rehabilitation nursing in patients undergoing arthroscopic rotator cuff repair shows significant effects and can effectively promote patient recovery.

关键词

肩关节镜/肩袖修复/康复护理

Key words

Shoulder arthroscopy/Rotator cuff repair/Rehabilitation nursing

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出版年

2024
中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
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