康复训练程序护理在肩关节镜下肩袖修复患者术后功能锻炼中的应用

Application of Rehabilitation Training Program Nursing in Postoperative Functional Exercise of Patients Undergoing Shoulder Arthroscopic Rotator Cuff Repair

目的:探究康复训练程序护理在肩关节镜下肩袖修复患者术后功能锻炼中的应用效果。方法:选取中国人民解放军陆军第八十三集团军医院于2017年6月—2019年8月收治的40例进行肩关节镜下肩袖修复的患者作为研究对象,采用随机数表法分为观察组和对照组,对照组21例,观察组19例,对照组采用常规护理措施,观察组采用常规护理联合康复训练程序护理,比较两组患者干预前和干预6个月后肩关节功能恢复及肩袖愈合情况、肩关节活动范围、疼痛程度、生理功能、护理满意度。结果:观察组肩关节功能恢复优良率显著高于对照组,差异有统计学意义(χ^(2)=4.403,P<0.05);两组患者肩袖愈合情况比较,差异无统计学意义(P>0.05);干预后观察组前屈上举角度和体侧外旋角度显著高于对照组,差异有统计学意义(t=2.207、3.051,P<0.05);干预后观察组肩关节评分(VAS)显著低于对照组,而美国肩肘医师协会评分(ASES)显著高于对照组,差异有统计学意义(t=14.473、5.277,P<0.05);观察组操作技术水平、护士服务态度、健康教育、临床护理质量、病区环境评分显著高于对照组,差异有统计学意义(t=9.227、13.362、14.786、9.189、6.261,P<0.05)。结论:康复训练程序护理在肩关节镜下肩袖修复患者术后功能锻炼中同常规护理相比护理效果较好,在改善肩关节活动范围、生理功能,缓解患者疼痛方面具有积极意义,对肩袖愈合影响无明显差异,可在护理中进一步应用。

Objective: To explore the application effect of rehabilitation training program nursing in postoperative functional exercise of patients with rotator cuff repair under shoulder arthroscopy. Methods: A total of 40 patients with rotator cuff repair under shoulder arthroscopy who were admitted to the hospital from June 2017 to August 2019 were selected and divided into an observation group and a control group by random number table method, with 21 cases in the control group and 19 cases in the observation group. The control group received routine nursing measures, and the observation group received routine nursing combined with rehabilitation training program nursing. The shoulder joint function recovery, rotator cuff healing, shoulder joint range of motion,pain degree, physiological function and nursing satisfaction were compared between the two groups before and after 6 months of intervention. Results: The excellent and good rate of shoulder joint function recovery in the observation group was significantly higher than that in the control group, with statistically significant difference(χ^(2)=4.403, P<0.05). There was no statistically significant difference in the healing of the rotator cuff between the two groups(P>0.05). After the intervention, the angle of flexion and lift and the angle of lateral external rotation in the observation group were significantly higher than those in the control group, with statistically significant difference(t=2.207, 3.051, P<0.05). After intervention, the shoulder joint score(VAS) of the observation group was significantly lower than that of the control group, while the American Society of Shoulder and Elbow Physicians’ Association score(ASES) was significantly higher than that of the control group, with statistically significant difference(t=14.473, 5.277, P<0.05).The operational skill level, nurses’ service attitude, health education, clinical nursing quality, and ward environment scores in the observation group were significantly higher than those in the control group, with statistically significant difference(t=9.227, 13.362,14.786, 9.189, 6.261, P<0.05). Conclusion: Rehabilitation training program nursing has positive significance in improving shoulder joint range of motion, physiological function, and relieving pain in patients with rotator cuff repair under shoulder arthroscopy.