关节镜下肩袖修补术后康复锻炼方案的构建

Construction of rehabilitation exercise program after rotator cuff repair under arthroscope

目的构建关节镜下肩袖修补术后康复锻炼方案,为指导临床骨科康复护理实践,促进患者术后功能康复提供参考。方法2020年1—12月通过文献回顾和小组讨论,初步拟定关节镜下肩袖修补术后康复锻炼方案,采用德尔菲法对25名专家进行2轮函询,根据专家函询意见确定术后康复锻炼方案。结果2轮专家函询问卷的有效回收率为80%(20/25)、85%(17/20),专家权威系数分别为0.853、0.850。构建的关节镜下肩袖修补术后康复锻炼方案包括方案构建的意义、锻炼原则、锻炼方式、锻炼时段划分、锻炼目标5个方面的基本信息及39条具体实施策略。结论本研究构建的关节镜下肩袖修补术后康复锻炼方案具有必要性、科学性、可靠性和可行性,可为临床护士指导患者术后康复提供依据。

Objective To construct rehabilitation exercise program after rotator cuff repair under arthroscopic,so as to provide a reference for guiding the clinical orthopedic rehabilitation nursing practice and promoting the postoperative functional rehabilitation of patients.Methods From January to December 2020,through literature review and group discussion,the first draft of the rehabilitation exercise program after rotator cuff repair under arthroscope was formulated.The Delphi method was used to conduct 2 rounds of consultation with 25 experts,and the final version of the rehabilitation exercise program after rotator cuff repair under arthroscope was determined according to the expert consultation.Results The effective recovery rates of the 2 rounds of expert consultation questionnaires were 80%(20/25),85%(17/20),the coefficients of expert authority were 0.853 and 0.850.The rehabilitation exercise program after rotator cuff repair under arthroscope included 5 basic rules(the significance of program construction,exercise principles,exercise methods,exercise time division,exercise objectives)and 39 specific implementation strategies.Conclusions The rehabilitation exercise program after rotator cuff repair under arthroscope is scientific,reliable and feasible,which provides a basis for clinical nurses to guide postoperative rehabilitation.