Study on the effect of rapid rehabilitation nursing mode in patients after repair of rotator cuff injury under arthroscope
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摘要: 目的 本研究旨在探究快速康复护理模式对于肩关节镜下肩袖损伤修补术患者术后疼痛以及肩关节功能的作用。 方法 选取2015年4月—2018年6月在海南医学院第一附属医院诊断为肩袖损伤并且行肩关节镜修复术的患者84例,采用单盲法分为观察组(快速康复护理模式,42例)和对照组(一般性常规护理模式,42例),并分别在围手术期间采用上述不同的护理模式。分别比较2组患者的术前的基本资料,术后在院期间疼痛缓解时间,术后随访期间的VAS评分、肩关节功能ROM评分、住院时间、患者疗效满意度评分以评价快速康复护理模式对于肩关节镜下肩袖损伤修补术患者术后疼痛以及肩关节功能的作用。 结果 与常规护理模式相比,快速康复护理模式(24.83±2.57天)能显著缩短术后疼痛缓解时间(37.02±5.42天,P<0.05),同时降低术后4周,8周以及12周VAS疼痛评分(P<0.05)。术后半年,快速康复护理组肩关节前屈、后伸、内旋、外旋角度均高于常规护理组(P<0.05),最后提高了满意度评分(P<0.05)。 结论 围手术期应用快速康复护理模式可更好地辅助提升肩关节镜治疗肩袖损伤的疗效,减轻患者术后疼痛,促进肩关节功能恢复和减少住院时间,最终增加患者对疗效的满意度。Abstract: Objective To explore the effect of rapid rehabilitation surgical nursing on postoperative pain and shoulder joint function of patients with rotator cuff injury repair under arthroscope. Methods From April 2015 to June 2018, 84 patients underwent arthroscopic repair in the First Affiliated Hospital of Hainan Medical College were divided into observation group (rapid rehabilitation nursing mode, 42 cases) and control group (general routine nursing mode, 42 cases) by single blind method, and the above-mentioned different nursing modes were adopted during the perioperative period. To evaluate the effect of rapid rehabilitation nursing mode on the postoperative pain and shoulder function of patients with rotator cuff injury repair under arthroscopy, we compared the basic data of the two groups before operation, pain relief time in hospital, VAS score, Rom score of shoulder joint function during postoperative follow-up, hospitalization time and satisfaction score of patients. Results Compared with the conventional nursing mode, the rapid rehabilitation nursing mode (24.83±2.57 days) could significantly reduce the postoperative pain relief time (37.02±5.42 days, P<0.05) and reduced the the VAS pain score at 4, 8 and 12 weeks after operation(P<0.05). In the half year after operation, the angles of shoulder joint flexion, extension, internal rotation and external rotation in the rapid rehabilitation nursing mode were higher than those in the routine nursing group(P<0.05), leading to the improvement of satisfaction score (P<0.05). Conclusion The rapid rehabilitation nursing mode can improve the curative effect of arthroscopy in the treatment of rotator cuff injury, reduce postoperative pain, promote the recovery of shoulder joint function and reduce the length of hospitalization, and ultimately increase the satisfaction of patients with the curative effect.
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