肩关节镜下肩袖修补术后患者康复护理方案的构建与应用
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女,本科,护师

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2023年华中科技大学同济医学院附属同济医院护理专项科研基金项目(2023D07)


Development and application of a rehabilitation nursing program for patients after arthroscopic rotator cuff repair
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    目的 构建肩关节镜下肩袖修补术后患者康复护理方案并评价其实施效果,以期促进患者肩关节功能恢复。方法 按入院时间将行肩关节镜下肩袖修补术的患者分为对照组(46例)和观察组(46例)。对照组接受常规康复护理,观察组在此基础上制订康复护理方案并实施。两组均干预至术后16周,比较两组干预前后不同时间点肩关节功能、自理能力、焦虑、生活质量评分及术后并发症(关节僵硬、肩袖再撕裂)发生率。结果 术后第6周、12周和16周,观察组肩关节功能评分、自理能力、焦虑、生活质量显著优于对照组(均P<0.05);两组上述指标比较,组间效应、时间效应、交互效应均P<0.05;术后仅对照组发生关节僵硬2例,两组并发症发生率比较,差异无统计学意义(均P>0.05)。结论 肩关节镜下肩袖修补术后康复护理方案的实践可提高患者肩关节功能、自理能力与生活质量,减轻疼痛及心理焦虑,促进患者早期康复。

    Abstract:

    Objective To develop a rehabilitation nursing program for patients after rotator cuff repair under arthroscopy and evaluate its implementation effects, and to promote the recovery of shoulder joint function in patients.Methods Patients undergoing arthroscopic rotator cuff repair were divided into a control group (46 cases) and an observation group (46 cases) according to the time of hospital admission.The control group received routine rehabilitation nursing, while the observation group was subjected to a rehabilitation nursing program on this basis.Both groups were intervened until 16 weeks after surgery, and the shoulder joint function, self-care ability, anxiety, quality of life scores, and incidence of postoperative complications (joint stiffness, rotator cuff retear) at different time points before and after intervention were compared.Results At 6, 12, and 16 weeks after surgery, the shoulder joint function scores, self-care ability, anxiety, and quality of life of the observation group were significantly better than those of the control group (all P<0.05); the comparison of the above indicators between the two groups showed that the group effect, time effect, and interaction effect were statistically significant (all P<0.05); only the control group had 2 cases of joint stiffness after surgery, and there was no significant difference in the incidence of complications between the two groups (all P>0.05).Conclusion The practice of rehabilitation nursing program after arthroscopic rotator cuff repair can improve patients′ shoulder joint function, self-care ability and quality of life, reduce pain and psychological anxiety, and promote early recovery of patients.

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芮华珍,胡凯利,吴庆莲,雷青,田薇,吴明珑.肩关节镜下肩袖修补术后患者康复护理方案的构建与应用[J].护理学杂志,2025,(13):7-11

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  • 收稿日期:2025-01-04
  • 最后修改日期:2025-03-20
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  • 在线发布日期: 2025-07-31