舒适护理在关节镜微创治疗肩袖损伤患者中的应用价值  

Application of Comfort Care in Patients with Rotator Cuff Injury Treated by Minimally Invasive Arthroscopy

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作  者:李云[1] 尹会[1] 殷振宇 曹富江[1] LI Yun;YIN Hui;YIN Zhenyu;CAO Fujiang(Department of Orthopedics,Tianjin Medical University General Hospital,Tianjin 300052,China)

机构地区:[1]天津医科大学总医院骨科,天津300052

出  处:《中国医药指南》2022年第29期1-5,共5页Guide of China Medicine

基  金:国家自然科学基金项目资助(81871776,81401784)。

摘  要:目的探讨舒适护理对肩袖损伤患者关节镜微创手术治疗后的应用价值,为其后续快速康复提供参考。方法本研究选取2021年6~12月在我院接受肩关节镜手术中的100例肩袖损伤患者资料,随机分为观察组与对照组,每组50例,对照组患者采取常规护理模式,观察组在对照组常规护理基础上联合舒适护理干预,在术后随访6个月,使用Constant-Murley肩关节功能评分评估患者的肩关节功能,采取抑郁自评量表(SDS)、焦虑自评量表(SAS)评分来评估患者焦虑或者抑郁的主观感受及其在治疗中的变化,使用自制护理满意度调查问卷评价患者护理满意度。结果观察组干预后Constant-Murley肩关节功能评分显著优于对照组,且组间数据对比差异有统计学意义(P<0.05);观察组患者SDS,SAS的评分较对照组明显降低,且组间数据对比差异有统计学意义(P<0.01);观察组患者护理满意度显著高于对照组,组间数据对比差异有统计学意义(P<0.05)。结论临床采用舒适护理方式有利于肩关节镜微创治疗肩袖损伤患者术后肩关节功能的改善,从而加强患者的自我护理能力,提升积极康复锻炼的意愿,降低患者术中焦虑、抑郁情绪,提高患者满意度,在临床中有较高的应用价值。Objective To explore the application value of comfort care mode on patients with rotator cuff injury after arthroscopic minimally invasive surgery treatment,and to provide reference for their subsequent rapid rehabilitation.Methods In this study,the data of 100 patients with rotator cuff injury who underwent shoulder arthroscopy in our hospital from June 2021 to December 2021 were selected and randomly divided into observation group and control group,50 cases in each group,the patients in the control group took the conventional care mode,the observation group combined comfort care intervention on the basis of conventional care in the control group,and at the postoperative followup of 6 months,using Constant-Murley The patients'shoulder function was evaluated using the Constant-Murley shoulder function score,the anxiety self-assessment scale(SAS)and the depression self-assessment scale(SDS)to evaluate the patients'subjective feelings of anxiety or depression and their changes during treatment.Results After intervention,the Constant-Murley shoulder joint function score of the observation group was obviously better than that of the control group,and the data comparison between the groups was significantly different(P<0.05).The SDS and SAS scores were significantly lower in the observation group compared with the control group,and the difference between groups was statistically significant(P<0.01).The nursing satisfaction of patients in the observation group was significantly higher than that in the control group,and there was a significant difference in the data between the groups(P<0.05).Conclusion The clinical use of comfort care is beneficial to the improvement of joint function in patients with rotator cuff injury after minimally invasive shoulder arthroscopy,thus strengthening patients'self-care ability,increasing their willingness to actively rehabilitate and exercise,reducing intraoperative anxiety and depression,and improving patient satisfaction.

关 键 词:肩袖损伤 关节镜微创治疗 舒适护理 应用价值 

分 类 号:R473.6[医药卫生—护理学]

 

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