围术期精细化护理在肩关节镜下关节囊松解术患者中的疗效观察  

Observation on the Effect of Intensive Perioperative Nursing Care in Patients Undergoing Arthroscopic Arthrolysis of the Joint Capsule

作　　者：严结霞 李贝[1] 严志强 李雪红[1] 欧丽珍[1] 解绪红 YAN Jie-xia;LI Bei;YAN Zhi-qiang(Operating Room,Gaoming District People’s Hospital,Foshan,Guangdong,528500,China)

机构地区：[1]佛山市高明区人民医院手术室,广东佛山528500

出　　处：《黑龙江医学》2023年第5期607-609,共3页Heilongjiang Medical Journal

基　　金：佛山市卫生健康局医学科研课题(20200097)。

摘　　要：目的:探讨围术期精细化护理在肩关节镜下关节囊松解术患者中的应用效果。方法:选取2019年6月—2021年2月佛山市高明区人民医院骨科收治的60例行肩关节镜下关节囊松解术的原发性冻结肩(FS)患者作为研究对象,随机分为对照组和观察组,每组各30例。对照组给予常规护理,观察组给予围术期精细化护理。比较两组患者术前和术后半年美国加州大学肩关节评分(UCLA)和疼痛视觉模拟评分(VAS),比较两组患者住院期间护理满意度。结果:术前,两组患者UCLA、VAS评分比较,差异无统计学意义(t=0.597、-0.446,P>0.05);术后半年,两组患者UCLA评分均高于术前,且观察组UCLA评分高于对照组;两组患者VAS评分均低于术前,且观察组VAS评分低于对照组,差异有统计学意义(t=-3.237、2.020,P<0.05)。两组患者住院期间护理满意度比较,观察组护理满意度为100.00%,明显高于对照组的76.67%,差异有统计学意义(χ^(2)=7.925,P<0.05)。结论:原发性FS患者行肩关节镜下关节囊松解术应用围术期精细化护理,能够显著改善患者肩关节活动度,缓解疼痛,提高患者住院期间的护理满意度。Objective:To explore the clinical effect of perioperative meticulous nursing in arthroscopic arthrolysis of articular capsule.Methods:60 patients with primary frozen shoulder(FS) admitted to the hospital from June 2019 to February 2021 who underwent arthroscopic capsular release of the shoulder were selected for the study and randomly divided into control group and observation group,with 30 cases in each group.The control group was given conventional care and the observation group was given perioperative refinement care.Preoperative and six-month postoperative University of California shoulder scores(UCLA) and pain visual analog scores(VAS) were compared between the two groups,and satisfaction with care during hospitalization was compared between the two groups.Results:There was no statistically significant difference in the UCLA and VAS scores between the two groups before surgery(t=0.597,-0.446,P>0.05).Six months after surgery,the UCLA scores of both groups were higher than those before surgery,and the UCLA scores of the observation group were higher than those of the control group,and the VAS scores of both groups were lower than those before surgery,and the VAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(t=-3.237,2.020,P<0.05).Comparing the nursing satisfaction of the two groups during hospitalization,the nursing satisfaction of the observation group was 100.00%,which was significantly higher than76.67% of the control group,and the difference was statistically significant(χ^(2)=7.925,P<0.05).Conclusion:The application of perioperative refinement care for primary FS patients undergoing shoulder arthroscopic capsulotomy can significantly improve the mobility of the patients’ shoulder joint,relieve pain,and improve the patients’ satisfaction with care during hospitalization.

关 键 词：围手术期 精细化护理 肩关节镜 关节囊松解术 

分 类 号：R473.6[医药卫生—护理学]