快速康复干预在肩袖损伤患者护理中的应用效果  

Effect of fast-track intervention in the nursing of patients with rotator cuff injury

作　　者：张芳[1] 李海艳 李华[1] Zhang Fang;Lai Haiyan;Li hua(Daytime Operating Room,Zhengzhou Central Hospital,Zhengzhou 450000,China;Orthopedic Joint and Sports Injury Ward,Zhengzhou Central Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州市中心医院日间手术室,郑州450000 [2]郑州市中心医院骨科关节与运动损伤病区,郑州450000

出　　处：《保健医学研究与实践》2023年第1期162-166,共5页Health Medicine Research and Practice

基　　金：河南省医学科技攻关计划项目(2018020904)。

摘　　要：目的探讨快速康复干预在肩袖损伤患者护理中的应用效果,以期为临床治疗提供参考。方法选取2020年6月—2022年5月郑州市中心医院收治的122例肩袖损伤患者为研究对象,采用随机数字表法将患者分为对照组与观察组,每组61例。对照组患者给予常规护理,观察组患者在对照组基础上进行快速康复干预。比较2组患者术后4 h、8 h、24 h、72 h数字疼痛强度量表(NRS)评分。比较2组患者术前及术后3周时肩关节活动范围(ROM)。比较2组患者术后3个月时肢体运动功能评分量表(FMA)评分。比较2组患者出院时护理满意度评价量表评分。结果术后4 h,2组患者NRS评分比较,差异无统计学意义(P>0.05)。术后8 h、24 h、72 h,2组患者NRS评分均低于术后4 h,且观察组低于同时期对照组,差异均有统计学意义(P<0.05)。术前,2组患者ROM中前屈、后伸、内旋、外旋度数比较,差异无统计学意义(P>0.05)。术后3周时,2组患者ROM中前屈、后伸、内旋、外旋度数均大于术前,且观察组大于对照组,差异均有统计学意义(P<0.05)。观察组患者FMA中关节活动度、感觉、肢体运动、平衡评分均高于对照组,差异均有统计学意义(P<0.05)。观察组患者护理满意度评价量表中沟通、指导、症状控制、护理技术评分均高于对照组,差异均有统计学意义(P<0.05)。结论快速康复干预在肩袖损伤患者护理中的效果显著,可减轻患者的疼痛,促进患者肢体功能的恢复,提高患者满意度,值得推广应用。Objective To explore the effect of fast-track intervention in the nursing of patients with rotator cuff injury,so as to provide reference for clinical treatment.Methods From June 2020 to May 2022,122 patients with rotator cuff injuries were enrolled in the Zhengzhou Central Hospital.The patients were randomly assigned to a control group and an observation group,with 61 cases in each group.Patients in the control group received routine nursing and patients in the observation group received fast-track intervention based on the control group.The numerical rating scale(NRS)scores at 4 h,8 h,24 h,and 72 h after surgery were compared between the 2 groups.Shoulder range of motion(ROM)was compared between the two groups before surgery and at 3 weeks after surgery.The Fugl-Meyer assessment scale(FMA)score was compared between the two groups 3 months after the operation.The nursing satisfaction evaluation scale scores at discharge were compared between the 2 groups.Results At 4 h after operation,there was no significant difference in NRS score between the two groups(P>0.05).At 8 h,24 h,and 72 h after the operation,the NRS scores of patients in both groups were lower than those at 4 h after the operation,and the observation group was lower than the control group at the same time,with statistical significance(P<0.05).Before surgery,there was no significant difference in the degree of forward flexion,extension,intorsion,and extorsion in ROM between the 2 groups(P>0.05).At 3 weeks after the operation,the degrees of forward flexion,extension,intorsion,and extorsion in ROM in the two groups were greater than those before the operation,and the observation group was greater than the control group,with statistical significance(P<0.05).The scores of joint range of motion,sensation,limb movement,and balance in FMA in the observation group were significantly higher than those in the control group(P<0.05).The scores of communication,guidance,symptom control,and nursing technique in the nursing satisfaction evaluation scale in the obser

关 键 词：肩袖修补术 快速康复理念 术后康复 

分 类 号：R473[医药卫生—护理学]