Application Strategy of Staged Nursing Intervention After the Surgery of Huge Rotator Cuff Tears Under the Arthroscopy

Hong Zhang, Liya Xu, S. Lin, Xiaoyan Wang, Cuiqing Liu
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Abstract

Objective: To explore the application of staged nursing intervention after the surgery of huge rotator cuff tear under the arthroscopy, and to evaluate the impact on patients' postoperative rehabilitation. Methods: A total of 25 patients who underwent arthroscopic surgery for large rotator cuff tears in our hospital from January 2018 to December 2019 were selected. The intervention group used a staged nursing program to intervene, and Selected 25 patients who only received routine nursing intervention during the same period as the control group. The constant-murley shoulder function score, UCLA score, SF-36 quality of life score, and nursing satisfaction score were compared between the two groups after 6 months. Results: There was no statistically significant in the difference in the scores of pain, functional activity, shoulder joint mobility, and muscle strength of the constant-murley shoulder function score between the observation group and the control group before surgery (P > 0.05). The pain, functional activities, shoulder joint mobility and muscle strength scores of the observation group were significantly higher than those of the control group 6 months after surgery (P < 0.05), and the UCLA score and SF-36 score of the observation group 6 months after surgery were significantly higher than the control group (P < 0.05), and the nursing satisfaction score of the observation group was significantly higher than that of the control group (P < 0.05). Conclusion: Staged nursing intervention can significantly improve the Shoulder joint functional rehabilitation process and quality of life of patients who post operation of huge rotator cuff tears, and improve nursing satisfaction.
关节镜下肩袖巨大撕裂术后分期护理干预的应用策略
目的:探讨关节镜下巨大肩袖撕裂术后分期护理干预的应用,并评价其对患者术后康复的影响。方法:选择2018年1月至2019年12月在我院行关节镜手术治疗大肌腱套撕裂的患者25例。干预组采用分阶段护理方案进行干预,选取同期仅接受常规护理干预的患者25例作为对照组。比较两组患者6个月后的constant-murley肩功能评分、UCLA评分、SF-36生活质量评分和护理满意度评分。结果:观察组患者术前疼痛评分、功能活动度评分、肩关节活动度评分、肌肉力量评分与对照组比较,差异均无统计学意义(P > 0.05)。观察组患者术后6个月疼痛、功能活动、肩关节活动度、肌力评分均显著高于对照组(P < 0.05),且观察组患者术后6个月UCLA评分、SF-36评分均显著高于对照组(P < 0.05),观察组患者护理满意度评分显著高于对照组(P < 0.05)。结论:分阶段护理干预可显著改善巨大肩袖撕裂术后患者肩关节功能康复过程和生活质量,提高护理满意度。
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