镜下肩袖修复围手术期护理与康复

Perioperative nursing and rehabilitation for arthroscopic rotator cuff repair

摘要:

[目的]评价关节镜下肩袖损伤修复个性化围手术期护理与康复的效果。[方法]回顾性分析 2018 年 1 月—2019 年 12 月本院肩袖损伤关节镜下修复术 103 例患者的临床资料，对患者实施个性化护理与康复指导。[结果]所有患者均顺利完成手术，无严重住院期间并发症。出院时患者对护理服务及时到位、病房休养体验、康复指导准确有效、沟通交流以及管理规范性 5 个方面总评分为(94.4±4.0)分。随时间推移，103 例患者 VAS、ASES 评分和肩关节前屈上举 ROM、外展上举 ROM 及后伸 ROM 均显著改善 (P＜0.05)。[结论] 关节镜下肩袖损伤修复个性化围手术期护理与康复，可减轻患者疼痛，提高功能康复与护理满意度，有利于肩关节功能恢复。

关键词:肩袖损伤;关节镜术;护理;康复

Abstract:

[Objective] To evaluate the consequences of personalized perioperative nursing and rehabilitation for arthroscopic rotator cuff repair. [Methods] A retrospective study was performed on 103 patients who received arthroscopic repair of rotator cuff injury in our hospital from January 2018 to December 2019. All the patients were given personalized nursing and rehabilitation perioperatively. [Results] All patients were operated on successfully without serious complications during hospitalization. At discharge, the total score of pa- tient's satisfaction was (94.4±4.0) in five aspects including timely delivery of nursing services, ward rest experience, accurate and effective rehabilitation guidance, communication and standardization of management. The VAS and ASES scores, as well as upward flexion, upward abduction and posterior extension range of motions (ROMs) significantly improved in 103 patients over time (P＜0.05) . [Conclusion] The personalized perioperative nursing and rehabilitation for arthroscopic rotator cuff repair do reduce the pain, improve nursing and rehabilita- tion satisfaction, and contribute to the functional recovery of the shoulder.

Key words:rotator cuff tear; arthroscopy; nursing; rehabilitation