快速康复理念用于肩袖损伤围术期护理和术后功能恢复中对患者的影响

发布时间：2018-03-21 08:55

本文选题：快速康复理念　切入点：围术期护理　出处：《中国现代医生》2017年05期 　论文类型：期刊论文

【摘要】：目的分析快速康复理念在肩袖损伤关节镜下微创手术围术期护理及功能训练中的应用效果。方法将100例行关节镜下微创手术的肩袖损伤患者随机分为对照组(常规护理)和观察组(快速康复指导护理及功能训练)。以术前、术后5周、10周、15周、20周为观察时间点、比较两组Constant Murfey肩关节评估中各项指标(疼痛、肌力、关节活动度、日常生活)分值。比较两组焦虑量表(SAS)、抑郁量表(SDS)分值及护理总有效率。结果术前,两组患者疼痛、肌力、ROM(关节活动度)、日常生活分值组间比较均无明显差异;观察组术后10周起疼痛分值较对照组低、术后各观察时间点肌力、日常生活、ROM均高于对照组(P0.05);干预后观察组SDS及SAS分值均低于对照组观察组护理总有效率高于对照组(P0.05)。结论快速康复理念用于肩袖损伤围术期护理及功能椴炼中具有以下作用:①改善患者心理状态,使其积极配合治疗和康复;②缓解疼痛,利于功能训练顺利进行;③早期进行功能训练,从而提高肌力和关节活动度,改善日常生活,效果显著。
[Abstract]:Objective to analyze the effect of rapid rehabilitation in perioperative nursing and functional training of rotator cuff injury patients undergoing arthroscopic minimally invasive surgery. Methods 100 patients with rotator cuff injury undergoing arthroscopic minimally invasive surgery were randomly divided into control group. Regulation nursing) and observation group (rapid rehabilitation instruction nursing and functional training). 5 weeks, 10 weeks, 15 weeks and 20 weeks after operation were observed. The indexes (pain, muscle strength, range of motion of joint) in the evaluation of shoulder joint of Constant Murfey were compared between the two groups. The scores of anxiety scale (SAS) and depression scale (SDS) and the total effective rate of nursing were compared between the two groups. Results there was no significant difference between the two groups in terms of pain, muscle strength and ROM before operation. The pain score of the observation group was lower than that of the control group 10 weeks after operation. The scores of SDS and SAS in the observation group were lower than those in the control group, and the total effective rate of nursing in the observation group was higher than that in the control group (P 0.05). Conclusion the concept of rapid rehabilitation is used in perioperative nursing care of rotator cuff injury and in functional Tilia amurensis. Has the following effect: 1 to improve the psychological state of the patient, It can cooperate with treatment and rehabilitate to relieve pain, which is beneficial to function training in the early stage, so as to improve muscle strength and joint movement, improve daily life, and have remarkable effect.
【作者单位】：浙江省舟山医院骨科;
【基金】：浙江省医药卫生科技计划项目(2015KYB413)
【分类号】：R473.6

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