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细节性护理在肩袖损伤修补术后患者干预中的应用效果
引用本文:成霞,吴丹,潘浩,王翠娟.细节性护理在肩袖损伤修补术后患者干预中的应用效果[J].中华全科医学,2019,17(11):1965-1968.
作者姓名:成霞  吴丹  潘浩  王翠娟
作者单位:杭州市中医院骨伤科, 浙江 杭州 310007
基金项目:浙江省科技计划项目(2017C33208)
摘    要:目的 探究细节性护理在肩关节镜下肩袖损伤修补术患者干预中的应用效果。 方法 选取2016年1月—2018年11月期间于杭州市中医院骨伤科行肩关节镜下肩袖损伤修补术治疗的80例患者为研究对象,按照随机数表法分为观察组和对照组,每组各40例。2组手术由同一组医生行肩关节镜下肩袖损伤修补术,对照组采用常规护理干预,观察组在对照组常规护理基础上联合细节性护理干预。比较2组疗效有效率,并在术后随访6个月,使用Constant-Murley肩关节功能评分评价患者肩关节功能,使用SF-36生活质量量表评价患者生活质量,使用自制护理满意度调查问卷评价患者护理满意度。 结果 观察组疗效总有效率显著高于对照组,差异有统计学意义(P<0.05);观察组Constant-Murley肩关节功能评分、生活质量评分显著高于对照组,差异均有统计学意义(P<0.05);观察组患者护理满意度显著高于对照组,差异有统计学意义(P<0.05)。 结论 应用细节性护理干预可很好地提升肩关节镜下肩袖损伤修补术的疗效,显著改善患者术后肩关节功能及生活质量,患者满意度较高,值得临床推广应用。 

关 键 词:细节性护理    肩关节镜    肩袖损伤修补术    应用效果
收稿时间:2019-02-15

Application effects of detailed nursing in the intervention of patients after rotator cuff injury repair
Affiliation:Department of Bone Traumatology, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, Zhejiang 310007, China
Abstract:Objective To investigate the application effect of detailed nursing on the intervention for patients with rotator cuff injury repair under shoulder arthroscopy. Methods Eighty patients who underwent rotator cuff injury repair under shoulder arthroscopy in Hangzhou Hospital of Traditional Chinese Medicine from January 2016 to November 2018 were randomly divided into observation group and control group, 40 cases in each group. The operation of the two groups was operated by the doctors in the same group. The control group was given routine nursing intervention. On this basis, the observation group was additionally given detailed nursing intervention. The response rates of curative effect in the two groups were compared. The following-up last for 6 months. The Constant-Murley shoulder joint was performed to evaluate shoulder joint function. The SF-36 was performed to evaluate quality of life. The self-made nursing satisfaction questionnaire was performed to evaluate satisfaction of patients. Results The total response rates of curative effect in the observation group were significantly higher than that of the control group, The scores of Constant-Murley shoulder function, quality of life and nursing satisfaction of the observation group were significantly higher than that of the control group (P<0.05). Conclusion The application of detailed nursing intervention can improve the curative effect of rotator cuff injury repair under shoulder arthroscopy, significantly improve the postoperative shoulder joint function and quality of life. And the satisfaction of patients is relatively higher. 
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