肩袖损伤患者术后康复锻炼依从性现状调查及影响因素分析

目的调查肩袖损伤患者术后康复锻炼依从性现状并分析其影响因素。方法2019年3—5月,采用便利取样法在北京2所三级甲等医院门诊选择符合纳入标准的肩袖损伤术后患者共102例。采用问卷调查法进行调查,问卷内容包括一般资料、疾病相关资料、康复锻炼依从性量表和影响因素资料。采用多重线性回归分析患者康复锻炼依从性的影响因素。结果肩袖损伤患者术后康复锻炼依从性量表总分为(2.28±0.37)分,身体锻炼、术后注意事项、主动寻求建议3个维度得分分别为(2.25±0.44)、(2.36±0.43)、(2.23±0.61)分。多重线性回归分析结果显示,性别、慢性病史、康复锻炼动作难度、康复人员的帮助是患者康复锻炼依从性的影响因素(标准化回归系数分别为0.238、0.266、0.239、0.444;P<0.01),共解释40.9%的变异量。结论肩袖损伤患者术后康复锻炼依从性整体为中等水平,临床上建议通过循序渐进增加动作难度、增加康复人员支持、完善宣教资料等方式提高患者康复锻炼依从性。

Status quo of postoperative rehabilitation compliance in patients with rotator cuff injury and its influencing factors

Objective To explore the status quo of postoperative rehabilitation compliance in patients with rotator cuff injury and analyze its influencing factors.Methods Totally 102 patients with rotator cuff injury who met the inclusion criteria were selected from 2 ClassⅢGrade A hospitals in Beijing by convenient sampling.They were investigated with questionnaires,which included general information,disease-related information,rehabilitation exercise compliance scale and influencing factors.Multiple linear regression analysis was used to analyze the influencing factors of rehabilitation exercise compliance in these patients.Results The total score of the rehabilitation exercise compliance scale in the patients with rotator cuff injury was(2.28±0.37),and the scores in the dimensions of physical exercise,postoperative precautions,ask for advice were(2.25±0.44),(2.36±0.43)and(2.23±0.61).Multiple linear regression analysis revealed that age,history of chronic disease,difficulty of rehabilitation exercise and rehabilitation specialists'help were the influencing factors to the patients'rehabilitation exercise compliance(the standardized regression coefficients were 0.238,0.266,0.239,0.444;P<0.01),which accounted for 40.9%of the variation.Conclusions The overall postoperative rehabilitation exercise compliance stands at a medium level in the patients with rotator cuff injury.It is recommended that the difficulty of rehabilitation exercise be gradually raised,rehabilitation specialists'help enhanced and health education materials completed in clinical work to improve the patients'rehabilitation exercise compliance.