围术期团体辅导对关节镜下肩袖修复术后患者肩关节功能康复的影响

doi:10.3969/j.issn.1671-7171.2021.10.005

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Abstract 【Objective】To explore the clinical effect of perioperative group counseling for patients who had shoulder arthroscopic rotator cuff repair. To provide the theory basis for the application of perioperative group counseling mode and lay the theoretical foundation for clinical promotion. 【Methods】A total of 180 patients who had the shoulder arthroscopic rotator cuff repair in Hunan Provincial People's Hospital from August 2017 to May 2018 were randomly divided into two groups which were the routine rehabilitation group (the control group) and the counseling group (the observation group). And each group had 90 patients. The pain score (VAS), range of motion of shoulder, American Shoulder and Elbow Surgical Scoring Scale (ASES), UCLA shoulder Scoring System (UCLA) and other indicators were compared before the operation, 1 month, 3 months and 6 months after surgery. 【Results】 (1) There were no significant differences in preoperative VAS score, UCLA score and ASES score between 2 groups (P>0.05); (2) At 1, 3 and 6 months after surgery, the VAS score, UCLA score, ASES score and range of motion of shoulder in the observation group were better than those in the control group (P<0.05); (3) The difference and absolute value of difference between pre-operation and 6 months after surgery showed that the VAS score, UCLA score, ASES score, range of motion of shoulder joint and practice rate of patients in the observation group were better than those in the control group (P<0.05). 【Conclusion】 (1) Pain relief, treatment satisfaction, shoulder function and range of motion are improved in both groups. (2) Compared to the conventional mode, perioperative group counseling mode has better effects on postoperative patients. (3) Intervention mode and intervention time are the main factors to improve pain degree, shoulder function and range of motion. There is no interaction between Intervention mode and intervention time.

Key words： Shoulder Joint/IN Arthroscopy Rehabilitation Nursing

Received: 24 August 2021

PACS:

R684.73

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2021.10.005 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2021/V38/I10/1457

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