CAJ | 학술논문

目的：观察肩袖撕裂伤采用肩关节镜下治疗的手术配合分析。方法临床纳入进行肩关节镜下治疗肩袖撕裂伤的患者70例,根据围手术期护理方案的不同分为研究组与对照组。研究组给予综合护理,对照组给予常规护理。观察两组患者配合分数﹑止痛药使用量﹑住院天数以及并发症等情况。使用抑郁﹑焦虑自评量表﹙SDS﹑SAS﹚和自尊评价﹙SES﹚对患者心理状况进行评分,以及在患者出院时对患者满意度进行调查。同时,出院时进行护理满意度的调查。结果研究组配合分数﹑止痛药使用量﹑住院天数分别为﹙86.69±7.65﹚分﹑﹙1.11±0.93﹚片﹑﹙18.49±4.19﹚d；对照组分别为﹙58.85±7.47﹚分﹑﹙2.13±1.29﹚片﹑﹙25.78±4.07﹚d,差异有统计学意义﹙P<0.05﹚；研究组并发症发生率为2.86%,对照组发生率为17.14%,差异有统计学意义﹙P<0.05﹚；出院时,研究组SAS﹑SDS﹑SES评分分别为﹙36.6±4.2﹚分﹑﹙32.8±3.2﹚分﹑﹙44.4±4.2﹚分,显著优于对照组﹙42.3±4.3﹚分﹑﹙39.4±3.9﹚分﹑﹙38.5±3.2﹚分,差异有统计学意义﹙P<0.05﹚；护理满意度方面,研究组为100%,对照组为85.71%,差异有统计学意义﹙P<0.05﹚。结论肩袖撕裂伤采用肩关节镜下治疗,同时配合综合护理,可以有效提高患者的手术配合程度,促进术后的恢复,减少并发症。对患者心理状况也有很好的帮助,明显改善焦虑抑郁的情绪,提高患者的满意度,值得临床应用及推广。
목적：관찰견수시렬상채용견관절경하치료적수술배합분석。방법림상납입진행견관절경하치료견수시렬상적환자70례,근거위수술기호리방안적불동분위연구조여대조조。연구조급여종합호리,대조조급여상규호리。관찰량조환자배합분수﹑지통약사용량﹑주원천수이급병발증등정황。사용억욱﹑초필자평량표﹙SDS﹑SAS﹚화자존평개﹙SES﹚대환자심리상황진행평분,이급재환자출원시대환자만의도진행조사。동시,출원시진행호리만의도적조사。결과연구조배합분수﹑지통약사용량﹑주원천수분별위﹙86.69±7.65﹚분﹑﹙1.11±0.93﹚편﹑﹙18.49±4.19﹚d；대조조분별위﹙58.85±7.47﹚분﹑﹙2.13±1.29﹚편﹑﹙25.78±4.07﹚d,차이유통계학의의﹙P<0.05﹚；연구조병발증발생솔위2.86%,대조조발생솔위17.14%,차이유통계학의의﹙P<0.05﹚；출원시,연구조SAS﹑SDS﹑SES평분분별위﹙36.6±4.2﹚분﹑﹙32.8±3.2﹚분﹑﹙44.4±4.2﹚분,현저우우대조조﹙42.3±4.3﹚분﹑﹙39.4±3.9﹚분﹑﹙38.5±3.2﹚분,차이유통계학의의﹙P<0.05﹚；호리만의도방면,연구조위100%,대조조위85.71%,차이유통계학의의﹙P<0.05﹚。결론견수시렬상채용견관절경하치료,동시배합종합호리,가이유효제고환자적수술배합정도,촉진술후적회복,감소병발증。대환자심리상황야유흔호적방조,명현개선초필억욱적정서,제고환자적만의도,치득림상응용급추엄。
Objective To observe the analysis of operation coordination for rotator cuff tear treated by shoulder arthroscopy. Meth_ods 70 cases with rotator cuff tear treated by shoulder arthroscopy clinically were enrolled and divided into the study group and the control group according to the different nursing scheme during the perioperative period. The study group was given integrated nursing, and the control group was given the conventional nursing. The score of coordination, analgesic use quantity, length of stay, incidence of complication and other status of the two groups were observed. Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS) and Self-esteem Scale(SES) were used to evaluate the psychological status of the patients, and the patient satisfaction as well as the level of satisfaction with nursing in patients were investigated when they were discharged. Results The score of coor_dination, analgesic use quantity, length of stay of the study group was (86.69±7.65) points, (1.11±0.93) tablets, (18.49±4.19)d, re_spectively, and that of the control group was (58.85±7.47) points, (2.13±1.29) tablets, (25.78±4.07)d, respectively, the differences were statistically significant (P<0.05); the incidence of complications of the study group was 2.86%, and that of the control group was 17.14%, the difference was significant (P<0.05); at the time of discharge, the SAS, SDS, SES score of the study group was (36.6±4.2) points, (32.8±3.2) points, (44.4±4.2) points, respectively, significantly better than (42.3±4.3) points, (39.4±3.9) points, (38.5±3.2) points, respectively, the differences were significant (P<0.05); the level of nursing satisfaction in the study group was 100%, and 85.71% in the control group, the difference was significant (P<0.05). Conclusion For rotator cuff tear, shoulder arthroscopy treatment combined with integrated nursing can effectively improve the degree of operation coordination, promote the postoperative recovery and reduce complications. In addition, it is conducive to improving the psychological status and ameliorating the anxiety and depression mood of the patients significantly, and increasing the level of satisfaction of the patients, so it is worthy of clinical application and promotion.