[email protected]

临床护理进展

Journal of Advances in Clinical Nursing

您当前位置:首页 > 精选文章

Journal of Advances in Clinical Nursing. 2025; 4: (8) ; 10.12208/j.jacn.20250429 .

Study on the intervention of rehabilitation training program nursing in functional exercise of patients after shoulder arthroscopic rotator cuff repair surgery
康复训练程序干预护理在肩关节镜下肩袖修复术后患者功能锻炼中的研究

作者: 柯争鑫 *

铜陵市人民医院 安徽铜陵

*通讯作者: 柯争鑫,单位:铜陵市人民医院 安徽铜陵;

引用本文: 柯争鑫 康复训练程序干预护理在肩关节镜下肩袖修复术后患者功能锻炼中的研究[J]. 临床护理进展, 2025; 4: (8) : 157-159.
Published: 2025/8/30 17:36:00

摘要

目的 分析在肩关节镜下肩袖修复术后患者功能锻炼中实施康复训练程序干预护理的护理价值。方法 将2025年1月-2025年6月内就诊的肩袖损伤患者80例,按照其护理模式的不同分为对照组40例常规护理,观察组40例实施康复训练程序干预护理。比较两组护理前后对患者康复效果及肩关节活动度的改善差异。结果 护理前,两组指标对比无统计学意义(P﹥0.05)。而实施护理后,观察组UCLA肩关节功能评分表更高、肩关节障碍指数分数更低、SF-36生活质量更高,且观察组外展、前屈、外旋的活动度优于对照组,指标对比有统计学意义(P<0.05)。结论 康复训练程序干预护理对于肩袖损伤患者术后有明显的康复价值,可解除功能障碍,恢复肩关节的获活动度,提高其生活质量。

关键词: 康复训练程序干预护理;肩关节镜下肩袖修复术后;患者功能锻炼;康复

Abstract

Objective To analyze the clinical value of rehabilitation training program intervention in functional exercise for patients after arthroscopic rotator cuff repair.
Methods A total of 80 patients with rotator cuff injuries treated between January 2025 and June 2025 were divided into two groups based on nursing methods: a control group (n=40, conventional care) and an observation group (n=40, rehabilitation training program intervention). The differences in rehabilitation outcomes and shoulder joint mobility before and after nursing were compared.
Results Before intervention, there were no statistically significant differences between the two groups (P>0.05). After nursing, the observation group showed significantly higher UCLA shoulder function scores, lower DASH index scores, and higher SF-36 quality of life scores, along with better abduction, flexion, and external rotation mobility compared to the control group (P<0.05).
Conclusion  s The rehabilitation training program intervention demonstrates significant postoperative rehabilitation benefits for rotator cuff injury patients, effectively restoring joint mobility, reducing functional impairment, and improving quality of life.

Key words: Rehabilitation training program intervention nursing; After arthroscopic rotator cuff repair surgery; Patient functional exercise; Rehabilitation

参考文献 References

[1] 李张. 近端肌萎缩型颈椎病患者肩袖撕裂的发生率及其与肩外展肌肌力下降、恢复情况的相关性[J]. 颈腰痛杂志,2023,44(1):12-15. 

[2] 王栋华,胡滨,朱丹红,等. 超声定量参数诊断肩袖撕裂风险初步研究[J]. 中国超声医学杂志,2025,41(2):210-212. 

[3] 管清丽,刘静,王婷婷,等. 康复训练程序干预在肩关节镜下肩袖修复患者术后功能锻炼中的应用[J]. 养生科学,2024(6):173-175.

[4] 唐婧,徐韦琳,刘蓉,等. AKT/mTOR通路介导自噬参与肩袖撕裂相关肌肉萎缩运动康复的分子机制[J]. 中国比较医学杂志,2025,35(1):59-66,126. 

[5] 张华良,张圣扬,卢伟,等. 肩袖撕裂关节镜术后循序渐进强度肌力训练对患者关节功能康复的影响[J]. 中国运动医学杂志,2025,44(3):184-189. 

[6] 陈芝英. 关节镜下肩袖修复术配合早期康复训练对肩袖撕裂患者肩关节功能的影响[J]. 浙江实用医学,2024, 29(2):167-169.