Construction and effect evaluation of a home-based rehabilitation nursing model for shoulder and elbow joint injuries based on “Internet+”
基于“互联网+”的肩肘关节运动损伤居家康复护理模式构建与效果评价

摘要

目的 构建基于“互联网+”的肩肘关节运动损伤居家康复护理模式，并评价其应用效果，为运动损伤后康复护理的规范化、便捷化提供实践依据。方法 选取2024年6月-2026年1月在本院确诊并接受居家康复的肩肘关节运动损伤患者120例，采用随机数字表法分为观察组和对照组，各60例。对照组实施传统居家康复护理指导，观察组实施基于“互联网+”的居家康复护理模式。比较两组患者康复依从性、康复效果、护理满意度及生活质量评分。结果 观察组康复依从性优良率为93.33%，显著高于对照组的76.67%（P＜0.05）；康复后，观察组肩关节活动度、肘关节活动度及DASH（Disabilities of the Arm, Shoulder and Hand）评分均优于对照组（P＜0.05）；观察组护理满意度为96.67%，显著高于对照组的83.33%（P＜0.05）；观察组生理功能、心理功能、社会功能及物质生活状态评分均高于对照组（P＜0.05）。结论 基于“互联网+”的肩肘关节运动损伤居家康复护理模式可有效提高患者康复依从性，改善关节功能，提升护理满意度及生活质量，值得临床推广应用。

Abstract

Objective To construct a home-based rehabilitation nursing model for shoulder and elbow joint injuries based on “Internet+”, and evaluate its application effect, in order to provide practical basis for the standardization and convenience of rehabilitation nursing after sports injuries.
Methods 120 patients with shoulder and elbow joint injuries who were diagnosed and received home-based rehabilitation in our hospital from June 2024 to January 2026 were selected. They were divided into the observation group and the control group by random number table method, with 60 cases in each group. The control group received traditional home-based rehabilitation nursing guidance, while the observation group received the home-based rehabilitation nursing model based on “Internet +”. The rehabilitation compliance, rehabilitation effect, nursing satisfaction, and quality of life scores of the two groups were compared.
Results The excellent rate of rehabilitation compliance in the observation group was 93.33%, significantly higher than 76.67% in the control group (P < 0.05); After rehabilitation, the shoulder joint range of motion, elbow joint range of motion, and DASH (Disabilities of the Arm, Shoulder and Hand) scores of the observation group were all better than those of the control group (P < 0.05); The nursing satisfaction of the observation group was 96.67%, significantly higher than 83.33% in the control group (P < 0.05); The physiological function, psychological function, social function, and material life status scores of the observation group were all higher than those of the control group (P < 0.05).
Conclusion   The home-based rehabilitation nursing model for shoulder and elbow joint injuries based on “Internet +” can effectively improve patients’ rehabilitation compliance, improve joint function, enhance nursing satisfaction and quality of life, and is worthy of clinical promotion and application.