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目的:探讨临床路径对关节镜下治疗肩关节Bankart损伤复发性前向不稳患者术后康复的影响。方法:将58例术后肩关节Bankart损伤复发性前向不稳患者随机分为观察组29例和对照组29例。对照组给予常规教育,观察组采用临床路径的健康教育,比较两组术后第4天视觉模拟评分(VAS)、术后并发症及护理满意度。结果:观察组术后第4天VAS为(4.08±2.18)分,显著低于对照组的(5.72±2.86)分,差异有统计学意义(P<0.05)。观察组术后并发症总发生率(3.45%)显著低于对照组(27.59%),而护理满意度(96.55%)显著高于对照组(72.41%),差异均有统计学意义(P<0.05)。结论:采用临床路径的健康教育能有效缓解关节镜下肩关节Bankart损伤复发性前向不稳患者的术后疼痛,减少术后并发症的发生,提高护理满意度,促进患者康复。
Objective: To investigate the effect of clinical pathology on the postoperative rehabilitation of patients with recurrent anterior instability of Bankart injury underwent arthroscopic treatment. Methods: Fifty-eight patients with recurrent anterior instability of shoulder injury in Bankart injury were randomly divided into observation group (n = 29) and control group (n = 29). The control group was given routine education, and the observation group was given health education on clinical path. Visual analogue scale (VAS), postoperative complications and nursing satisfaction were compared between the two groups on the fourth postoperative day. Results: The VAS in the observation group was (4.08 ± 2.18) on the 4th day after operation, which was significantly lower than that in the control group (5.72 ± 2.86), the difference was statistically significant (P <0.05). The total incidence of postoperative complications (3.45%) in the observation group was significantly lower than that in the control group (27.59%), while the nursing satisfaction rate (96.55%) was significantly higher than that in the control group (72.41%), the differences were statistically significant (P < 0.05). Conclusion: Health education with clinical pathways can effectively relieve postoperative pain and reduce the incidence of postoperative complications in patients with recurrent anterior instability of shoulder pain in Bankart injury, improve nursing satisfaction and promote patient rehabilitation.