摘要
目的探讨基于曼彻斯特疼痛管理模式(MPMM)的护理干预对肩袖修补术后疼痛和肩关节功能的影响。方法将2017年2月至2020年10月合肥市第一人民医院收治的行关节镜下肩袖修补术的66例患者按照随机数字表法分为试验组和对照组,每组33例。对照组给予常规术后护理,试验组在常规术后护理基础上实施基于MPMM的护理干预。采用视觉模拟量表(VAS)和Constant-Murley肩关节功能评分(CMS)评价2组患者的疼痛程度和肩关节功能。结果研究期间,试验组失访1例,最终试验组纳入32例,对照组纳入33例。2组患者术前VAS、CMS评分比较差异无统计学意义(P>0.05);试验组患者术后1 d、3 d、3周、6周VAS评分分别为(5.47±1.72)、(4.63±1.16)、(3.25±0.78)、(1.81±0.52)分,低于对照组的(6.42±1.03)、(5.45±1.54)、(4.30±0.64)、(2.39±0.47)分,差异有统计学意义(t值为2.36~3.11,均P<0.05);试验组患者术后3、6、12周CMS评分分别为(57.09±4.32)、(67.75±4.60)、(81.94±4.18)分,高于对照组的(52.27±5.39)、(64.24±3.76)、(78.91±4.36)分,差异有统计学意义(t=3.97、3.37、2.86,均P<0.01)。结论基于MPMM的护理干预可有效缓解肩袖修补术患者术后疼痛程度,促进肩关节功能康复。
Objective To investigate the effects of Manchester Pain Management Model(MPMM)on postoperative pain and joint function for patients undergoing rotator cuff repair surgery.Methods A total of 66 patients undergoing rotator cuff repair surgery from February 2017 to October 2020 in the First People′s Hospital of Hefei were divided into experimental group and control group by random digits table method,with 33 cases in each group.The control group received routine nursing;based on the routine care,the experimental group implemented MPMM-based intervention.The degree of pain and shoulder function of the two groups were assessed by Visual Analogue Scale(VAS)and Constant-Murley Scale(CMS).Results During the study period,1 case in the experimental group was lost,32 cases in the final experimental group and 33 cases in the control group.There was no significant difference in the score of VAS and CMS before surgery between the two groups(P>0.05).At 1 day,3 days,3 weeks and 6 weeks after surgery,VAS scores in the experimental group were 5.47±1.72,4.63±1.16,3.25±0.78,1.81±0.52,lower than those scores in the control group 6.42±1.03,5.45±1.54,4.30±0.64,2.39±0.47,the differences were statistically significant(t values were 2.36-3.11,all P<0.05).At 3,6,12 weeks after surgery,CMS scores in the experimental group were 57.09±4.32,67.75±4.60,81.94±4.18,higher than those scores in the control group 52.27±5.39,64.24±3.76,78.91±4.36,the differences were statistically significant(t=3.97,3.37,2.89,all P<0.01).Conclusions MPMM can effectively alleviate the postoperative pain and promote the recovery of joint function in patients undergoing rotator cuff repair surgery.
作者
余新颜
阮仁芝
徐进
席洪梅
Yu Xinyan;Ruan Renzhi;Xu Jin;Xi Hongmei(Department of Joint Surgery,the First People′s Hospital of Hefei,Hefei 230061,China)
出处
《中国实用护理杂志》
2022年第16期1212-1217,共6页
Chinese Journal of Practical Nursing
关键词
肩袖损伤
疼痛
手术后
曼彻斯特疼痛管理模式
肩关节功能
Rotator cuff injuries
Pain,postoperative
Manchester Pain Management Model
Shoulder joint function
作者简介
通信作者:余新颜,Email:yuxinyna@163.com。
