Application of clinical pathway on rehabilitation exercise of postoperative shoulder arthroscopy
10.3760/j.issn.1674-2907.2015.07.025
- VernacularTitle:临床路径在肩关节镜术后康复锻炼中的应用
- Author:
Dan? ZUO
1
;
Juan LIU
;
Lanfei OUYANG
;
Yu FU
Author Information
1. 510010 广州军区总医院骨病关节科
- Keywords:
Clinical pathway;
Shoulder joint injury;
High quality service;
Satisfaction rate
- From:
Chinese Journal of Modern Nursing
2015;21(7):810-812
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore clinical pathway applied for shoulder joint operation under arthroscopy treated Bankart lesions of recurrent instability ( BLRI ) , and investigate the effect of postoperative rehabilitation exercise. Methods A total of 80 patients with BLRI under shoulder arthroscopy and their families were randomly divided into two groups on average: experimental group received clinical pathway for patients rehabilitation exercise and control group with routine health education. We recorded and statistically analyzed postoperative shoulder joint activity, postoperative pain score, nursing job satisfaction, activities of daily living and postoperative complications. Results The ASES and Constant-Murley scores of shoulder joint range of motion were (93. 86 ± 8. 67) and (95. 90 ± 4. 35) in the experimental group better than (63. 42 ± 10. 85) and (91.80±5.15)ofthecontrolgroupafter7daysandonemonthoperation(t=15.862,9.753;P<0.05). After 3 days operation, the VAS score was (4. 45 ± 2. 25) in the experimental group apparently lower (5. 50 ± 3. 75) in the control group (t=1. 328, P<0. 05), but the self-care ability (Barthel indexes) score was low, (85. 26 ± 12. 96) in the experimental group, and (81. 35 ± 14. 11) in the control group ( t=10. 236, P<0. 05). Comparing the postoperative complication of recurrent in stability, bone fibrillation, infection, the incidence of complication just was suffered one cases in the experimental group, but 6 cases in the control group (χ2 =3. 914, P<0. 05). Conclusions Using clinical pathway is an effective option for the patients to improve the quality of life and satisfaction rate of nurses, and it also can alleviate patients′ pain and reduce the postoperative complications.
