Application effect of rehabilitation nursing based on the behavioral change wheel theory in patients with rotator cuff injury with type 2 diabetes mellitus
10.3760/cma.j.cn211501-20230911-00514
- VernacularTitle:基于行为改变轮理论的康复护理在肩袖损伤伴2型糖尿病患者中的应用效果
- Author:
Ming ZHANG
1
;
Wenyong FEI
;
Tao BAO
Author Information
1. 江苏省苏北人民医院骨科运动医学科，扬州 225001
- Keywords:
Rehabilitation nursing;
Diabetes mellitus, type 2;
Behavior change wheel theory;
Rotator cuff injury;
Shoulder function
- From:
Chinese Journal of Practical Nursing
2024;40(24):1854-1862
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of rehabilitation nursing protocol based on the behavioral change wheel (BCW) theory on recovery after shoulder arthroscopy in patients with type 2 diabetes mellitus and rotator cuff injury, and providing reference for overall rehabilitation.Methods:A prospective, single-blind, quasi-experimental study was used. A total of 76 patients with type 2 diabetes mellitus who underwent arthroscopic rotator cuff repair in Northern Jiangsu People′s Hospital from January to March 2023 were conveniently selected, and the patients were assigned to the control group and the experimental group with 38 patients in each group according to the order of visit time. The control group received routine nursing, and the experimental group received nursing intervention based on BCW theory on the basis of routine nursing. The joint motion (ROM), Constant-Murley shoulder function score (CMS), fasting blood glucose and other indexes of the two groups were compared at different time points.Results:During the intervention period, the two groups were followed up regularly, and 38 patients were included in each group. The control group included 15 males and 23 females, aged (63.05 ± 7.36) years. The experimental group included 14 males and 24 females, aged (61.34 ± 8.95) years. One month after surgery, the shoulder flexor of experimental group was (140.26 ± 22.90) °, which was better than (121.79 ± 36.52) °of control group, the lateral internal rotation of experimental group was (4.00 (3.00, 6.00) points, which was better than 3.00 (3.00, 6.00) points of control group,and the difference was statistically significant ( t=6.98, Z=-2.14, both P< 0.05). Three months after surgery, the anterior flexion of experimental group was (157.11 ± 13.64) °, which was better than (136.05 ± 30.16) ° of control group, and the lateral internal rotation of experimental group was 7.00 (3.00, 7.25) points, which was better than 4.00 (3.00, 7.00) points of control group, the difference was statistically significant ( t=15.37, Z=-2.06,both P<0.05). Six months after surgery, shoulder joint abduction in the experimental group was (161.32 ± 21.63) °, which was better than (148.76 ± 28.80) °in the control group, side rotation in the experimental group was 9.50 (8.00, 10.00) points,which was better than 8.00 (7.00, 9.25) points in the control group, and the difference was statistically significant ( t=4.62, Z=-2.57, both P<0.05). Repeated measurement ANOVA showed that the anterior flexor, abduction and lateral rotation of shoulder joint motion had statistical significance in terms of time difference ( F=70.52, 77.68, 33.16, all P<0.05), there was statistical significance in shoulder flexor in terms of group and interaction ( F=13.06, 4.00,both P< 0.05 ). Generalized estimating equation showed that there was statistically significant difference in lateral internal rotation in terms of time and group (wald χ2=4.23, 246.77, both P<0.05). Six months after surgery, the CMS score of experimental group was (83.99 ± 9.41) points, which was better than (76.36 ± 11.59) points of control group, and the difference was statistically significant ( t=-3.15, P<0.05). Six months after surgery, the blood glucose of the experimental group was (6.53 ± 1.29) mmol/L, which was better than (7.18 ± 1.46) mmol/L of the control group, the difference was statistically significant ( t=4.21, P<0.05). Repeated measurement ANOVA showed statistically significant differences in time and interaction ( F=17.36, 4.20, both P<0.05). Conclusions:The intervention program based on BCW theory is beneficial to improve the range of motion and function of shoulder joint in patients with type 2 diabetes after rotator cuff injury, regulate blood sugar, and promote their full recovery.
