以患者需求为导向的分阶段健康教育对肩袖损伤患者肩关节功能、健康行为及自护能力的影响

徐婷婷; 祁婕; 刘丽丽; 冯丹

doi:10.16766/j.cnki.issn.1674-4152.004093

以患者需求为导向的分阶段健康教育对肩袖损伤患者肩关节功能、健康行为及自护能力的影响

doi: 10.16766/j.cnki.issn.1674-4152.004093

徐婷婷¹,
祁婕²,
刘丽丽³,
冯丹^3, ,

1.
淮安市第一人民医院骨科，江苏淮安 223001
2.
淮安市第一人民医院口腔科
3.
淮安市第一人民医院肠外科

基金项目:

江苏省自然科学基金项目 BK20201153

详细信息

通讯作者:
冯丹，E-mail：Fd2387281098@163.com

中图分类号: R684 R473.6
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- 文章访问数: 5
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- PDF下载量: 1
- 被引次数: 0
出版历程
- 收稿日期: 2024-09-11
- 网络出版日期: 2025-10-25

The rehabilitation efficacy of patients with rotator cuff injury in needs-oriented segmented health education

XU Tingting¹,
QI Jie²,
LIU Lili³,
FENG Dan^{3
, ,}

1.
Department of Orthopaedics, Huai'an First People's Hospital, Huai'an, Jiangsu 223001, China

摘要

摘要: 目的分析研究肩袖损伤患者在以需求为导向的分段健康教育中的康复疗效。方法选取2021年1月—2023年12月淮安市第一人民医院骨科收治的118例肩袖损伤患者为研究对象，采用随机数字表法分为对照组(59例)和观察组(59例)。对照组行常规宣教，观察组行以患者需求为导向的分阶段健康教育。比较2组患者肩关节功能恢复情况、健康行为控制情况及自护能力水平。结果干预30 d时，观察组加州大学肩关节评分系统(UCLA)指标评分中，疼痛评分为(3.65±2.02)分低于对照组[(4.72±2.44)分]，功能活动评分为(7.45±1.68)分、主观满意度评分为(7.89±1.17)分均高于对照组[(6.44±1.76)分、(7.24±1.16)分]，差异有统计学意义(P＜0.05)。观察组患者的健康行为调查中药物使用、运动管理、生活方式调整得分均显著高于对照组[(31.42±2.17)分vs. (30.22±2.15)分; (36.83±4.01)分vs. (34.79±3.81)分; (30.76±3.45)分vs. (29.33±2.02)分, P < 0.05]，且观察组患者自我护理能力量表(ESCA)中自我概念、知识和信息寻求、被动性、动机评分均显著高于对照组(P < 0.05)。结论以患者需求为导向的分阶段健康教育，可加快肩袖损伤患者肩关节功能的恢复速度，有效强化其健康行为控制效果，同时显著提高其自护能力。
- 肩袖损伤 /
- 患者需求 /
- 分阶段健康教育 /
- 肩关节功能 /
- 健康行为 /
- 自护能力
Abstract: Objective To examine the rehabilitation outcomes of patients suffering from rotator cuff injury, with a particular focus on demand-oriented segmented health education. Methods A total of 118 patients with rotator cuff injury who were admitted to the Department of Orthopedics, Huai'an First People's Hospital from January 2021 to December 2023 were selected as the research objects. They were divided into the control group (n=59) and the observation group (n=59) according to the random number table method. The control group received routine education, while the observation group received phased health education oriented to patient needs. The recovery of shoulder joint function, health behavior control and self-care ability of the two groups were compared. Results After 30 days of intervention, the university of California at Los Angeles shoulder scale (UCLA) index score of pain in the observation group was 3.65±2.02, which was lower than (4.72±2.44) in the control group. The scores of functional activity (7.45±1.68) and subjective satisfaction (7.89±1.17) in the observation group were higher than those in the control group (6.44±1.76 and 7.24±1.16), and the differences were statistically significant (P < 0.05). The scores of drug use, exercise management and lifestyle adjustment in the observation group were significantly higher than those in the control group (31.42±2.17 vs. 30.22±2.15; 36.83±4.01 vs. 34.79±3.81; 30.76±3.45 vs. 29.33±2.02, P < 0.05). The scores of self-concept, knowledge and information seeking, passivity and motivation in the exercise of self-care agency (ESCA) of patients in the observation group were significantly higher than those in the control group (P < 0.05). Conclusion The application of patient demand-oriented phased health education has been demonstrated to accelerate the recovery of shoulder joint function in patients with rotator cuff injury. Furthermore, the study suggests that this method can effectively strengthen the patients'health behavior control effect and significantly improve their self-care ability.
- Rotator cuff injury /
- Patient needs /
- Phased health education /
- Shoulder function /
- Health behavior /
- Self-care ability

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表 1 2组肩袖损伤患者一般资料比较

Table 1. Comparison of general data between two groups of patients with rotator cuff injury

组别	例数	性别[例(%)]		年龄(x±s，岁)	病程(x±s，年)	损伤原因[例(%)]			损伤位置[例(%)]		学历水平[例(%)]
组别	例数	男性	女性	年龄(x±s，岁)	病程(x±s，年)	交通事故	运动伤	其他	左侧	右侧	高中以下	高中及以上
对照组	59	33(55.93)	26(44.07)	69.27±2.86	1.36±0.30	12(20.34)	15(25.42)	32(54.24)	20(33.90)	39(66.10)	40(67.80)	19(32.20)
观察组	59	38(64.41)	21(35.59)	69.34±2.73	1.38±0.27	15(25.42)	19(32.20)	25(42.37)	29(49.15)	30(50.85)	45(76.27)	14(23.73)
统计量		0.884^a		0.136^b	0.381^b	1.664^a			2.827^a		1.052^a
P值		0.347		0.892	0.704	0.435			0.093		0.305
注：^a为χ²值，^b为t值。

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表 2 2组肩袖损伤患者UCLA指标评分比较(x±s，分)

Table 2. Comparison of UCLA index scores between two groups (x±s, points)

组别	例数	疼痛		t值	P值	功能活动		t值	P值	主观满意度		t值	P值
组别	例数	入组当天	干预30 d	t值	P值	入组当天	干预30 d	t值	P值	入组当天	干预30 d	t值	P值
对照组	59	7.25±1.23	4.72±2.44	7.112	＜0.001	4.25±1.37	6.44±1.76	7.542	＜0.001	4.36±2.24	7.24±1.16	8.770	＜0.001
观察组	59	7.36±1.31	3.65±2.02	11.836	＜0.001	4.31±1.48	7.45±1.68	10.772	＜0.001	4.11±2.39	7.89±1.17	10.911	＜0.001
统计量		0.470^a	2.595^b			0.229^a	3.189^b			0.586^a	3.030^b
P值		0.639	0.011			0.820	0.002			0.559	0.003
注：^a为t值，^b为F值。

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表 3 2组肩袖损伤患者健康行为控制情况比较(x±s，分)

Table 3. Comparison of health behavior control between two groups of patients with rotator cuff injury (x±s, points)

组别	例数	药物使用		t值	P值	运动管理		t值	P值	生活方式调整		t值	P值
组别	例数	入组当天	干预30 d	t值	P值	入组当天	干预30 d	t值	P值	入组当天	干预30 d	t值	P值
对照组	59	17.26±2.78	30.22±2.15	28.326	＜0.001	20.11±2.89	34.79±3.81	23.580	＜0.001	19.33±1.35	29.33±2.02	31.615	＜0.001
观察组	59	17.53±2.84	31.42±2.17	29.851	＜0.001	20.25±2.84	36.83±4.01	25.917	＜0.001	19.45±1.29	30.76±3.45	23.586	＜0.001
统计量		0.522^a	3.017^b			0.265^a	2.833^b			0.494^a	2.747^b
P值		0.603	0.003			0.791	0.005			0.622	0.007
注：^a为t值，^b为F值。

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表 4 2组肩袖损伤患者ESCA指标评分比较(x±s，分)

Table 4. Comparison of ESCA index scores between two groups of patients with rotator cuff injury (x±s, points)

组别	例数	自我概念		t值	P值	知识和信息寻求		t值	P值
组别	例数	入组当天	干预30 d	t值	P值	入组当天	干预30 d	t值	P值
对照组	59	21.21±1.02	31.71±3.45	22.418	＜0.001	11.24±1.53	21.35±1.96	31.232	＜0.001
观察组	59	21.26±1.08	33.45±4.33	20.981	＜0.001	11.28±1.46	22.39±2.34	30.941	＜0.001
统计量		0.259^a	2.414^b			0.145^a	2.617^b
P值		0.796	0.017			0.885	0.010

组别	例数	被动性		t值	P值	动机		t值	P值
组别	例数	入组当天	干预30 d	t值	P值	入组当天	干预30 d	t值	P值
对照组	59	20.13±1.25	32.17±2.69	31.178	＜0.001	32.01±2.79	44.32±1.65	29.171	＜0.001
观察组	59	20.23±1.46	33.49±2.91	31.284	＜0.001	32.08±3.01	45.36±2.04	28.053	＜0.001
统计量		0.400^a	2.559^b			0.131^a	3.045^b
P值		0.690	0.012			0.896	0.003
注：^a为t值，^b为F值。

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