关节镜下肩袖修复术后康复手册：基于患者的评估
Post-Arthroscopic Rotator Cuff Repair Rehabilitation Booklet: A Patient-Based Evaluation.
作者信息
Zhang Congda, Li Qingyue, Li Fangqi, Zhang Yuanhao, Tang Yiyong, Hou Jingyi, Yang Rui
机构信息
Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, People's Republic of China.
出版信息
Patient Prefer Adherence. 2020 Aug 24;14:1493-1500. doi: 10.2147/PPA.S263645. eCollection 2020.
BACKGROUND
Lack of physical therapists has led to increment of self-managed rehabilitations in post-arthroscopic rotator cuff repair (ARCR) in the forms of booklets or leaflets.
PURPOSE
The aim of study is to investigate 1) the acceptance of post-ARCR patients towards an education booklet, and 2) whether it could be a timesaving and laborsaving tool to physical therapists.
METHODS
An education booklet was established through a systematic review. Patients who underwent ARCR in our hospital were included and randomly assigned to the intervention or control group (27 women, 21 men, mean age=57.06 years old). Patients in the intervention group received educational booklets, and an evaluation was also obtained after they finished reading. Patients' understanding of the booklet was determined by asking patients to re-enact training presented in the booklet. Then, a therapist blinded to allocations would personally demonstrate training to patients until patients fully understood the protocol. For the control group, the same therapist coached patients until the whole protocol was clearly understood. The coaching time for patients in both groups was recorded.
RESULTS
Out of 48 patients, 24 (50%) were randomly assigned to the intervention group, and 21 (87.50%) completed their questionnaire. Out of these 21 patients, 20 (95.24%) rated the booklet as "excellent and easy to read", and 17 (80.95%) felt that the booklet was helpful. The re-enaction accuracy was for strengthening training and specific training (71.43% and 61.90%, respectively). As compared to the control group, the time of coaching for the patients to fully master the protocol in the intervention group was significantly less (<0.01).
CONCLUSION
Patients highly applauded this booklet, and they cherished the information and support it contained. Nevertheless, the re-enaction accuracy was not high, suggesting that the high level of acceptance does not guarantee full understanding of information sent to patients.
背景
物理治疗师的短缺导致关节镜下肩袖修复术（ARCR）后以手册或传单形式进行的自我管理康复有所增加。
目的
本研究的目的是调查1）ARCR术后患者对一本教育手册的接受程度，以及2）它是否可以成为物理治疗师节省时间和劳动力的工具。
方法
通过系统评价制定了一本教育手册。纳入在我院接受ARCR手术的患者，并随机分为干预组或对照组（27名女性，21名男性，平均年龄=57.06岁）。干预组患者接受教育手册，并在阅读后进行评估。通过要求患者重新演示手册中介绍的训练来确定患者对手册的理解。然后，一名对分组不知情的治疗师会亲自向患者演示训练，直到患者完全理解方案。对于对照组，同一名治疗师指导患者，直到患者清楚理解整个方案。记录两组患者的指导时间。
结果
在48名患者中，24名（50%）被随机分配到干预组，21名（87.50%）完成了问卷。在这21名患者中，20名（95.24%）将手册评为“优秀且易于阅读”，17名（80.95%）认为手册有帮助。强化训练和特定训练的重新演示准确率分别为71.43%和61.90%。与对照组相比，干预组患者完全掌握方案的指导时间显著减少（<0.01）。
结论
患者对这本手册高度赞赏，他们珍视其中包含的信息和支持。然而，重新演示的准确率不高，这表明高度的接受度并不保证患者能完全理解所传达的信息。
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