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一项针对肩部不稳定手术后患者功能结局的电话协助护理计划的疗效:一项随机对照试验方案。

The efficacy of a phone assistance nursing program for functional outcomes in patients after shoulder instability surgery: A protocol for randomized controlled trial.

作者信息

Zheng Yongling, Wang Hongli, Wang Huali, Xu Junchang, Chen Ping

机构信息

Department of Orthopedics.

Department of Operating Room.

出版信息

Medicine (Baltimore). 2020 Oct 23;99(43):e22756. doi: 10.1097/MD.0000000000022756.

Abstract

OBJECTIVE

We conduct this research protocol for the assessment of the effect of phone-assisted care programs on functional outcomes in patients receiving shoulder instability surgery.

METHODS

This is a randomized controlled, single center trial which will be implemented from October 2020 to December 2021. This trial is conducted according to the SPIRIT Checklist of randomized researches. It was authorized via the Ethics Committee of the First People's Hospital of Xiangyang city affiliated to Hubei Medical College (XY234-026). Ninety participants who undergo shoulder instability surgery are analyzed. Patients are randomly divided into control group (standard management group, with 45 patients) and study group (the phone program group, with 45 patients). In control group, the exercises at home are not monitored. Whereas in study group, patients are asked about their at-home activities, and the extra coaching sessions are provided to patients on self-care, exercise guidance, and the importance of exercise at home, and then answers to their questions. The primary outcome is the range of motion of the shoulder joint, and the pain arcs are determined through the range of motion. The extra assessments include the shoulder functional outcome, pain, and the quality of life. All the analysis needed in this study is implemented with SPSS (IBM, Chicago, USA) for Windows Version 19.0.

RESULTS

The clinical outcome variables between groups are shown in Table.

CONCLUSION

This investigation can offer a reliable basis for the effectiveness of phone assistance nursing program in patients after shoulder instability surgery.

TRIAL REGISTRATION NUMBER

researchregistry6010.

摘要

目的

我们开展本研究方案,以评估电话辅助护理计划对接受肩关节不稳定手术患者功能结局的影响。

方法

这是一项随机对照单中心试验,将于2020年10月至2021年12月实施。本试验按照随机研究的SPIRIT检查表进行。该试验经湖北医药学院附属襄阳市第一人民医院伦理委员会批准(XY234 - 026)。对90例接受肩关节不稳定手术的参与者进行分析。患者被随机分为对照组(标准管理组,45例患者)和研究组(电话计划组,45例患者)。对照组中,患者在家中的锻炼不进行监测。而在研究组中,询问患者在家中的活动情况,并为患者提供关于自我护理、运动指导以及在家中运动重要性的额外辅导课程,然后回答他们的问题。主要结局是肩关节的活动范围,并通过活动范围确定疼痛弧。额外评估包括肩部功能结局、疼痛和生活质量。本研究所需的所有分析均使用SPSS(美国伊利诺伊州芝加哥市IBM公司)Windows版本19.0进行。

结果

组间临床结局变量见表。

结论

本调查可为电话辅助护理计划对肩关节不稳定手术后患者的有效性提供可靠依据。

试验注册号

researchregistry6010。

相似文献

本文引用的文献

1
Characteristics of functional shoulder instability.功能性肩关节不稳定的特征。
J Shoulder Elbow Surg. 2020 Jan;29(1):68-78. doi: 10.1016/j.jse.2019.05.025. Epub 2019 Aug 1.
7
Rehabilitation for Shoulder Instability - Current Approaches.肩关节不稳的康复——当前方法
Open Orthop J. 2017 Aug 31;11:957-971. doi: 10.2174/1874325001711010957. eCollection 2017.
8
Trends in Surgical Management of Shoulder Instability.肩关节不稳定的外科治疗趋势
Orthop J Sports Med. 2017 Jun 28;5(6):2325967117712476. doi: 10.1177/2325967117712476. eCollection 2017 Jun.

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