Galetti Tom C, Sheth Mihir M, Branche George C, Press Cyrus M, Narvaez Michael V, Novak David J, Wiesel Brent B, Nagda Sameer H
University of California, Berkeley, Berkeley, CA, USA.
The Anderson Orthopaedic Clinic, Alexandria, VA, USA.
JSES Int. 2025 May 15;9(4):1385-1389. doi: 10.1016/j.jseint.2025.04.016. eCollection 2025 Jul.
The purpose of this study was to survey patients who had recently undergone shoulder surgery to assess the challenges they faced while immobilized in a sling and how they overcame those challenges, in order to improve future patient outcomes and satisfaction.
A retrospective survey, completed 3 months after surgery, asked patients to detail the activities of daily living (ADLs) they found to be challenging while immobilized. Patients across multiple sites quantitatively and qualitatively described their problems and discussed both the amount of help required and the individual methods to complete ADLs. Statistical analysis was performed using an unpaired, two tailed T-test.
Three hundred patients noted the most difficult activities while living with the sling were sleeping, bathing, and dressing. 84.5% of patients had difficulty sleeping for an average of 6.5 weeks. 51.8% of patients needed help bathing, 47.5% of patients required help drying off, and 71.1% of patients required help dressing while immobilized. Before completing ADLs on their own, patients required 10.5, 11.5, and 14.8 days of help to bathe, dry, and dress, respectively. Though not statistically significant, patients required less help completing ADLs if they had surgery on their nondominant arm or prior shoulder surgery.
Sleeping is difficult for most patients while immobilized. Bathing, drying, and dressing require an adaptation period of 2 weeks until patients can complete these activities more independently. Informing patients of challenges they will face while immobilized will help set expectations and may lead to improved clinical outcomes.
本研究的目的是对近期接受肩部手术的患者进行调查，以评估他们在使用吊带固定期间所面临的挑战以及他们是如何克服这些挑战的，从而改善未来患者的治疗效果和满意度。
在术后3个月完成的一项回顾性调查中，要求患者详细说明他们在固定期间发现具有挑战性的日常生活活动（ADL）。多个地点的患者定量和定性地描述了他们的问题，并讨论了完成ADL所需的帮助量和个人方法。使用不成对双尾T检验进行统计分析。
300名患者指出，使用吊带生活期间最困难的活动是睡觉、洗澡和穿衣。84.5%的患者睡眠困难，平均持续6.5周。51.8%的患者洗澡需要帮助，47.5%的患者擦干身体需要帮助，71.1%的患者固定期间穿衣需要帮助。在能够独立完成ADL之前，患者洗澡、擦干身体和穿衣分别需要10.5天、11.5天和14.8天的帮助。虽然无统计学意义，但如果患者在非优势手臂上进行手术或之前接受过肩部手术，则完成ADL所需的帮助较少。
大多数患者在固定期间睡眠困难。洗澡、擦干身体和穿衣需要2周的适应期，直到患者能够更独立地完成这些活动。告知患者固定期间将面临的挑战将有助于设定预期，并可能改善临床结果。
