구조화된 정보제공이 회전근 개 봉합술 환자의 회복에 미치는 효과

Abstract

ABSTRACT

Effects of Structured Information on the Recovery of Rotator Cuff Repair Patients

Kim, Hyun Suk Department of Nursing Science Major in Gerontological Nursing Graduate School of Nursing Sungshin Women's University

Many rotator cuff tears are operatively treated in recent years. The rehabilitation protocol after shoulder surgery for rotator cuff repair has become as important as surgery itself for the success of treatment. The purpose of this study was to identify the effects of structured information on the recovery of rotator cuff repair in terms of exercise frequency for rehabilitation, degrees of range of motion at shoulder joint, daily living skills, and self-efficacy among the patients with rotator cuff repair. The study employed a non-equivalent control group non-synchronized design. A total of 51 patients who were admitted to orthopedics of S hospital for rotator cuff repair were recruited and divided into two groups; 27 subjects for an experimental group and 24 subjects for a control group. Data were collected from July 2015 to June 2016. Control group were recruited first. Three weeks later, patients were enrolled in experimental group. On admission day, patients in the experimental group were provided structured information which consists of printed educational materials about shoulder brace, practical methods for pendulum exercise, and treatment plan for the future. After surgery, the patients received exercise prescription and researcher visited the patients again and taught exercise mainly focused on rehabilitation. After discharge, they were encouraged and supported through the telephone for enhancing self care in activities of daily living. Also, they were asked to visit the researcher when they followed up via out patient department (OPD) to measure the degrees of range of motion at shoulder joint. Exercise frequency for rehabilitation, daily living skills and self-efficacy were measured using a questionnaire for all subjects before starting the program, one week later, and three weeks later via OPD. Also, degrees of range of motion at shoulder joint were examined using goniometer in the same manner. The data were analyzed with descriptive statistics, chi-square test Mann-Whitney U test, and t-test using SPSS WIN 22.0 program.

The results of this study were as follows;

1. Exercise frequencies for rehabilitation in the experimental group was higher than those in the control group and the difference was statistically significant at one week later (x²=9.198, p=.027) and three weeks later(x²=14.429, p=.006).

2. Degrees of range of motion at shoulder joint in the experimental group were larger than those in the control group and the difference in extension only was statistically significant at three weeks later(U=211.00, p=.030).

3. Daily living skills in the experimental group was better than those in the control group and the difference was statistically significant at one week later (U=181.50, p=.006) and three weeks later(U=191.50, p=.011).

4. Self-efficacy in the experimental group was higher than those in the control group and the difference was not statistically significant at one week later (U=260.00, p=.226) and three weeks later(U=247.50, p=.148).

The results in this study showed that the structured information provided to the patients with rotator cuff repair was effective on exercise frequency for rehabilitation, and daily living skills. Therefore, this structured information can be applied to the patients with rotator cuff repair in nursing filed. Furthermore, these findings can contribute to the quality of life for the patients with rotator cuff repair. This study was conducted at a hospital and we need to be careful for interpreting the results due to the limitation. Repeated research by expanding the targets is needed to test the generalization.