頸肩部保健操在緩解手術(shù)室護(hù)士頸肩綜合征中的干預(yù)研究
發(fā)布時(shí)間：2018-12-10 16:10
【摘要】：目的:通過(guò)觀察頸肩部保健操對(duì)手術(shù)室護(hù)士頸肩綜合征中的預(yù)防效果,探討其在手術(shù)室護(hù)士頸肩綜合征中的作用,為手術(shù)室護(hù)士頸肩綜合征的康復(fù)治療提供有效的干預(yù)方法。方法:運(yùn)用調(diào)查法并設(shè)計(jì)問(wèn)卷調(diào)查河北省手術(shù)室護(hù)士頸肩綜合征發(fā)生情況及治療現(xiàn)狀,根據(jù)調(diào)查結(jié)果和手術(shù)室護(hù)士工作特點(diǎn),參考國(guó)內(nèi)外文獻(xiàn),在康復(fù)醫(yī)學(xué)專家、運(yùn)動(dòng)醫(yī)學(xué)專家指導(dǎo)下編制一套護(hù)士頸肩部保健操。選擇河北省2家三甲醫(yī)院的手術(shù)室護(hù)士100名,承德醫(yī)學(xué)院附屬醫(yī)院手術(shù)室護(hù)士為對(duì)照組(n=50),河北醫(yī)科大學(xué)第二醫(yī)院手術(shù)室護(hù)士為干預(yù)組(n=50),對(duì)干預(yù)組進(jìn)行為期10周的保健操干預(yù)研究,保健操2次/d,每次30min。采用視覺(jué)模擬疼痛評(píng)分量表(visual analog scale,VAS)、頸椎功能喪失指數(shù)問(wèn)卷(neck disability index,NDI)、簡(jiǎn)式健康生活質(zhì)量問(wèn)卷(SF-12)、關(guān)節(jié)活動(dòng)度(range of motion,ROM)評(píng)價(jià)干預(yù)前、干預(yù)4周和干預(yù)10周時(shí)的干預(yù)效果。對(duì)干預(yù)前、干預(yù)后4周、干預(yù)后10周的效果進(jìn)行組內(nèi)和組間的比較,計(jì)量資料采用均數(shù)±標(biāo)準(zhǔn)差(x±s)表示,計(jì)數(shù)資料的比較采用χ2檢驗(yàn),組內(nèi)比較采用重復(fù)測(cè)量的方差分析,組間比較采用兩樣本比較的t檢驗(yàn),P0.05差異有統(tǒng)計(jì)學(xué)意義。結(jié)果:組內(nèi)比較,干預(yù)組干預(yù)前和干預(yù)4周時(shí)VAS、NDI、SF-12和ROM比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),干預(yù)前與干預(yù)10周時(shí)VAS、NDI、SF-12和ROM比較差異有統(tǒng)計(jì)學(xué)意義(P0.05),干預(yù)4周時(shí)和干預(yù)10周時(shí)VAS、NDI、SF-12和ROM比較差異有統(tǒng)計(jì)學(xué)意義(P0.05);對(duì)照組10周前后VAS、NDI、SF-12和ROM比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);組間比較,干預(yù)前干預(yù)組和對(duì)照組一般資料比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),干預(yù)4周時(shí)干預(yù)組和對(duì)照組VAS、NDI、SF-12和ROM比較差異有統(tǒng)計(jì)學(xué)意義(P0.05),干預(yù)10周時(shí)干預(yù)組和對(duì)照組VAS、NDI、SF-12和ROM比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:頸肩部保健操能有效預(yù)防和緩解手術(shù)室護(hù)士頸肩痛,并且長(zhǎng)期堅(jiān)持效果明顯優(yōu)于短期鍛煉。
[Abstract]:Objective: to observe the preventive effect of neck and shoulder exercise on neck shoulder syndrome of nurses in operating room, and to explore its effect on neck shoulder syndrome of nurses in operating room, and to provide effective intervention method for rehabilitation treatment of neck shoulder syndrome of nurses in operating room. Methods: using investigation method and designing questionnaire to investigate the occurrence and treatment status of neck and shoulder syndrome of nurses in operating room in Hebei province. According to the results of investigation and working characteristics of nurses in operating room, referring to domestic and foreign literature, the authors studied the situation of neck and shoulder syndrome of nurses in operation room in Hebei province. Under the guidance of sports medicine experts, a set of nurse neck and shoulder exercises. 100 nurses in operating room were selected from 2 third Class A hospitals in Hebei Province. The nurses of operating room in affiliated Hospital of Chengde Medical College were taken as control group (nn 50), and the nurses in operating room of the second Hospital of Hebei Medical University as intervention group (n 50). In the intervention group, 10 weeks of exercise intervention was carried out, twice a day for 30 mins. Visual analogue pain scale (visual analog scale,VAS), cervical vertebrae dysfunction index (neck disability index,NDI), simple healthy quality of life (SF-12), and joint motion scale (range of motion,ROM) were used to evaluate before intervention. The effect of intervention at 4 weeks and 10 weeks. The results before intervention, 4 weeks after intervention and 10 weeks after intervention were compared within and between groups. The mean 鹵standard deviation (x 鹵s) was used to measure the data, 蠂 2 test was used to compare the count data, and the variance analysis of repeated measurements was used to compare the data within the group. Two samples were used to compare the t test between groups, P0.05 difference was statistically significant. Results: there was no significant difference in VAS,NDI,SF-12 and ROM between the intervention group and the intervention group before and after 4 weeks of intervention (P0.05), but VAS,NDI, before the intervention and 10 weeks after intervention. There were significant differences between SF-12 and ROM (P0.05), VAS,NDI,SF-12 and ROM at 4 weeks and 10 weeks (P0.05). There was no significant difference in VAS,NDI,SF-12 and ROM between the control group and the control group before and after 10 weeks (P0.05). There was no significant difference in general data between the intervention group and the control group before intervention (P0.05), but there was a significant difference in VAS,NDI,SF-12 and ROM between the intervention group and the control group after 4 weeks of intervention (P0.05). After 10 weeks of intervention, the VAS,NDI,SF-12 and ROM of the intervention group and the control group were significantly different (P0.05). Conclusion: neck and shoulder exercises can effectively prevent and relieve neck and shoulder pain of nurses in operating room, and the effect of long-term persistence is obviously better than that of short-term exercise.
【學(xué)位授予單位】：河北醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R473
本文編號(hào)：2370859
[Abstract]:Objective: to observe the preventive effect of neck and shoulder exercise on neck shoulder syndrome of nurses in operating room, and to explore its effect on neck shoulder syndrome of nurses in operating room, and to provide effective intervention method for rehabilitation treatment of neck shoulder syndrome of nurses in operating room. Methods: using investigation method and designing questionnaire to investigate the occurrence and treatment status of neck and shoulder syndrome of nurses in operating room in Hebei province. According to the results of investigation and working characteristics of nurses in operating room, referring to domestic and foreign literature, the authors studied the situation of neck and shoulder syndrome of nurses in operation room in Hebei province. Under the guidance of sports medicine experts, a set of nurse neck and shoulder exercises. 100 nurses in operating room were selected from 2 third Class A hospitals in Hebei Province. The nurses of operating room in affiliated Hospital of Chengde Medical College were taken as control group (nn 50), and the nurses in operating room of the second Hospital of Hebei Medical University as intervention group (n 50). In the intervention group, 10 weeks of exercise intervention was carried out, twice a day for 30 mins. Visual analogue pain scale (visual analog scale,VAS), cervical vertebrae dysfunction index (neck disability index,NDI), simple healthy quality of life (SF-12), and joint motion scale (range of motion,ROM) were used to evaluate before intervention. The effect of intervention at 4 weeks and 10 weeks. The results before intervention, 4 weeks after intervention and 10 weeks after intervention were compared within and between groups. The mean 鹵standard deviation (x 鹵s) was used to measure the data, 蠂 2 test was used to compare the count data, and the variance analysis of repeated measurements was used to compare the data within the group. Two samples were used to compare the t test between groups, P0.05 difference was statistically significant. Results: there was no significant difference in VAS,NDI,SF-12 and ROM between the intervention group and the intervention group before and after 4 weeks of intervention (P0.05), but VAS,NDI, before the intervention and 10 weeks after intervention. There were significant differences between SF-12 and ROM (P0.05), VAS,NDI,SF-12 and ROM at 4 weeks and 10 weeks (P0.05). There was no significant difference in VAS,NDI,SF-12 and ROM between the control group and the control group before and after 10 weeks (P0.05). There was no significant difference in general data between the intervention group and the control group before intervention (P0.05), but there was a significant difference in VAS,NDI,SF-12 and ROM between the intervention group and the control group after 4 weeks of intervention (P0.05). After 10 weeks of intervention, the VAS,NDI,SF-12 and ROM of the intervention group and the control group were significantly different (P0.05). Conclusion: neck and shoulder exercises can effectively prevent and relieve neck and shoulder pain of nurses in operating room, and the effect of long-term persistence is obviously better than that of short-term exercise.
【學(xué)位授予單位】：河北醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R473
【參考文獻(xiàn)】
相關(guān)期刊論文 前2條
1 楊永麗;周意;劉慧珠;;護(hù)士職業(yè)性肌肉骨骼疾患的危險(xiǎn)因素及防護(hù)對(duì)策[J];護(hù)理學(xué)雜志;2008年02期
2 楊世斌;;頸肌與頸型頸椎病的關(guān)系[J];頸腰痛雜志;2008年01期
，本文編號(hào)：2370859
本文鏈接：http://sikaile.net/huliyixuelunwen/2370859.html
最近更新
教材專著
