【摘要】 目的 探讨术前手术场景适应性训练在肩袖损伤手术患者中的应用效果。方法 选取2021年9月至2022年7月安徽医科大学附属六安医院收治的60例肩袖损伤手术患者作为研究对象，按照随机数字表法分为对照组（30例）和观察组（30例）。两组患者均接受关节镜下手术治疗，对照组采用常规护理，观察组于术前在常规护理的基础上采用手术场景适应性训练。比较两组患者的手术情况、焦虑评分、恐动评分和护理满意度。结果 观察组患者下床活动时间长于对照组，住院时间短于对照组，住院费用少于对照组，差异有统计学意义（P<0.05）。干预前，两组患者的焦虑、恐动评分比较，差异无统计学意义（P>0.05）；干预后，观察组患者的焦虑、恐动评分低于本组干预前，且观察组患者的焦虑、恐动评分低于对照组，差异有统计学意义（P<0.05）。两组患者的护理总满意度比较，差异无统计学意义（P>0.05）。结论 对肩袖损伤患者实施术前手术场景适应性训练护理措施效果较好，减少了患者的住院费用和住院时间，缓解了患者的焦虑、恐动情绪，值得临床借鉴应用。更多还原

【Abstract】 Objective To explore the application effect of preoperative surgical scene adaptation training in patients with rotator cuff injury surgery. Methods A total of 60 patients with rotator cuff injury who were treated in Lu’an Hospital Affiliated to Anhui Medical University from September 2021 to July 2022 were selected as the research subjects, they were divided into the control group(30 cases) and the observation group(30 cases) according to the random number table method. The patients in both groups received surgery under arthroscopy, the control group received routine care, and the observation group received surgery scene adaptation training on the basis of routine care preoperative. The surgical condition, anxiety score, agoraphobia score and nursing satisfaction of two groups of patients were compared. Results The time of getting out of bed in the observation group was longer than that of the control group, hospitalization time in the observation group was shorter than that of the control group, hospitalization cost in the observation group was lower than that of the control group,the differences were statistically significant(P<0.05). Before intervention, there was no statistically significant difference in anxiety and agoraphobia scores between the two groups of patients(P>0.05). After intervention, the anxiety and agoraphobia scores of the observation group of patients were lower than those before intervention, the anxiety and agoraphobia scores of the observation group were lower than those of the control group, the differences were statistically significant(P<0.05).There was no statistically significant difference in total nursing satisfaction between the two groups of patients(P>0.05).Conclusion The implementation of preoperative surgical scene adaptation training nursing measures for patients with rotator cuff injury has a good effect, reducing hospital expenses and hospitalization time, alleviating anxiety and agoraphobia. It is worthy of clinical reference and application.更多还原