| ObjectiveThe purpose of this study was to design a group-based game training program suitable for inpatients after median nerve fracture repair,and through its application,to explore patients’ compliance,pain score,anxiety score,and satisfaction degree with nursing work during game training.This work is expected to provide a scientific basis for safe and feasible group-based game training program in postoperative inpatients of median nerve fracture repair,thereby improving patient management and rehabilitation.MethodsThis study was divided into two parts.Part Ⅰ:Based on clinical practical problems,a group-based game program for inpatients after median nerve fracture repair was designed through literature review.After a panel discussion and pre-experiment,a set of final plans including five game types was formed.Part Ⅱ:Through clinical application of the designed game training program in inpatients after median nerve fracture repair,patients’ compliance,pain score,anxiety score and satisfaction degree with nursing work were observed and analyzed.A total of 60 postoperative inpatients of median nerve fracture repair were recruited according to the inclusion criteria and were randomly divided into experimental group and control group with 30 patients in each.The control group received routine rehabilitation training.On the basis of routine rehabilitation training,the experimental group performed one hour of group-style game training every Monday to Friday evening and 2-3 group-style game competition events on Saturday evening.The total intervention period was 11 weeks(from 2nd to 12th week post-surgery).The observing parameters included the game training compliance data collected at 4th,8th and 12th week post-surgery in the experimental group,and the pain score,anxiety score,and satisfaction degree with nursing work collected at 2nd,4th,8th and 12th week post-surgery in both experimental and control groups.Results1.General data of patientsThere were 30 patients in the control group and 30 patients in the experimental group,aged 36.63+15.14 and 35.03+13.07 years old respectively.There were no significant differences in gender,age,injury site,cause of injury,time from injury to operation between the two groups(P>0.05).2.Compliance in participating in group-based game trainingThe compliance(%)of the experimental group in participating in group-based game training at 4th,8th and 12th week post-surgery was 69.44±0.20,85.24±0.08,and 88.68±0.05,respectively.Significant difference was found among the three time points(P<0.05).The compliance at the 8th and 12th week was significantly higher than at the 4th week.3.Pain scoreThe pain scores of the experimental group and the control group at 2nd,4th,8th and 12th week post-surgery were shown in Figure 7.The pain scores in experimental group and the control group were statistically different in four time periods(P<0.05).There was no difference between the two groups at the 2nd and 4th week post-surgery(P>0.05).Experimental group had significantly lower pain scores at the 8th and 12th week post-surgery than the control group.4.Anxiety scoreThe anxiety scores of the experimental group and the control group were shown in Figure 8.The anxiety score in experimental group and control group were statistically different in four time periods(P<0.05).Significant difference between the two groups was not found at the 2nd and 4th week post-surgery(P>0.05),but was found at the 8th and 12th week post-surgery(P<0.05)with a significantly lower anxiety score in the experimental group than control group.5.Satisfaction degree with nursing workThe satisfaction degree with nursing work of the control group and the experimental group were shown in Figure 9.The satisfaction degree with nursing work were statistically different in four time periods(P<0.05).Significant difference between the two groups was not found at the 2nd and 4th week post-surgery(P>0.05),but was found at the 8th and 12th week post-surgery(P<0.05)with a significantly higher score in the experimental group than control group(P<0.05).ConclusionIn this study,we designed a group-based game training program for inpatients after repair of median nerve rupture.In the process of implementation,patients have a high degree of participation and good compliance.At the same time,participating in game training can effectively reduce the pain and anxiety scores of patients,and improve patients’ satisfaction with nursing work.Therefore,this program has a good application value for improving the current ward management and promoting the rehabilitation of patients,and it is worth popularizing and applying in the rehabilitation ward of hand surgery. |
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