Application Of HBM-based Micro-class Health Education In Rehabilitation Of Patients With Rotator Cuff Injury After Repair

Research Purpose:(1)To provide patients with visual rehabilitation action guidance,so that patients can better grasp the rehabilitation exercise methods and key points;(2)Let patients clear the significance of postoperative rehabilitation of rotator cuff injury,improve the health belief and compliance of rehabilitation exercise of patients,and ultimately promote the recovery of patients’ shoulder function.Research Methods:(1)Based on the literature review,the orthopedic surgeon and the rehabilitation specialist are invited to write a script for the postoperative rehabilitation of the rotator cuff injury.On the basis of this script,use the camera to shoot,use the "love editing" software to organize and edit,and finally complete Rehabilitation micro-classes after rotator cuff injury were made;at the same time,specific contents of nursing health education oriented by the health belief model were formulated.(2)From July 2020 to February 2021,84 patients who were hospitalized in the Department of Orthopedics of a tertiary hospital in Huzhou City,Zhejiang Province and prepared to undergo rotator cuff injury repair were selected as the research objects.Collect and evaluate the general data of the experimental group and the control group,the pain score(VAS),Constant-Murley shoulder joint function score,and rotator cuff injury rehabilitation compliance at 1 month before surgery,1 month after surgery,and 3 months after surgery,sex scores and health belief scores etc.Comparison of health beliefs combined with micro-class model experimental group and control group after different interventions.Research Results:(1)84 patients have been included in our study,divided into experimental group and control group.The follow-up was actually completed for 80 patients,40 in each group;the male to female ratio was 25:55;39 year to 76 year old,the average age was 57.84±8.21 year.Control group: 12 males and 28 females,59.28±7.77 year old;experimental group: 13 males and 27 females,56.4±8.48 year old.The patients had no significant differences in height,weight,course of disease,education level,and surgical site.(2)Pain(VAS)score: Before intervention,the difference between the experimental group(5.42±1.43)and the control group(5.55±1.44)was not significant(P>0.05).After the intervention,pain score data were collected at 1 month before surgery,1 month after surgery,and 3 months after surgery.Results indicated that significant difference was emerged between the two groups of experimental and control at these three time points(group F=5.835,P=0.018<0.05).(3)Constant-Murley shoulder function(CM)score: There was no significant difference between the experimental(52.90±8.70)and control(52.55±8.33)groups before the intervention(P>0.05).After intervention,CM scores were measured at 1 month before surgery,1 month after surgery,and 3 months after surgery.It was significantly different in CM score(F=4.633,P=0.034<0.05)between the experimental and control groups.It was significantly higher in experimental group than that of in control group.(4)Patient rehabilitation compliance score: No significant difference between the two groups of experimental(25.62±3.62)and control(25.87±3.87)groups(P>0.05)before intervention.However it was significantly different comparing between the experimental and control group(F=4.989,P=0.028<0.05)after intervention.(5)Various dimensions of health beliefs: It was not significantly different between the experimental and control groups(P>0.05)before the intervention.However it were significant difference between the two groups of experimental and control in personal health beliefs(F=4.221,P=0.043),felt powerful(F=4.089,P=0.047),and felt resource utilization(F=4.390,P=0.039),feeling threatened(F=4.547,P=0.036),there are statistically significant differences in scores(P<0.05),indicating that interventions in the experimental group can determine and improve patients’ personal health beliefs,feelings of strength and resources Use capacity;at the same time,it can reduce the patient’s feeling of being threatened.There was no significant difference between the experimental and control groups(P>0.05)in terms of feelings of control(F=1.510,P=0.233)and total health belief score(F=2.043,P=0.157).Conclusion:(1)Health belief model combined with micro-class nursing method can promote the recovery of shoulder joint function after rotator cuff injury repair,improve the patient compliance,and relieve the pain.(2)Health belief model combined with micro-class nursing method can enhance the personal health belief after rotator cuff injury repair,enhance the sense of strength,and reduce the sense of crisis,and so on.