Effect Of Teach-back Health Education On The Early Recovery Of Patients After Arthroscopic Rotator Cuff Injury Repair

Objective: Applying the teach-back method of health education to post-operative patients with arthroscopic rotator cuff injury repair,to explore the effect of this method on patients’ early recovery outcomes and to provide ideas for selecting a health education model for postoperative patients.Methods: 88 inpatients who attended the sports medicine department of a tertiary care hospital in Gansu Province from January 2022 to December 2022 and underwent arthroscopic rotator cuff injury repair and met the inclusion criteria were chosen as the study subjects using the convenient sampling method.The study subjects were then approximately equivalent to one of two groups,with 44 cases in each group serving as the intervention group and the control group.The intervention group received teach-back-based health education and instruction on rotator cuff injury whereas the control group received the standard health education and instruction.The two patient groups’ post-operative rehabilitation outcomes were evaluated using the Visual Analogue Scale for Pain(VAS),the Rotator Cuff Injury Patient Rehabilitation Exercise Adherence Questionnaire,the Constant-Murley Score(CMS),the Short Form 36 Health Survey Questionnaire(SF-36),and post-operative complications.On the day of admission,general data was gathered,and patients were assessed using the aforementioned scales prior to,at week 4,and at week 12 following surgery.Results:A total of 83 participants finished the research due to the loss of two intervention group patients and three control group patients.Both the variances in general demographic and disease-related data between both the two different groups and the variations in baseline scores on each scale between the two groups were consistent and not statistically significant(P>0.05).The results of the study are as follows:1.Pain: The distinction among the two groups before surgery was not considerable(P>0.05).While the discrepancy in VAS evaluations among the two teams at week 4 and week12 post-operatively was relevant(P<0.05),Patients in the intervention group had lower VAS scores than those in the control group.Repeated measures ANOVA showed significant time and group effects for VAS scores(P<0.05),indicating that VAS scores were influenced by time and intervention.2.Rehabilitation compliance: the pre-operative variation was non-significant in both groups(P>0.05),and the difference between the two groups was significant(P<0.05)for the decline in the rehabilitation adherence scores at week 4 and week 12 after surgery,with the intervention group having a higher adherence score.Repeated measures ANOVA showed significant time,group and interaction effects(P<0.05),indicating that adherence scores were affected by time and intervention,and that the intervention group showed a slower decline than the control group.3.Shoulder joint function: there was no statistically considerable change in the presurgical values in the two groups(P>0.05),and the CMS scale was very substantially changed in both groups(P<0.05)at postoperative week 4 and postoperative week 12 assessments,and patients in the intervening group had greater CMS points than controls.Repeated measures ANOVA showed significant time and between-group effects for CMS scores(P<0.05),indicating that CMS scores were influenced by time and intervention.4.Quality of life: pre-operative statistics did not differ significantly between the two groups(P>0.05),the scores of patients in the two groups decreased at week 4 postoperatively,but the discrepancy was not statistically significant between the two sets(P>0.05);the scores increased at week 12 postoperatively,and the variation is remarkable(P<0.05),and patients in the intervening arm had a better overall SF-36 score than the controlling arm.Analysis of variance for repeated exposure revealed a time effective,between-group effect and interaction effect of SF-36 total score were all significant(P<0.05),that SF-36 total score was affected by time and intervention,and that the trend of change in SF-36 total score over time was different for different groups of patients.5.Postoperative complications: during the follow-up period,two cases of joint mobility disorders occurred in the intensive care arm,with an incidence of 4.80%;three cases of joint mobility disorders occurred in the control group,with an incidence of 7.30%.The postoperative complication rate was found to be lower in the intensive care arm than in the controls,but the discrepancy was not obvious(P>0.05).Conclusion: Using the teach-back method to educate patients after arthroscopic rotation cuff damage repair can reduce early postoperative pain,increase patients’ motivation for rehabilitation exercises,promote early functional recovery of the shoulder joint,and thus improve patients’ postoperative quality of life,but it has no significant effect in reducing the incidence of early postoperative complications.