Application of nursing management based on self-efficacy theory in the patients of early functional exercise of the affected limb after permanent pacemaker implantation / 中国实用护理杂志

Objective:To study the application value of nursing management based on self-efficacy theory in the early functional exercise of the affected limb after permanent pacemaker implantation.Methods:This study was a randomized controlled trial. A total of 90 patients who underwent permanent pacemaker implantation in Wuxi Second People′s Hospital (the Affiliated Central Hospital of Jiangnan University) from May 2019 to March 2021 were enrolled. They were divided into observation group and control group with 45 patients each according to random number table. The control group received routine nursing intervention, and the observation group received supplemental management interventions based on self-efficacy theory. The rate of post-operative rehabilitation up to the standard, the scores of the Shoulder Pain and Disability Index (SPADI), Chronic Disease Self-Efficacy Scale (CDSES) and Quality of Life Instrument for Patients with Pacemaker (QLIPP) were compared.Results:The rate of observation group's post-operative rehabilitation up to the standard was 93.33% (42/45), which was higher than that of the control group 77.78% (35/45). The difference was statistically significant ( χ2 =4.41, P<0.05). The pain index of the observation group was (20.27 ± 4.13), (5.25 ± 2.64)points at 1 and 2 weeks after operation, which was significantly lower than (27.06 ± 5.30), (9.35 ± 4.22) points of the control group ( t=6.78, 5.53, both P<0.05). The dysfunction index of the observation group was (15.06 ± 5.96), (7.21 ± 3.68) points, which was significantly lower than (17.75 ± 6.04), (9.03 ± 4.06) points of the control group ( t=2.13, 2.23, both P<0.05). After 2 weeks of operation, the total score of CDSES in the observation group was (4.73 ± 1.68) points, which was higher than (3.67 ± 1.49) points in the control group, and the difference was statistically significant ( t=3.17, P<0.05). The total score of QLIPP in the observation group was (92.78 ± 6.26), (124.40 ± 4.91) points at 2 weeks and 1 month after operation, which was significantly higher than (83.50 ± 7.91), (112.42 ± 5.04) points in the control group ( t=6.17, 9.51, both P<0.05). Conclusions:The application of nursing care based on self-efficacy theory in the patients of early functional exercise of the affected limb after permanent pacemaker implantation can improve rehabilitation compliance, self-efficacy of patients, the function of the affected shoulder joint and the patient′s quality of life.

Functional exercise compliance among young and middle-aged stroke patients / 预防医学

Objective@#To investigate the compliance of functional exercises and identify its influencing factors among young and middle-aged stroke patients, so as to provide insights into rehabilitation management among young and middle-aged stroke patients.@*Methods@#Stroke patients at ages of 18 to 59 years were recruited from those receiving rehabilitation treatment in Tongde Hospital Affiliated to Zhejiang Chinese Medical University from January 2021 to June 2022. Participants' demographics and clinical data were collected through questionnaire surveys. The compliance of functional exercises was assessed using Stroke Functional Exercise Adherence Questionnaire, and patients' social support, exercise self-efficacy and depression were assessed using the Social Support Rating Scale, Exercise Self-efficacy Scale and Self-rating Depression Scale. The factors affecting functional exercise compliance were identified among young and middle-aged stroke patients with a multivariable linear regression model.@*Results@#A total of 230 questionnaires were allocated and 213 valid questionnaires were recovered, with an effective recovery rate of 92.61%. The respondents included 129 men (60.56%) and 84 women (39.44%) and had a mean age of (53.49±7.95) years. The total score of functional exercise compliance was (41.37±9.11) points among the participants. Multivariable linear regression analysis identified education level (β'=0.376), monthly household income per capita (β'=0.309), history of stroke onset (β'=-0.238), rehabilitation instruction (β'=0.284), depression (β'=-0.261), exercise self-efficacy (β'=0.152), and social support level (β': 0.277 to 0.415) as factors affecting the functional exercise compliance among young and middle-aged stroke patients.@*Conclusion@#Education level, income, history of stroke onset, depression, exercise self-efficacy and social support may affect the compliance of exercise compliance among young and middle-aged stroke patients.

Lidong needling therapy combined with functional exercise in treatment of upper limb lymphedema after breast cancer surgery: a randomized controlled trial / 中国针灸

OBJECTIVE@#To observe the clinical efficacy of lidong needling therapy (acupuncture technique combined with therapeutic movement of the body) on upper limb lymphedema after breast cancer surgery in combination with functional exercise.@*METHODS@#A total of 73 patients with postoperative lymphedema of breast cancer in the upper limbs were randomized into an observation group (36 cases) and a control group (37 cases). The routine nursing care and functional exercise were given in the control group, twice a day, for about 10-15 min each time, lasting 8 weeks. On the basis of the treatment as the control group, lidong needling therapy was applied to the acupionts on the affected upper limb, i.e. Jianyu (LI 15), Waiguan (TE 5), Hegu (LI 4) and ashi points (the most obvious swelling sites), as well as to bilateral Yinlingquan (SP 9) and Zusanli (ST 36), etc. The needles were retained for 30 min. While the needles retained, the patients were asked to move the affected shoulder to 90° by the sagittal anteflexion and keep it elevated. Simultaneously, the hand on the affected side was clenched and opened slowly and coordinately. Lidong needling therapy was delivered once every two days, three times weekly for 8 weeks. Before and after treatment, the difference of the circumference between the affected and healthy limbs, the score of visual analogue scale (VAS) for swelling and the score of disability of arm, shoulder and hand (DASH) were compared in the patients of the two groups. The clinical efficacy was evaluated.@*RESULTS@#After 2, 4, 6 and 8 weeks of treatment, except for the circumference of the area 10 cm below the cubitel crease in the control group, the differences in the circumferences of the rest parts between the affected and healthy limbs were reduced in comparison with those before treatment in the two groups (P<0.01, P<0.05). After 6 weeks of treatment, in the observation group, for the circumference at the level of hand between the thumb and the index finger and that of the wrist, the differences between the affected and healthy limbs was smaller compared with those in the control group (P<0.05). After 8 weeks of treatment, except for the areas 5 cm below and above the cubitel crease, the differences of circumferences between the affected and healthy limbs in the observation group were smaller than those in the control group in the rest parts (P<0.01, P<0.05). After 8 weeks of treatment, the swelling VAS scores were reduced when compared with those before treatment in the two groups (P<0.05), and the score in the observation group was lower than that in the control group (P<0.01). After 4 and 8 weeks of treatment, DASH scores were reduced in comparison with those before treatment in the two groups (P<0.01). The total effective rate of the observation group was 83.3% (30/36), which was higher than that of the control group (35.1%, 13/37, P<0.01).@*CONCLUSION@#Lidong needling therapy combined with the functional exercise obtains the satisfactory clinical effect on the upper limb lymphedema after breast cancer surgery. This treatment effectively relieves swelling and improves the upper limb function.

The effect of physical exercise on the rehabilitation quality of human waist dysfunction / O efeito do exercício físico na qualidade da reabilitação da disfunção da cintura humana / El efecto del ejercicio físico en la calidad de rehabilitación de la disfunción de la cintura humana

ABSTRACT Introduction Human motor dysfunction can affect the quality of life, especially waist dysfunction. And an effective means to improve muscle strength during exercise. Object This article compares and analyzes the effectiveness of human muscle exercise on the decline in quality of life caused by motor dysfunction. Method The article divides patients with motor dysfunction into trunk isokinetic training group (experimental group) and waist and abdominal muscle functional training group (control group), and comparative analysis of related indicators before and after treatment. Results Before treatment, the specific indicators of the two were different (P>0.05). After treatment, the patients' quality of life indicators and motor function indicators were significantly different (P<0.05). Conclusion Exercise has an obvious curative effect for patients with human motor dysfunction, and it is worthy of clinical promotion. Level of evidence II; Therapeutic studies - investigation of treatment results.

RESUMO Introdução A disfunção motora humana pode afetar a qualidade de vida, principalmente a disfunção da cintura. E um meio eficaz de melhorar a força muscular é o exercício. Objetivo este artigo compara e analisa a eficácia do exercício muscular humano no declínio da qualidade de vida causado por disfunção motora. Método O artigo divide os pacientes com disfunção motora em grupo treinamento isocinético de tronco (grupo experimental) e grupo treinamento funcional de cintura e músculos abdominais (grupo controle), e análise comparativa dos indicadores relacionados antes e após o tratamento. Resultados Antes do tratamento, os indicadores específicos dos dois eram diferentes (P> 0,05). Após o tratamento, os indicadores de qualidade de vida e indicadores de função motora dos pacientes foram significativamente diferentes (P <0,05). Conclusão O exercício tem um efeito curativo óbvio para pacientes com disfunção motora humana e é digno de promoção clínica. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.

RESUMEN Introducción La disfunción motora humana puede afectar la calidad de vida, especialmente la disfunción de la cintura. Y un medio eficaz para mejorar la fuerza muscular es el ejercicio. Objeto Este artículo compara y analiza la efectividad del ejercicio muscular humano sobre el deterioro de la calidad de vida causado por la disfunción motora. Método El artículo divide a los pacientes con disfunción motora en grupo de entrenamiento isocinético del tronco (grupo experimental) y grupo de entrenamiento funcional de cintura y músculos abdominales (grupo control), y análisis comparativo de indicadores relacionados antes y después del tratamiento. Resultados Antes del tratamiento, los indicadores específicos de los dos eran diferentes (P> 0.05). Después del tratamiento, los indicadores de calidad de vida de los pacientes y los indicadores de función motora fueron significativamente diferentes (P <0,05). Conclusión El ejercicio tiene un efecto curativo obvio para los pacientes con disfunción motora humana y es digno de promoción clínica. Nivel de evidencia II; Estudios terapéuticos: investigación de los resultados del tratamiento.

A new minimally invasive spreader combined with less invasive stabilization system for proximal tibial fractures / 中国组织工程研究

BACKGROUND: The traditional surgical treatment of proximal tibial fractures has extensive dissection of the fracture site, and affects local blood circulation, increases the incidence of delayed union and nonunion. In recent years, the rising minimally invasive internal fixation system can protect the local soft tissue and blood circulation to the maximum extent, and provide better conditions for fracture healing. The application of new spreader also solves the problems of stability and durability of traditional manual traction reduction, and the combination of the two is gradually concerned. OBJECTIVE: To explore the effect of a new minimally invasive spreader assisted reduction and less invasive stabilization system for the treatment of proximal tibial fractures. METHODS: Twenty-two patients with proximal tibial fractures treated from May 2016 to October 2019 were studied and randomly assigned to control group and observation group (n=11 per group). Patients in the control group were treated with conventional manipulative reduction and conventional incision plate internal fixation. Patients in the observation group were treated with a new minimally invasive spreader assisted reduction and less invasive stabilization system. This study was approved by the Ethics Committee of Fifth Hospital, Guangzhou Medical University. RESULTS AND CONCLUSION: Compared with the control group, Rasmussen knee function score was better in the observation group at the last follow-up. Intraoperative blood loss, operation time, length of hospital stay, and weight-bearing time in the observation group were better than those in the control group. Postoperative complications such as joint limitation and delayed fracture healing were less in the observation group than in the control group. However, the healing time was not statistically significant between the two groups. Moreover, infection of the incision and loosening and fracture of the internal fixator were not statistically significant between the two groups. These indicated that the application of a new minimally invasive spreader combined with less invasive stabilization system for proximal tibial fractures can reduce surgical reduction time and local soft tissue damage, which is beneficial to early functional exercise and can reduce postoperative complications.

Effect of comprehensive functional exercise on intubation after offline inpatients with severe muscle atrophy / 中国实用护理杂志

Objective@#To explore the effect of comprehensive functional exercise on re-intubation in hospitalized patients with critical muscle wasting.@*Methods@#A total of 92 patients with severe muscle atrophy who were treated in our hospital from January 2016 to 2018 were selected. According to the nursing method, the patients were divided into two groups, including 46 cases in the control group, routine muscle atrophy exercise, and 46 cases in the observation group. Comprehensive functional exercise was performed on the basis of the control group. The control group took regular muscle atrophy exercises, and the observation group took a comprehensive functional exercise on the basis of the control group. The reintubation rates at 48h, 72h, and 168h after extubation were compared between the two groups; the incidence of crisis, ventilator prevalence, occurrence rate, and off-line time were compared between the two groups; the health status of SF-36 was compared between the two groups.@*Results@#There were 0, 1, and 2 patients in the observation group at 48, 72, and 168h, and 5, 10, and 13 patients in the control group, respectively, with statistically significant differences (χ2=5.287, 8.364, 9.478, P < 0.05 or 0.01). The incidence rate of crisis, ventilator probability and complication rate were 8.70% (4/46), 4.35% (2/46) and 4.35% (2/46) in the observation group, and 23.91% (11/46), 30.23% (13/46) and 19.57% (9/46) in the control group, respectively. The difference was statistically significant (χ2=8.791, 9.478, 7.325, P < 0.05). The off-line time of the observation group was (107.22 ±10.98) h, and that of the control group (199.44 ±10.57) h, with statistically significant difference (t=2.413, P < 0.05). The SF-36 health status score of the observation group was respectively 36.12±10.44, 82.20±10.24, 40.43±16.14, 63.88±9.75, 82.06±10.11, and the control group was 26.68±17.66, 26.78±10.72, 42.18±8.79, and 68.92±9.65. The difference between the two groups was statistically significant (t=12.214-14.829, P<0.05).@*Conclusions@#Comprehensive functional exercise is beneficial to reduce the rate of intubation of patients with severe muscle atrophy, reduce the incidence of adverse events and improve the health of patients.

Effect of early customized muscle strength training on postoperative rehabilitation of patients with lumbar intervertebral disc herniation / 中国实用护理杂志

Objective@#To explore the effect of early customized muscle strength training on postoperative rehabilitation of patients with lumbar intervertebral disc herniation, so as to provide a basis for better promoting postoperative rehabilitation of patients.@*Methods@#From January 2017 to June 2018, 136 patients with lumbar intervertebral disc herniation admitted to Orthopaedic Department of the Second Affiliated Hospital of Harbin Medical University were selected as the study subjects. According to the admission time, they were divided into control group (63 cases) and experimental group (64 cases). Patients in the control group received routine nursing and rehabilitation after operation, while patients in the experimental group received early customized rehabilitation training for 12 weeks on the basis of routine nursing. Oswestry dysfunction score, Japanese Orthopaedic Society (JOA) score and Visual Analogue Scale (VAS) score were compared between the two groups before and after intervention.@*Results@#The Oswestry dysfunction scores of the intervention group on the 4th and 12th weeks after operation were 26.71±4.08 and 13.66 ± 3.54, lower than those of the control group (28.34±4.25 and 16.42 ± 4.13). There were significant differences between the two groups (t=2.205, 4.046, all P < 0.05 or 0.01). The JOA scores of the intervention group on the 10th day, 4th week and 12th week after operation were 19.14 ± 2.68, 23.51 ± 2.76, 25.32 ± 2.86, and those in the control group were 17.99 ± 2.51, 21.98 ± 2.64, 23.11 ± 2.72, respectively (t=2.495, 3.192, 4.461, P < 0.05 or 0.01). The VAS scores of waist and lower limbs in intervention group were 1.39 ±0.76 and 1.32 ±0.69, lower than those in the control group (1.75± 0.88, 1.61 ±0.84), respectively. The difference between the two groups was significant (t = 2.469, 2.127, P < 0.05).@*Conclusion@#Early customized muscle strength training can improve the body function and pain degree of patients with lumbar disc herniation after operation. It is simple, easy to master, easy to accept, and has good effect. It is worthy of being popularized widely in clinic.

Application of Motivational Interviewing in functional exercise of postoperative breast cancer patients / 中国实用护理杂志

Objective@#To investigate the effect of motivational interviewing on functional exercise in postoperative breast cancer patients.@*Methods@#A total of 128 postoperative breast cancer patients admitted to our hospital from March 2016 to October 2017 were selected and divided into control group and observation group before and after motivational interviewing. The control group was given routine functional exercises guidance, while the observation group was given motivational interviewing on the basis of the control group. The self-efficacy and functional exercise compliance of the two groups were evaluated before intervention, on the day of discharge, and 3 months after discharge. The shoulder joint mobility of the two groups was evaluated 3 months after discharge.@*Results@#Repeated measures analysis of variance showed that there were statistically significant difference between the control group and the observation group in C-SUPPH (Fintervention=5.608, P=0.020) and Postoperative Functional Exercise Compliance Scale for Breast Cancer(Fintervention=6.776, P=0.010); The shoulder joint mobility of the observation group was superior to the control group at 3 months after discharge (U=2.128, P=0.033).@*Conclusion@#Motivational interviewing can improve self-efficacy and functional exercise compliance of postoperative breast cancer patients, and promote the recovery of shoulder joint activity function.

Effect of health care shared decision-making mode on functional exercise in patients with breast cancer after operation / 中国实用护理杂志

Objective@#To explore the effect of health care shared decision-making mode on functional exercise in patients with breast cancer after operation.@*Methods@#Convenient sampling was used to select 41 breast cancer patients who were admitted to surgery in a grade three hospital in February 2017-2018 in February. There were 23 cases in the intervention group and 18 in the control group. The intervention group was given health care shared decision-making mode on the basis of routine nursing, while the control group was given routine nursing. The changes of limb dysfunction, functional exercise compliance and quality of life were observed and compared between the two groups one month, three months and six months after operation.@*Results@#There was no significant difference in the outcome indicators between the two groups one month after operation (P>0.05). The scores of limb dysfunction in the intervention group at three months and six months after operation were (16.25±8.84) (13.70±12.97) points, which were significantly lower than those in the control group (30.71±22.91), (21.49±14.25) points(t=-2.682, -2.447, P<0.05). The scores of functional exercise compliance in the intervention group at three months and six months after operation were (57.10±5.55) (62.36±4.81) points respectively, higher than those in the control group (52.99±14.18), (54.99±6.90) points (t = 1.228, 3.034, P<0.05). The scores of QOL in the intervention group at three months and six months after operation(98.16±14.17), (116.22±10.14) points were significantly higher than those in the control group (86.35±20.95), (91.41±24.04) points (t=2.021,3.866, P<0.05).@*Conclusion@#Shared decision-making mode changes the patient's medical experience, reduces the information asymmetry in the treatment process, and strengthens the patient's autonomy, thus alleviated the limb dysfunction of the breast cancer patients, improved the patient's functional exercise compliance and the quality of life, and made the patients get the best care.

Application of Motivational Interviewing in functional exercise of postoperative breast cancer patients / 中国实用护理杂志

Objective To investigate the effect of motivational interviewing on functional exercise in postoperative breast cancer patients. Methods A total of 128 postoperative breast cancer patients admitted to our hospital from March 2016 to October 2017 were selected and divided into control group and observation group before and after motivational interviewing. The control group was given routine functional exercises guidance, while the observation group was given motivational interviewing on the basis of the control group. The self-efficacy and functional exercise compliance of the two groups were evaluated before intervention, on the day of discharge, and 3 months after discharge. The shoulder joint mobility of the two groups was evaluated 3 months after discharge. Results Repeated measures analysis of variance showed that there were statistically significant difference between the control group and the observation group in C-SUPPH (Fintervention=5.608, P=0.020) and Postoperative Functional Exercise Compliance Scale for Breast Cancer(Fintervention=6.776, P=0.010); The shoulder joint mobility of the observation group was superior to the control group at 3 months after discharge (U=2.128, P=0.033). Conclusion Motivational interviewing can improve self-efficacy and functional exercise compliance of postoperative breast cancer patients, and promote the recovery of shoulder joint activity function.

Effect of health care shared decision-making mode on functional exercise in patients with breast cancer after operation / 中国实用护理杂志

Objective To explore the effect of health care shared decision-making mode on functional exercise in patients with breast cancer after operation. Methods Convenient sampling was used to select 41 breast cancer patients who were admitted to surgery in a grade three hospital in February 2017-2018 in February. There were 23 cases in the intervention group and 18 in the control group. The intervention group was given health care shared decision-making mode on the basis of routine nursing, while the control group was given routine nursing. The changes of limb dysfunction, functional exercise compliance and quality of life were observed and compared between the two groups one month, three months and six months after operation. Results There was no significant difference in the outcome indicators between the two groups one month after operation (P>0.05). The scores of limb dysfunction in the intervention group at three months and six months after operation were (16.25±8.84) (13.70±12.97) points, which were significantly lower than those in the control group (30.71±22.91), (21.49±14.25) points (t=-2.682,-2.447, P<0.05). The scores of functional exercise compliance in the intervention group at three months and six months after operation were (57.10±5.55) (62.36±4.81) points respectively, higher than those in the control group (52.99±14.18), (54.99±6.90) points (t=1.228, 3.034, P<0.05). The scores of QOL in the intervention group at three months and six months after operation(98.16±14.17), (116.22± 10.14) points were significantly higher than those in the control group (86.35±20.95), (91.41±24.04) points (t=2.021,3.866, P<0.05). Conclusion Shared decision-making mode changes the patient's medical experience, reduces the information asymmetry in the treatment process, and strengthens the patient's autonomy, thus alleviated the limb dysfunction of the breast cancer patients, improved the patient's functional exercise compliance and the quality of life, and made the patients get the best care.

Compliance of functional exercise and its influencing factors among patients with Parkinson's disease / 预防医学

Objective@# To explore the compliance of functional exercise and related factors in patients with Parkinson's disease（PD）. @*Methods@# A total of 108 PD patients were selected from Department of Neurology of General Hospital of Panzhihua Iron and Steel Group. An anonymous survey was conducted with general questionnaire,Mini-Mental State Examination,Hamilton Depression Rating Scale,Hamilton Anxiety Rating Scale and functional exercise compliance questionnaire. Multivariate linear regression model was used to analyze the influencing factors for the scores of functional exercise compliance in PD patients. @*Results@# The total score of functional exercise compliance of 108 PD patients was 36.88±4.62. The scores of compliance of physical exercise,exercise monitoring,seeking advice and tips for attention were 15.65±1.92,9.61±1.48,5.67±1.08 and 5.95±1.18,respectively. The results of multivariate linear regression analysis showed that educational background（β'=0.748）,duration of illness（β'=-0.252）,Hoehn-Yahr stage（β'=-0.677）,rehabilitation guidance（β'=0.293）,self-care ability（β'=0.313）,primary caregiver（β'=0.182）,cognitive dysfunction（β'=0.745）,depression（β'=0.588）and anxiety（β'=0.520）could affect the compliance of functional exercise among PD patients（all P<0.05）. @*Conclusion @#The compliance of functional exercise among PD patients was at low level,with educational background,duration of illness,Hoehn-Yahr stage,rehabilitation guidance,self-care ability,primary caregiver,cognitive dysfunction,depression and anxiety as the influencing factors.

Application of new perioperative functional exercise combined with rehabilitation guidance in the treatment of developmental hip dislocation in children / 中国基层医药

Objective To explore and analyze the clinical application of perioperative functional exercise combined with rehabilitation guidance in the treatment of pediatric developmental hip dislocation.Methods From December 2015 to December 2017,40 children with developmental dislocation of the hip treated in Shengjing Hospital Affiliated to China Medical University were selected in the research.The patients were randomly divided into control group and observation group,with 20 cases in each group.The control group was given conventional perioperative rehabilitation guidance,the observation group was given new perioperative functional exercise combined with rehabilitation guidance.The limb function and mental status changes before and after the intervention were compared between the two groups.Results After intervention,the scores of FMA and Barthel were all increased in the two groups compared with those before intervention,and the improvements of the observation group wese more significant than those of the control group (all P ＜ 0.05).After intervention,the self-rating anxiety scale (SAS),self-rating depression scale (SDS),Hamilton depression scale(HAMD) and other negative emotions scores in the observation group were significantly lower than those in the control group (all P ＜ 0.05).Conclusion New perioperative functional exercise combined with rehabilitation guidance can effectively improve the limb function of children with developmental dislocation of the hip joint,at the same time improve the patients' mental state,and has positive significance to enhance the curative effect.

Effect of comprehensive functional exercise on intubation after offline inpatients with severe muscle atrophy / 中国实用护理杂志

Objective To explore the effect of comprehensive functional exercise on re-intubation in hospitalized patients with critical muscle wasting. Methods A total of 92 patients with severe muscle atrophy who were treated in our hospital from January 2016 to 2018 were selected. According to the nursing method, the patients were divided into two groups, including 46 cases in the control group, routine muscle atrophy exercise, and 46 cases in the observation group. Comprehensive functional exercise was performed on the basis of the control group. The control group took regular muscle atrophy exercises, and the observation group took a comprehensive functional exercise on the basis of the control group. The reintubation rates at 48h, 72h, and 168h after extubation were compared between the two groups; the incidence of crisis, ventilator prevalence, occurrence rate, and off-line time were compared between the two groups; the health status of SF-36 was compared between the two groups. Results There were 0, 1, and 2 patients in the observation group at 48, 72, and 168h, and 5, 10, and 13 patients in the control group, respectively, with statistically significant differences (χ2=5.287, 8.364, 9.478, P < 0.05 or 0.01). The incidence rate of crisis, ventilator probability and complication rate were 8.70% (4/46), 4.35% (2/46) and 4.35% (2/46) in the observation group, and 23.91% (11/46), 30.23% (13/46) and 19.57% (9/46) in the control group, respectively. The difference was statistically significant ( χ2=8.791, 9.478, 7.325, P<0.05). The off-line time of the observation group was (107.22 ±10.98) h, and that of the control group (199.44 ± 10.57) h, with statistically significant difference (t=2.413, P<0.05). The SF-36 health status score of the observation group was respectively 36.12±10.44, 82.20±10.24, 40.43±16.14, 63.88±9.75, 82.06±10.11, and the control group was 26.68 ± 17.66, 26.78 ± 10.72, 42.18 ± 8.79, and 68.92 ± 9.65. The difference between the two groups was statistically significant (t=12.214- 14.829, P＜0.05). Conclusions Comprehensive functional exercise is beneficial to reduce the rate of intubation of patients with severe muscle atrophy, reduce the incidence of adverse events and improve the health of patients.

Effect of early combined functional exercise on lower limb rehabilitation of vessel bridge taken in coronary artery bypass surgery / 中国实用护理杂志

Objective To investigate the effect of early combined functional exercise on lower limb rehabilitation of vessel bridge taken in coronary artery bypass surgery. Methods From January to October 2017,90 patients undergoing coronary artery bypass surgery were randomly divided into control group and experimental group by coin toss, with 45 patients in each group. The control group was given routine nursing care, and the experimental group was given early combined functional exercise (foot dorsiflexion, ring rotation exercise and straight leg raising exercise) on the basis of routine nursing care. The difference of correlation index between two groups was compared. Results In the experimental group, the number of swelling in the thigh, crus and ankle were 20, 25 and 35 respectively; the control group was 32, 35, 43, the difference was statistically significant(χ2=6.55, 5.00, 8.38, P<0.05). The remission of limb swelling in the experimental group was also better than that in the control group(P<0.01). The incidence of limb wound complications: 6 cases in the experimental group, 18 cases in the control group(χ2=11.79,P<0.01));limb muscle strength grade Lovett:experimental group 0 case with grade 3,19 cases with grade 4,26 cases with grade 5,control group 9 cases with grade 3,26 cases with grade 4,10 cases with grade 5, there were significant differences between two groups (χ2=17.20, P<0.05). The limb comfort score,postoperative bed time,postoperative hospital stay was(7.11±1.15)points,(5.28±1.07)d, (11.04±2.01)d in the experimental group and(5.18±1.13)points,(6.97±1.21)d,(12.67±1.59)d in the control group,the differences were significant(t=-8.02,6.97,4.23,P<0.01). Conclusions To carry out early functional exercise can not only take angiogenesis effectively reduce limb swelling rate after coronary artery bypass grafting,relieve the severity of limb swelling,but also can reduce the incidence of incision complications,promote the recovery of limb muscle strength,shorten the postoperative recovery time and postoperative hospitalization time,is worthy of promotion and use in clinical nursing work.

Application of functional exercise pathway in a enhanced recovery after surgery in patients undergoing hepatectomy / 国际外科学杂志

Objective To investigate the application value of functional exercise pathway in enhanced recovery of patients undergoing hepatectomy.Methods Fifty primary hepatic carcinoma patients who had undergone liver resection in Anhui Province Hospital from December 2014 to August 2015 were randomly divided into experimental group (n =25) and control group (n =25).Postoperative length of hospital stay,hospitalization charges,complications,postoperative pain score,postoperative ambulation and intestinal ventilation time were compared between these groups.Measurement data with normal distribution were represented as ((x) ± s) and comprison between groups was analyzed using the t test.Comparisons of count data were analyzed by the x2 test.Results Postoperative length of hospital stay of the experimental group [(7.00 ± 2.27) days] were shorter than control group [(9.36 ± 4.58) days] (t =3.090,P =0.003),and hospitalization expense was lower in the experimental group [(28 184.57 ± 8 675.65) yuan] (t =2.281,P =0.025).Compared with control group (40％),the experimental group (20％) had lower overall complication incidence (t =4.286,P =4.286),and general complications incidence (8％) is lower than that in control group (24％),however,the incidence of operation characteristic complications had not statistical significance in two groups.Besides,the intestinal recovery time in the experimental group was shorter than control group (experimental group 36.56 hours,control group 45.24 hours,t =2.390,P =0.019).Conclusion The application of functional exercise pathway in postoperative enhanced recovery exercise of patients undergoing hepatectomy is safe and effective,which can reduce the patients' postoperative hospital stay,hospital costs,and the general incidence of complications incidence,and be helpful for the intestinal function recovery.

Therapeutic Observation of Acupuncture, Chiropractic plus Functional Exercise for Postpartum Sacroiliac Malposition / 上海针灸杂志

Objective To observe the clinical efficacy of acupuncture, chiropractic plus functional exercise of lumbar and gluteal muscles in treating postpartum sacroiliac malposition.Method Forty patients with postpartum sacroiliac malposition were randomized into group A, group B, group C and group D, 10 cases in each group. Group A was intervened by acupuncture, chiropractic plus functional exercise of lumbar and gluteal muscles, group B by acupuncture plus chiropractic, group C by acupuncture plus functional exercise of lumbar and gluteal muscles, and group D by chiropractic plus functional exercise of lumbar and gluteal muscles. The four groups were intervened once every other day. The modified Oswestry Disability Index (ODI) score was observed before and after 5 treatment sessions, and the clinical efficacies in the four groups were compared.Result The total effective rates were 100.0% in the four groups, and the inter-group differences were statistically insignificant (P>0.05). The ODI scores in the four groups were significantly changed after treatment and in the 3-month follow-up study compared with those before the treatment (P<0.05). After the treatment, the ODI score in group B was significantly different from that in the other groups (P<0.05). The ODI scores in group A and B in the 3-month follow-up study were significantly different from those after the treatment in the same group (P<0.05). The ODI score in group A was significantly different from that in the other groups in the 3-month follow-up study (P<0.05). The ODI score in group B in the 3-month follow-up study was significantly different from that in group C and D (P<0.05).Conclusion Acupuncture, chiropractic plus functional exercise of lumbar and gluteal muscles is definitely effective in treating postpartum sacroiliac malposition, acupuncture plus chiropractic can produce a significant short-term efficacy and alleviate the symptoms, and functional exercise of lumbar and gluteal muscle can produce an obvious long-term efficacy.

Application of Workshop in Functional Rehabilitation of Affected Limb for Postoperative Breast Cancer Patients / 中国康复理论与实践

@#Objective To explore the effect of workshop on postoperative function of affected limb in patients with breast cancer. Meth-ods From August, 2015 to June, 2016, 70 patients with breast cancer after modified radical mastectomy were randomly divided into control group (n=35) and observation group (n=35). The control group was instructed by the primary nurse bedside based on the traditional method, while the observation group was guided with workshop mode. Results Ten days and one month after surgery, the range of motion of the shoulder joint in the observation group was superior to the control group (t>2.030, P<0.01);the incidence of lymphedema of the affected limb in the observation group was lower than that in the control group (u=2.195, P<0.05). Conclusion Functional exercise guided with work-shop mode could improve postoperative function of affected limb in patients with breast cancer.

Clinical study on treating of the knee osteoarthritis by using glucosamine capsule and injecting sodium hyaluronate combined with appropriate functional exercise / 中国生化药物杂志

Objective To investigate the clinical effect of three capsule combined with Function injection combined with functional exercise in the treatment of knee osteoarthritis.Methods120 patients with knee osteoarthritis were randomly divided into two groups, the study group took orally hydrochloride capsule combined with joints injection combined with functional exercise therapy, and the control group only oral glucose capsules.two groups of patients after a period of treatment.ResultsIn the VAS score, lequesne index and serum inflammatory molecular level of the two groups were significantly better than the control group (P<0.05).ConclusionWhich the clinical study on treating of the knee osteoarthritis by using glucosamine capsule and injecting sodium hyaluronate combined with appropriate functional exercise has a significant effect on knee osteoarthritis, and more favorable in improving the quality of life of patients.

Effect of functional exercise at different time and different immobilization positions on functional recovery of elbow joint with type C distal humeral fractures / 中国修复重建外科杂志

Objective: To investigate the effect of functional exercises at different time and different immobilization positions on the functional recovery of elbow joint with type C distal humeral fractures.