基于数字化技术制作的标准化教学视频的 五行音乐节律引导手臂输液港患者 上肢功能锻炼方案构建及应用研究

Construction and Application of a Five-Element Music Rhythm-Guided Upper Limb Functional Exercise Program with Digitally Produced Standardized Instructional Videos for Patients with Upper Arm Totally Implantable Venous Access Ports

摘要: 目的：构建并应用基于数字化技术制作的标准化教学视频的五行音乐节律引导上肢功能锻炼方案，探讨其在手臂输液港患者中的安全性、运动依从性、护理可行性及功能恢复效果。方法：采用循证护理方法构建干预方案。选取某三级甲等医院行手臂输液港置入术的肿瘤患者60例，按入院顺序分为试验组和对照组，各30例。对照组实施常规握力球训练，试验组在常规护理基础上实施五行音乐节律引导的肩部功能锻炼。比较两组安全性、锻炼依从性、护理可行性及肩关节功能评分，并评估试验组患者满意度及锻炼意愿。结果：两组一般资料比较差异无统计学意义(P > 0.05)。干预期间未发生严重不良事件。试验组日均锻炼完成率、每日锻炼时间达成率及“良好”依从性比例均高于对照组(P < 0.05)。护理人员评分显示试验组在指导便利性、流程清晰度及患者理解能力方面优于对照组(P < 0.05)。干预后试验组肩关节功能各维度及总评分均高于对照组(P < 0.001)。试验组患者满意度及锻炼意愿得分均处于较高水平。结论：基于数字化技术制作的标准化教学视频的五行音乐节律引导上肢功能锻炼方案安全可行，可提高输液港患者运动依从性，促进功能恢复，具有一定临床推广价值。

Abstract: Objective: To construct and apply an upper limb functional exercise program guided by Five-Element music rhythm with digitally produced standardized instructional videos, and to evaluate its safety, exercise adherence, nursing feasibility, and effect on functional recovery in patients with upper arm totally implantable venous access ports. Methods: The intervention program was developed based on evidence-based nursing principles. Sixty patients who underwent upper arm totally implantable venous access port implantation in a tertiary hospital were enrolled and assigned to an experimental group or a control group according to admission order (30 patients in each group). The control group received routine grip-ball training, while the experimental group received shoulder functional exercises guided by Five-Element music rhythm with digitally produced standardized instructional videos in addition to routine nursing care. Safety indicators, exercise adherence, nursing feasibility, and shoulder joint function scores were compared between the two groups. Patient satisfaction and exercise intention were also assessed in the experimental group. Results: No serious adverse events occurred during the intervention period. The experimental group demonstrated significantly higher daily exercise completion rates, exercise time achievement rates, and proportion of “good” adherence compared with the control group (P < 0.05). Nursing evaluation scores showed that the experimental group performed better in terms of guidance convenience, procedural clarity, and patient comprehension (P < 0.05). After the intervention, shoulder joint function scores in all dimensions as well as the total score were significantly higher in the experimental group than in the control group (P < 0.001). Patients in the experimental group reported high levels of satisfaction and strong exercise intention. Conclusion: The Five-Element music rhythm-guided upper limb functional exercise program supported by digitally produced standardized instructional videos is safe and feasible. It can improve exercise adherence and promote functional recovery in patients with upper arm totally implantable venous access ports, demonstrating potential for clinical application.