关键词: 健康行为过程取向理论；冻结肩；全程管理；康复；护理

Abstract: Objective: To construct a whole-process rehabilitation management model based on the theory of Health Action Process Approach for patients with frozen shoulder, and to evaluate its application effects. Methods: Through the literature retrieval and the expert consultations, we constructed a whole-process rehabilitation management model for patients with frozen shoulder based on the theory of Health Action Process Approach. Patients with frozen shoulder admitted to a tertiary grade A hospital in Zhejiang were included by convenient sampling method. Patients admitted from May to July 2022 were set as the control group (n=40), provided with the routine nursing care. Patients admitted from September to November 2022 were set as the observation group (n=40), provided with the whole-process rehabilitation management. The differences of Constant scale score, QuickDASH scale score, NRS score at rest and activity were compared between the two groups at 1st day and 1st month after surgery. Results: After the intervention, the Constant scale score of the intervention group was higher than that of the control group, QuickDASH scale score and the maximum NRS score during activity of the observation group was lower than that of the control group at 1st day and 1st month after surgery (P<0.001). Conclusion: The whole-process rehabilitation management model based on the theory of Health Action Process Approach can relieve the pain of patients with frozen shoulder, promote comfort, and speed up shoulder joint rehabilitation. It can provide new ideas for nurses during the nursing management of frozen shoulder patients.

Key words: Health Action Process Approach; frozen shoulder; whole-process management; rehabilitation; nursing