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Randomized Controlled Trial
. 2025 Jan 7;20(1):21.
doi: 10.1186/s13018-024-05246-1.

Evaluation of the impact of continuous nursing and cluster nursing on carpal tunnel syndrome release surgery

Yang Chen  1 , Ruihua Li  2 , Yongqiang Zhu  1 , Ran Chen  1
Affiliations
Randomized Controlled Trial

Evaluation of the impact of continuous nursing and cluster nursing on carpal tunnel syndrome release surgery

Yang Chen et al. J Orthop Surg Res. .

Abstract

Background: This study aimed to estimate the influence of continuous and cluster nursing on carpal tunnel syndrome (CTS) release surgery.

Methods: Ninety-six patients with CTS were treated in our hospital from November 2019 to December 2021. These patients were randomly divided into two groups of 48 patients. Both groups underwent open carpal tunnel release surgery. The control group received routine nursing care, while the study group received a combination of continuous and cluster nursing interventions. The Boston carpal tunnel question, the Visual Analogue Scale (VAS), the Numerical Rating Scale (NRS), the Pittsburgh Sleep Quality Index (PSQI), Disabilities of the Arm, Shoulder, and Hand questionnaire (DASH) and the Barthel index were used to compare hand function recovery, hand pain, sleep quality, and quality of life between the two groups before and 3 months after surgery.

Results: Both groups experienced improvements in hand function and pain 3 months after surgery. However, the study group demonstrated lower scores in symptom and dysfunction, as well as lower VAS and NRS scores compared to the control group (P < 0.05). Additionally, both groups showed an increase in the Barthel and PSQI scores 3 months after surgery. Notably, the study group exhibited higher Barthel scores and lower PSQI scores than the control group (P < 0.05).

Conclusion: The use of continuous and cluster nursing in patients undergoing CTS release surgery proves to be advantageous in alleviating hand pain, facilitating hand function recovery, and effectively enhancing sleep quality and overall quality of life for patients.

Keywords: Carpal tunnel release surgery; Cluster nursing; Continuous care; Hand function recovery; Quality of life.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: The study was approved by the hospital’s ethics committee. Consent for publication: The patients have given their consent for publication. A copy of the written consent is available for review by the editor of this journal. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Nursing content
Fig. 2
Fig. 2
Comparison of symptoms between the two groups before surgery and 3 months after surgery. Versus the same group before surgery, aP < 0.05, and versus the control group 3 months after surgery, bP < 0.05
Fig. 3
Fig. 3
Comparison of dysfunction dimension between the two groups before and 3 months after surgery. Versus the same group before surgery, aP < 0.05, and versus the control group 6 months after surgery, bP < 0.05. 2.2 Comparison of postoperative sedation effect
Fig. 4
Fig. 4
Comparison of the VAS score between the two groups before surgery and 3 months after surgery. Versus the same group before surgery, aP < 0.05, and versus the control group 6 months after surgery, bP < 0.05
Fig. 5
Fig. 5
Comparison of the NRS score between the two groups before surgery and 3 months after surgery. Versus the same group before surgery, aP < 0.05, and versus the control group 6 months after surgery, bP < 0.05
Fig. 6
Fig. 6
Comparison of the Barthel score between the two groups before surgery and 3 months after surgery. Versus the same group before surgery, a P < 0.05, and versus the control group 6 months after surgery, b P < 0.05
Fig. 7
Fig. 7
Comparison of the PSQI score between the two groups before surgery and 3 months after surgery. Versus the same group before surgery, aP < 0.05, and versus the control group 6 months after surgery, bP < 0.05
See this image and copyright information in PMC

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