积极的护理干预对带状疱疹后神经痛患者疗效及生活质量的影响  

Effect of positive nursing intervention on quality of life of patients with post-herpetic neuralgia

作　　者：朱兆珍[1] 董振航[1] 李金玉[1] 

机构地区：[1]南京医科大学附属淮安第一医院门诊部,223300

出　　处：《中华现代护理杂志》2013年第22期2650-2653,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨积极的护理干预对带状疱疹后神经痛患者疗效及生活质量的影响。方法将2011年1月至2012年6月疼痛门诊就诊并接受治疗的带状疱疹患者80例，按随机数字表法随机分成对照组和治疗组各40例，两组患者均接受神经干封闭疗法，治疗组还同时给予积极的护理干预，给予人文关怀、照顾者同步实施居家护理指导、希望护理、电话家访指导治疗。采用0～10数字疼痛强度量表（NRS）和生活质量量表（SF-36）评价患者疗效和生活质量，并比较治疗前后各指标的差异。结果治疗组治疗后30d及60d优良率均为100．0％，显著高于对照组85．0％，差异均有统计学意义（x。值分别为5．1，7．6；P〈0．05）；治疗前两组患者sF-36评分比较差异无统计学意义（P〉0．05）；治疗后30d生理职能、肌体疼痛及总体健康得分治疗组分别为（56±22．5），（79±11．9），（73±17．8）分较高于对照组得分（44±6．7），（63±21．2），（59±16．7）分，差异均有统计学意义（t值分别为2．71，4．16，3．63；P〈0．05）；治疗后60d生理职能、肌体疼痛及总体健康得分治疗组分别为（68±21．7），（82±14．8），（79±18）分，均高于对照组得分（46．6±14．3），（70±22．3），（66±18．2）分，差异均有统计学意义（t值分别为5．21，2．84，3．21；P〈0．05）。结论积极的护理干预可显著改善门诊带状疱疹后神经痛患者的疗效及生活质量，可显著改善医疗质量。Objective To discuss the effect of positive nursing intervention on quality of life of patients with post-herpetic neuralgia. Methods 80 cases of patients with post-herpetic neuralgia from January 2011 to June 2012 were chosen and randomly divided into the control group and the treatment group, each with 40 cases. Both groups received neural stem closure therapy, and the treatment group was given positive nursing intervention in addition, including humane care, synchronized implementation of home care guidance by caregivers, hope nursing and telephone interviews. NRS and SF-36 were used to evaluate the curative effect and quality of life, and indexes were compared between two groups. Results The excellence rates 30 and 60 days after treatment were 100% in the treatment group, obviously higher than 85.0% in the control group, and the differences were statistically significant （ X2 = 5.1, 7.6, respectively; P 〈0. 05 ）. There was no statistically significant difference of SF-26 between two groups before treatment （ P 〉 0.05 ）. 30 days after treatment, the score of physical funetion, body pain and general health was （ 56 ± 22.5 ）, （79 ± 11.9 ）, （73 ± 17.8 ） in the treatment group, higher than （44 ± 16.7 ）, （ 63 ± 21.2）, （ 59 ± 16.7 ） in the control group, and the differences were statistically significant （ t = 2.71,4.16,3.63, respectively; P 〈 0.05 ）. 60 days after treatment, the score of physical function, body pain and general health was （68 ± 21.7）, （82 ± 14.8）, （79 ± 18） in the treatment group, higher than （46.6 ± 14.3 ）, （70 ± 22.3 ）, （ 66 ± 18.2 ） in the control group, and the differences were statistically significant （ t = 5.21,2. 84, 3.21, respectively; P 〈 0. 05 ）. Conclusions Positive nursing interventions can significantly improve the curative effect and quality of life of patients with post-herpetic neuralgia, which can also improve the quality of medical care obviously.

关 键 词：带状疱疹 神经痛 护理干预 生活质量 

分 类 号：R473.75[医药卫生—护理学]