GLTC医患沟通模式对A型肉毒素注射治疗三叉神经痛患者的恶劣心境及睡眠品质的影响  

Effect of GLTC doctor-patient communication model on dysthymia and sleep quality of patients with trigeminal neuralgia treated by botulinum toxin type A injection

作　　者：王露丽 丁娟[2] WANG Luli;DING Juan(Department of Neurology,the First Affiliated Hospital of Zhengzhou Universily,Zhengzhou(450000),Henan China)

机构地区：[1]郑州大学第一附属医院神经内科,河南郑州450000 [2]郑州大学第一附属医院质量控制处,河南郑州450000

出　　处：《癫痫与神经电生理学杂志》2020年第5期273-277,共5页Journal of Epileptology and Electroneurophysiology(China)

摘　　要：目的:探讨A型肉毒素注射治疗三叉神经痛(TN)患者应用示善(goodwill)、倾听(listenning)、交流(talk)、合作(cooperation)(GLTC)医患沟通模式干预后效果。方法:将郑州大学第一附属医院93例A型肉毒素注射治疗TN患者采用随机数字表法分组,对照组46例给予常规干预模式,观察组47例增加GLTC医患沟通模式干预,对比两组患者干预后的恶劣心境、治疗依从性、睡眠品质及疼痛变化。结果:观察组的恶劣心境扭转率94%高于对照组的78%,差异有统计学意义(P<0.05);观察组的治疗依从性评分商于对照组,PSQI评分低于对照组,差异有统计学意义(P<0.05);观察组的睡眠总时间、REM潜伏期及睡眠效率高于对照组,睡眠潜伏期及觉醒次数低于对照组,差异有统计学意义(P<0.05);观察组的视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(P<0.05);对照组不良反应发生率9%低于观察组的10%,差异无统计学意义(P>0.05)。结论:GLTC医患沟通模式能够有效扭转A型肉毒素治疗TN患者的恶劣心境,改善患者睡眠品质,提升治疗依从性,减轻疼痛,安全性高。Objective:To analyze the effect of botulinum toxin type A injection on the treatment of patients with trigeminal neuralgia(TN)through the doctor's goodwill,listening.talk and cooperation with the patient.Methods:93 patients with TN treated with botulinum toxin A injection in our hospi-tal were randomly grouped.The 46 cases in the control group were given conventional intervention mode,and 47 cases in the observation group were increased additionally with GLTC intervention of doctor-patient communication mode.The dysthymia,treatment compliance,sleep quality and pain changes of both groups were assessed.Results:The reversal rate of dysthymia in the observation group was 94%,higher than 78%of the control group,the difference was statistically significant(P<0.05)。The treatment compliance score of the observation group was higher than that of the control group,and the PSQI score was lower than that of the control group,the difference was statistically significant(P<0.05).The total sleep time,REM latency and sleep efficiency in the observation group were higher than those in the control group,and sleep latency and awakening time were lower than those in the control group,the difference was statistically significant(P<0.05).VAS score in the observation group was lower than in the control group,the difference was statistically significant(P<0.05).The incidence of adverse reaction in the control group was 9%,lower than 10%of the observation group,and the difference was not statistically significant(P>0.05).Conclusion:The GLTC doctor-patient communication model can effectively reverse dysthymia of patients with T N treated by botulinum toxin type A injection,improve their sleep quality,improve treatment compliance,reduce pains and have higher safety.

关 键 词：示善、倾听、交流、合作(GLTC)医患沟通模式 A型肉毒素 三叉神经痛(TN) 恶劣心境 睡眠品质 

分 类 号：R745.11[医药卫生—神经病学与精神病学]