群组管理模式在带状疱疹后神经痛患者中的应用效果  

Effect of group visits model in patients with postherpetic neuralgia

作　　者：程晨 徐金[1] 王婷婷[1] CHENG Chen;XU Jin;WANG Tingting(Department of Pain,Nanjing Drum Tower Hospital the Affiliated Hospital of Nanjing University Medical School,Jiangsu Province,Nanjing210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院疼痛科,江苏南京210008

出　　处：《中国当代医药》2022年第4期182-184,189,共4页China Modern Medicine

基　　金：南京大学医学院附属鼓楼医院护理科研项目(ZSR171)。

摘　　要：目的探讨群组管理模式在带状疱疹后神经痛患者中的应用效果。方法选取2020年1月至12月南京大学医学院附属鼓楼医院疼痛科收治的120例带状疱疹后神经痛患者作为研究对象,采用随机数字表法将其分为对照组和试验组,每组各60例。对照组患者采用常规护理,试验组患者在常规护理的基础上采用群组管理模式。比较两组的疼痛、焦虑、抑郁情况、自我效能及护理服务满意度。结果两组干预1周后的疼痛数字评分量表(NRS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于干预前,且试验组的NRS、SAS、SDS评分低于对照组,差异有统计学意义(P<0.05);两组的自我效能量表(GSES)评分高于干预前,且试验组的GSES评分高于对照组,差异有统计学意义(P<0.05);试验组的护理服务满意度优于对照组,差异有统计学意义(P<0.05)。结论群组管理模式能够缓解带状疱疹后神经痛患者的疼痛,有效调节负性情绪,改善自我效能,同时拓宽护理工作领域,提高护理服务满意度。Objective To explore the effect of group visits model in patients with postherpetic neuralgia.Methods A total of 120 patients with postherpetic neuralgia treated in the Department of Pain,Nanjing Drum Tower Hospital the Affiliated Hospital of Nanjing University Medical School from January to December 2020 were selected as the research object.They were divided into control group and experimental group by random number table method,with 60 cases in each group.The patients in the control group were treated with routine nursing,and the patients in the experimental group were treated with group visits model on the basis of routine nursing.The pain,anxiety,depression,general self-efficacy and nursing service satisfaction were compared between the two groups.Results One week after intervention,the scores of numerical rating scale(NRS),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the two groups were lower than those before intervention,and the scores of NRS,SAS and SDS in the experimental group were lower than those in the control group,the differences were statistically significant(P<0.05).The score of general self-efficacy scale(GSES)in the two groups was higher than that before intervention,and score of GSES in the experimental group was higher than that in the control group,the differences were statistically significant(P<0.05).The nursing service satisfaction in the experimental group was better than that in the control group,the difference was statistically significant(P<0.05).Conclusion Group visits model can relieve the pain of patients with postherpetic neuralgia,effectively regulate negative emotions,improve general self-efficacy,at the same time,expand the field of nursing work and improve nursing service satisfaction.

关 键 词：群组管理 带状疱疹后神经痛 疼痛 负面情绪 

分 类 号：R752.12[医药卫生—皮肤病学与性病学]