基于遗忘曲线规律的一体化护理在神经病理性疼痛术后病人中的应用  

Application on pain control of integrated nursing care program with family participatory management after neuropathic pain surgery based on forgetting curve

作　　者：孙磊[1] 王惠娟[1] 倪兵[1] 朱宏伟[1] SUN Lei;WANG Huijuan;NI Bing;ZHU Hongwei(Department of Functional Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院功能神经外科,北京100053

出　　处：《中国疼痛医学杂志》2023年第7期523-527,534,共6页Chinese Journal of Pain Medicine

基　　金：国家自然科学基金联合基金重点支持项目(U20A20391)。

摘　　要：目的:探究神经病理性疼痛病人术后行基于遗忘曲线规律的家庭参与式管理的医护一体综合护理方案对疼痛控制的改善情况。方法:收集我科2020年6月至2021年3月收治的神经病理性疼痛病人80例,按照双盲法分为对照组和观察组各40例。对照组实施常规护理,观察组在对照组基础上实施基于遗忘曲线规律的家庭参与式管理的医护一体综合护理方案,观察期3个月。比较两组病人护理前、护理1周、30天、3个月后疾病认知水平、疼痛、生活质量、自我管理及认知功能评分。结果:两组病人护理前视觉模拟评分法(visual analogue scale,VAS)评分、疾病认知水平、蒙特利尔认知评估量表(Montreal cognitive assessment,MoCA)评分、自我管理能力、生活质量评分差异无统计学意义。不同手段干预护理1周、30天、3个月后,两组病人VAS评分均呈现明显下降趋势,且观察组VAS评分下降幅度明显大于对照组。两组病人认知水平、MoCA评分、自我管理能力以及生活质量评分均呈现明显增加趋势,且观察组评分增加幅度均明显大于对照组。结论:对神经病理性疼痛术后病人实施基于遗忘曲线规律的家庭参与式管理的医护一体综合护理方案,能够降低病人疼痛水平,提升病人认知功能,减轻疾病对认知功能的损害,提升病人的自我管理能力,进一步提高病人生活质量。Objective:To explore the improvement of pain control in patients with neuropathic pain after surgery by integrated nursing program with family participation management based on forgetting curve.Methods:A total of 80 patients with neuropathic pain in our department from June 2020 to March 2021 were collected and divided into control group and observation group(40 cases,respectively)according to double-blind method.The control group was given routine nursing,and the observation group was given integrated nursing program with family participation management based on forgetting curve.The observation period was 3 months.Disease cognition,pain,quality of life,self-management and cognitive function scores were compared between the two groups before nursing,1 week,30 days and 3 months after nursing.Results:The visual analogue scale(VAS),disease cognition level,Montreal cognitive assessment(MoCA),self-management ability and quality of life scores of the two groups were not significantly different.After 1 week,30 days and 3 months of nursing by different means,the VAS scores of the two groups showed a significant downward trend.The decrease of VAS scores in the observation group after 1 week,30 days and 3 months was significantly greater than that in the control group.The cognitive level,MoCA scores,self-management score and quality of life score of the two groups showed a significant increase trend,and the increase in the observation group was significantly higher than that in the control group.Conclusion:The implementation of the family participatory management of the forgotten curve for patients with neuropathic pain integrated nursing program can reduce the pain level of patients,improve their cognitive function,reduce the damage of disease to cognitive function,improve their self-management ability,and further improve their quality of life.

关 键 词：遗忘曲线规律 神经病理性疼痛 家庭参与式管理 医护一体 疼痛 

分 类 号：R473.6[医药卫生—护理学]