多学科协作疼痛分层干预在神经病理性疼痛患者中的应用  

Application of multidisciplinary collaborative pain stratification intervention in patients with neuropathic pain

作　　者：曹晶晶[1] 梅展展 朱闪闪 杜江迪 张亚琳 温媛媛[1] CAO Jing-jing;MEI Zhan-zhan;ZHU Shan-shan;DU Jiang-di;ZHANG Ya-lin;WEN Yuan-yuan(Department of Pain ,Zhengdong Campus,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,CHINA;Department of Rehabilitation Medicine,Zhengdong Campus,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,CHINA)

机构地区：[1]郑州大学第一附属医院郑东院区疼痛科,河南郑州450000 [2]郑州大学第一附属医院郑东院区康复医学科,河南郑州450000

出　　处：《海南医学》2024年第9期1342-1346,共5页Hainan Medical Journal

基　　金：河南省科技攻关项目(编号:222102360072)。

摘　　要：目的探讨多学科协作疼痛分层干预对神经病理性疼痛(NP)患者疼痛程度改善、心理状态、自我效能、睡眠质量和生活质量的影响。方法前瞻性选取郑州大学第一附属医院2021年6月至2023年6月收治的84例NP患者作为研究对象,按随机数表法分为常规组和分层干预组各42例。常规组患者给予常规疼痛干预,分层干预组患者给予多学科协作疼痛分层干预。两组均干预至出院,比较两组患者干预前和干预后(出院时)的疼痛程度、心理状态[抑郁/焦虑自评量表(SDS/SAS)]、舒适度[Kolcaba的舒适状况量表(GCQ)]、自我效能[中文版疼痛自我效能量表(PSEQ)]、睡眠质量[匹兹堡睡眠质量指数(PSQI)]和生活质量[世界卫生组织生活质量(QOL)],以及干预后两组患者的疼痛干预质量、疼痛干预依从性和护理满意度。结果干预后,分层干预组患者的疼痛程度改善分布优于常规组,差异有统计学意义(P<0.05);干预后,分层干预组患者的SAS评分、SDS评分和PSQI评分分别为(30.03±6.44)分、(27.44±4.51)分、(4.33±1.50)分,明显低于常规组的(46.85±8.29)分、(38.90±6.76)分、(6.28±2.13)分,差异均有统计学意义(P<0.05);干预后,分层干预组患者的GCQ评分、PSEQ评分和QOL评分分别为(83.05±11.24)分、(48.24±6.20)分、(78.34±7.79)分,明显高于常规组的(77.81±19.45)分、(42.33±5.81)分、(62.53±8.60)分,差异均有统计学意义(P<0.05);干预后,分层干预组患者的疼痛干预质量评分为(19.55±3.40)分,明显高于常规组的(11.62±3.59)分,差异有统计学意义(P<0.05);分层干预组患者的镇痛干预依从率为97.62%,明显高于常规组的76.19%,差异有统计学意义(P<0.05);分层干预组患者的护理干预满意度为100.00%,明显高于常规组的83.33%,差异有统计学意义(P<0.05)。结论多学科协作疼痛分层干预能有效缓解神经病理性疼痛,减轻患者痛苦和心理负担,提高患者疼痛自我效能感、舒适度�Objective To discuss the effects of multidisciplinary collaborative pain stratification intervention on pain degree improvement,mental state,self-efficacy,sleep quality,and quality of life in patients with neuropathic pain(NP).Methods A total of 84 patients with NP admitted to the First Affiliated Hospital of Zhengzhou University from June 2021 to June 2023 were selected prospectively and divided into routine group and stratified intervention group according to random number table method,with 42 cases in each group.The routine group received routine pain intervention,and the stratified intervention group received multidisciplinary collaborative pain stratification intervention,both until discharge.Pain degree,mental state[Self-rating Depression/Anxiety Scale(SDS/SAS)],comfort level[Kolcaba's General Comfort Questionnaire(GCQ)],Self-efficacy[Chinese Version of Pain Self-efficacy Questionnaire(PSEQ)],sleep quality[Pittsburgh Sleep Quality Index(PSQI)],quality of life[World Health Organization quality of life(QOL)]before and after intervention(at discharge)were compared between the two groups.Quality of intervention,compliance of intervention,satisfaction with nursing after intervention were compared between the two groups.Results After intervention,the improved distribution of pain degree in stratified intervention group was significantly better than that in routine group(P<0.05).After intervention,SAS score,SDS score,PSQI score in stratified intervention group were(30.03±6.44)points,(27.44±4.51)points,(4.33±1.50)points,respectively,which were significantly lower than(46.85±8.29)points,(38.90±6.76)points,and(6.28±2.13)points in routine group(P<0.05).After intervention,GCQ score,PSEQ score,and QOL score in stratified intervention group were(83.05±11.24)points,(48.24±6.20)points,and(78.34±7.79)points,respectively,which were significantly higher than(77.81±19.45)points,(42.33±5.81)points,and(62.53±8.60)points in routine group(P<0.05).After intervention,the scores of quality of intervention in stratified in

关 键 词：多学科协作 疼痛分层干预 神经病理性疼痛 疼痛程度 心理状态 生活质量 

分 类 号：R741[医药卫生—神经病学与精神病学]