基于时机理论的护理干预在三叉神经痛术后患者中的应用效果分析  

Analysis on the Application Effect of Nursing Intervention based on Timing Theory in Postoperative Patients with Trigeminal Neuralgia

作　　者：刘雪 陈晓明 周扬 LIU Xue;CHEN Xiaoming;ZHOU Yang(Department of Neurosurgery,The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu,221000,China)

机构地区：[1]徐州医科大学附属医院神经外科,江苏徐州221000

出　　处：《中外医疗》2024年第28期179-182,共4页China & Foreign Medical Treatment

摘　　要：目的分析在三叉神经痛术后实施基于时机理论的护理干预的效果。方法便利选取2022年1月—2023年11月徐州医科大学附属医院收治的94例三叉神经痛患者,根据不同护理措施分为两组,各47例。两组患者均行微血管减压术治疗,对照组实施常规护理,而研究组增加基于时机理论的护理干预。对比两组护理干预前后的疼痛感知程度、心理应激状态、睡眠质量、生活质量。结果干预后,研究组患者的疼痛强度量表评分、言语评价量表评分均低于对照组,差异有统计学意义(P均<0.05)。干预后,研究组正性情绪评分高于对照组,负性情绪评分低于对照组,差异有统计学意义(P均<0.05)。干预后,研究组睡眠质量评分(8.23±2.50)分、生活质量评分(43.69±7.36)分均低于对照组的(10.60±2.71)分与(53.32±7.68)分,差异有统计学意义(t=4.407、6.207,P均<0.05)。结论基于时机理论的护理干预可减轻三叉神经痛患者术后应激反应和疼痛,有利于缓解睡眠障碍,提升生活质量。Objective To analyze the effect of timing-based nursing intervention after trigeminal neuralgia.Methods A total of 94 patients with trigeminal neuralgia admitted to the Affiliated Hospital of Xuzhou Medical University from January 2022 to November 2023 were conveniently selected and divided into two groups according to different nursing measures,with 47 cases in each group.Both groups of patients were treated with microvascular decompression.The control group received routine nursing,while the study group added nursing intervention based on timing theory.The degree of pain perception,psychological stress state,sleep quality and quality of life before and after nursing intervention were compared between the two groups.Results After intervention,the scores of pain intensity scale and verbal evaluation scale of patients in the study group were lower than those in the control group,and the differences were statistically significant(both P<0.05).After intervention,the positive emotion score of the study group was higher than that of the control group,and the negative emotion score was lower than that of the control group,and the differences were statistically significant(both P<0.05).After intervention,sleep quality score(8.23±2.50)points and quality of life score(43.69±7.36)points of the study group were lower than those of the control group(10.60±2.71)points and(53.32±7.68)points,and the differences were statistically significant(t=4.407,6.207,both P<0.05).Conclusion Nursing intervention based on timing theory can reduce the postoperative stress response and pain in patients with trigeminal neuralgia,which is beneficial to relieve sleep disorders and improve quality of life.

关 键 词：三叉神经痛 时机理论 疼痛程度 心理应激状态 睡眠质量 

分 类 号：R473[医药卫生—护理学]