中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
22期
2650-2653
,共4页
带状疱疹%神经痛%护理干预%生活质量
帶狀皰疹%神經痛%護理榦預%生活質量
대상포진%신경통%호리간예%생활질량
Herpes zoster%Neuralgia%Nursing intervention%Quality of life
目的 探讨积极的护理干预对带状疱疹后神经痛患者疗效及生活质量的影响.方法 将2011年1月至2012年6月疼痛门诊就诊并接受治疗的带状疱疹患者80例,按随机数字表法随机分成对照组和治疗组各40例,两组患者均接受神经干封闭疗法,治疗组还同时给予积极的护理干预,给予人文关怀、照顾者同步实施居家护理指导、希望护理、电话家访指导治疗.采用0 ～ 10数字疼痛强度量表(NRS)和生活质量量表(SF-36)评价患者疗效和生活质量,并比较治疗前后各指标的差异.结果 治疗组治疗后30 d及60d优良率均为100.0％,显著高于对照组85.0％,差异均有统计学意义(x2值分别为5.1,7.6；P＜0.05)；治疗前两组患者SF-36评分比较差异无统计学意义(P＞0.05)；治疗后30 d生理职能、肌体疼痛及总体健康得分治疗组分别为(56±22.5),(79±11.9),(73±17.8)分较高于对照组得分(44±16.7),(63±21.2),(59±16.7)分,差异均有统计学意义(t值分别为2.71,4.16,3.63;P ＜0.05)；治疗后60d生理职能、肌体疼痛及总体健康得分治疗组分别为(68±21.7),(82±14.8),(79±18)分,均高于对照组得分(46.6±14.3),(70±22.3),(66±18.2)分,差异均有统计学意义(t值分别为5.21,2.84,3.21；P＜0.05).结论 积极的护理干预可显著改善门诊带状疱疹后神经痛患者的疗效及生活质量,可显著改善医疗质量.
目的 探討積極的護理榦預對帶狀皰疹後神經痛患者療效及生活質量的影響.方法 將2011年1月至2012年6月疼痛門診就診併接受治療的帶狀皰疹患者80例,按隨機數字錶法隨機分成對照組和治療組各40例,兩組患者均接受神經榦封閉療法,治療組還同時給予積極的護理榦預,給予人文關懷、照顧者同步實施居傢護理指導、希望護理、電話傢訪指導治療.採用0 ～ 10數字疼痛彊度量錶(NRS)和生活質量量錶(SF-36)評價患者療效和生活質量,併比較治療前後各指標的差異.結果 治療組治療後30 d及60d優良率均為100.0％,顯著高于對照組85.0％,差異均有統計學意義(x2值分彆為5.1,7.6；P＜0.05)；治療前兩組患者SF-36評分比較差異無統計學意義(P＞0.05)；治療後30 d生理職能、肌體疼痛及總體健康得分治療組分彆為(56±22.5),(79±11.9),(73±17.8)分較高于對照組得分(44±16.7),(63±21.2),(59±16.7)分,差異均有統計學意義(t值分彆為2.71,4.16,3.63;P ＜0.05)；治療後60d生理職能、肌體疼痛及總體健康得分治療組分彆為(68±21.7),(82±14.8),(79±18)分,均高于對照組得分(46.6±14.3),(70±22.3),(66±18.2)分,差異均有統計學意義(t值分彆為5.21,2.84,3.21；P＜0.05).結論 積極的護理榦預可顯著改善門診帶狀皰疹後神經痛患者的療效及生活質量,可顯著改善醫療質量.
목적 탐토적겁적호리간예대대상포진후신경통환자료효급생활질량적영향.방법 장2011년1월지2012년6월동통문진취진병접수치료적대상포진환자80례,안수궤수자표법수궤분성대조조화치료조각40례,량조환자균접수신경간봉폐요법,치료조환동시급여적겁적호리간예,급여인문관부、조고자동보실시거가호리지도、희망호리、전화가방지도치료.채용0 ～ 10수자동통강도량표(NRS)화생활질량량표(SF-36)평개환자료효화생활질량,병비교치료전후각지표적차이.결과 치료조치료후30 d급60d우량솔균위100.0％,현저고우대조조85.0％,차이균유통계학의의(x2치분별위5.1,7.6；P＜0.05)；치료전량조환자SF-36평분비교차이무통계학의의(P＞0.05)；치료후30 d생리직능、기체동통급총체건강득분치료조분별위(56±22.5),(79±11.9),(73±17.8)분교고우대조조득분(44±16.7),(63±21.2),(59±16.7)분,차이균유통계학의의(t치분별위2.71,4.16,3.63;P ＜0.05)；치료후60d생리직능、기체동통급총체건강득분치료조분별위(68±21.7),(82±14.8),(79±18)분,균고우대조조득분(46.6±14.3),(70±22.3),(66±18.2)분,차이균유통계학의의(t치분별위5.21,2.84,3.21；P＜0.05).결론 적겁적호리간예가현저개선문진대상포진후신경통환자적료효급생활질량,가현저개선의료질량.
Objective To discuss the effect of positive nursing intervention on quality of life of patients with post-herpetic neuralgia.Methods 80 cases of patients with post-herpetic neuralgia from January 2011 to June 2012 were chosen and randomly divided into the control group and the treatment group,each with 40 cases.Both groups received neural stem closure therapy,and the treatment group was given positive nursing intervention in addition,including humane care,synchronized implementation of home care guidance by caregivers,hope nursing and telephone interviews.NRS and SF-36 were used to evaluate the curative effect and quality of life,and indexes were compared between two groups.Results The excellence rates 30 and 60 days after treatment were 100％ in the treatment group,obviously higher than 85.0％ in the control group,and the differences were statistically significant (x2 =5.1,7.6,respectively; P ＜ 0.05).There was no statistically significant difference of SF-26 between two groups before treatment (P ＞ 0.05).30 days after treatment,the score of physical function,body pain and general health was (56 ± 22.5),(79 ± 11.9),(73 ± 17.8) in the treatment group,higher than (44 ± 16.7),(63 ± 21.2),(59 ± 16.7) in the control group,and the differences were statistically significant (t =2.71,4.16,3.63,respectively; P ＜ 0.05).60 days after treatment,the score of physical function,body pain and general health was (68 ± 21.7),(82 ± 14.8),(79 ± 18) in the treatment group,higher than (46.6 ± 14.3),(70 ±22.3),(66 ± 18.2) in the control group,and the differences were statistically significant (t =5.21,2.84,3.21,respectively; P ＜ 0.05).Conclusions Positive nursing interventions can significantly improve the curative effect and quality of life of patients with post-herpetic neuralgia,which can also improve the quality of medical care obviously.
