全程优化护理在胸段带状疱疹相关性疼痛短时程脊髓电刺激术患者中的应用

Application of whole-process optimized nursing in patients undergoing tSCS surgery for thoracic herpes zoster related pain

目的探讨全程优化护理在胸段带状疱疹相关性疼痛(ZAP)患者短时程脊髓电刺激(tSCS)中的应用效果。方法选取我院2023-06-06/2023-08-06期间行tSCS术的胸段ZAP患者60例,采用随机数字表法分为对照组(n=30)和观察组(n=30),对照组给予常规基础护理,观察组则给予全程优化护理。观察比较2组患者的术后疼痛评分、睡眠评分、并发症发生率、满意度及焦虑抑郁评分。并发症主要包括术后感染、压疮、血栓、尿潴留、电极移位或脱出导致的手术失败。满意度由医患护三方进行评分。焦虑抑郁评分主要采用我院常用的焦虑自评量表(SAS)及抑郁自评量表(SDS)进行评价。结果观察组现时疼痛强度(PPI),疼痛评定指数(PRI),视觉模拟评分法(VAS)及简式McGill疼痛问卷表(SF-MPQ)总分,睡眠评分均低于对照组,手术效果优于对照组,并发症低于对照组。全程优化护理的配合使得患者满意、医生满意、护士满意,患者SAS及SDS评分均低于对照组(P<0.05)。结论对行tSCS术的ZAP患者应用全程优化护理,有利于改善患者心理状态,提升患者依从性,提高手术有效率,降低术后并发症,加快手术转运,缩短患者住院时间。

Objective To explore the application effect of whole-process optimized nursing in temporary spinal cord stimulation(tSCS)in patients with thoracic herpes zoster-associated pain(ZAP).Methods A total of 60 patients with thoracic herpes ZAP underwent tSCS in our department from June to August 2023 were randomly divided into the control group(n=30)and the observation group(n=30)according to random number table method.The control group was given routine basic care,while the observation group received optimized nursing throughout the entire process.The postoperative pain scores,sleep scores,complication rates,degree of satisfaction,anxiety and depression scores of the two groups were observed and compared.Complications mainly include postoperative infection,pressure ulcers,blood clots,urinary retention,and surgical failure caused by electrode displacement or prolapse.The degree of satisfaction is scored by doctors,patients and nurses.Anxiety and depression scores are mainly evaluated using the SAS scale and SDS scale,which was commonly used in our hospital.Results The present pain intensity(PPI),pain rating index(PRI),visual analogue scale(VAS),SF-MPQ total scores and sleep scores of the observation group were lower than those of the control group,the surgical effect was better than that of the control group,and the complications were lower than those of the control group.The cooperation of the whole-process optimized nursing enhanced the degree of satisfaction of patients,doctors and nurses.The SAS and SDS scores of patients in the observation group were lower than those of the control group(P<0.05).Conclusion The application of whole-process optimized nursing to patients undergoing tSCS for herpes zoster-related pain is conducive to improving the patient’s mental state,patient compliance,surgical efficiency,reducing postoperative complications,speeding up surgical transfer,shortening patient’s hospitalization period.