疼痛管理路径对带状疱疹后神经痛患者疗效的影响

Influence of the pain management path on the postherpetic neuralgia patients

目的 探讨疼痛管理路径对带状疱疹后神经痛患者疗效的影响.方法 选取带状疱疹后神经痛患者90例,采用随机数字表法随机分为对照组及试验组各45例.对照组采用常规护理模式进行护理,试验组应用疼痛管理路径模式进行护理.分别比较治疗后5、10 d患者的疼痛程度、疼痛控制总体满意度、不良反应的发生率,同时对住院时间和住院费用进行比较.结果 2组患者入院时性别、年龄、病程、疼痛评分比较差异无统计学意义（P〉0.05）.治疗后5、10 d试验组疼痛评分分别为（3.07±1.34）、（1.09±0.90）分,对照组分别为（4.29±1.74）、（2.27±1.32）分,2组比较差异有统计学意义（t=3.74、4.94,均P〈0.01）.治疗后5、10 d试验组疼痛控制总体满意度评分分别为（5.50±1.71）、（7.96±1.30）分,对照组分别为（4.50±1.60）、（7.00±1.50）分,2组比较差异有统计学意义（t=-2.89、-3.37,均P〈0.01）.治疗后10 d不良反应比较,试验组中便秘的发生率为26.67%（12/45）,对照组为53.33%（24/45）,2组比较差异有统计学意义（χ2=6.667,P〈0.05）.出院时试验组的住院时间和住院费用分别为（13.71±3.05）d、（11798.38±3312.33）元,对照组分别为（15.76±3.54）d、（13972.24±3726.66）元,2组比较差异有统计学意义（t=2.934、2.925,均P〈0.01）.结论应用疼痛管理路径对带状疱疹后神经痛患者进行疼痛管理能显著减轻患者的疼痛,减少不良反应,降低住院费用和住院时间,提高患者总体满意度.

Objective To investigate the influence of the pain management path on the postherpetic neuralgia patients. Methods Ninety patients with postherpetic neuralgia were divided into two groups by random digits table method：the control group and the experimental group, 45 cases in each group. The patients in the control group accepted conventional nursing care, the patients in the experimental group accepted the pain management path nursing care. The scores of pain and the overall satisfaction were assessed, the incidence of common adverse reactions at 5 and 10 days after the treatment, hospitalization expenses and hospitalization days were recorded. Results The gender, age, course of disease and degree of pain had no significant difference between the experimental group and the control group at admission （P〉0.05）. After 5 and 10 days treatment, the scores of pain in the experimental group were （3.07±1.34） , （1.09±0.90） points, and these were （4.29±1.74）, （2.27±1.32） points in the control group, the differences were statistically significant （t=3.74, 4.94, all P〈0.01）. After 5 and 10 days treatment, the scores of the overall satisfaction in the experimental group were （5.50 ± 1.71）, （7.96 ± 1.30） points, and these were （4.50 ± 1.60）, （7.00 ± 1.50） points in the control group, the differences were statistically significant （t=-2.89,-3.37, all P〈0.01）. After 10 days treatment, the incidence of constipation was 26.67% （12/45） and 53.33% （24/45） in the experimental group and the control group respectively, the difference was statistically significant between the two groups （χ2=6.667, P〈0.05）. The hospitalization days were （13.71 ± 3.05） d and （15.76 ± 3.54） d in the experimental group and the control group respectively, the difference was statistically significant between the two groups （t=2.934, P〈0.01）. The hospitalization expenses were （11798.38 ± 3312.33） yuan and （13972.24 ± 3726.66） yuan respectively, there was significant difference between the two groups （t=2.925, P 〈 0.01）. Conclusions The application of the pain management path for the pain management in patients with postherpetic neuralgia, can relieve the pain, reduce the incidence of adverse effects, hospitalization expenses and days, improve the overall satisfaction of the patients.