基于遗忘曲线的神经病理性疼痛患者术后行家庭参与式管理的医护一体综合护理方案的疼痛控制研究

A study on pain control of integrated nursing care program with family participatory management after neuropathic pain surgery based on forgetting curve

摘要:

目的：探究基于遗忘曲线的神经病理性疼痛患者,术后行家庭参与式管理的医护一体综合护理方案,研究疼痛控制的改善情况。 方法：收集我院2020年6月-2021年3月的神经病理性疼痛患者80例，依照双盲法均分为实施家庭参与式管理的医护一体综合护理方案的对照组40 例，在对照组基础上另加遗忘曲线干预的观察组40例，干预3个月。比较两组患者护理前、护理1周、30天、3个月后疾病认知水平、疼痛、生活质量、自我管理及认知功能评分。 结果：两组患者护理前视觉模拟评分（VAS）、疾病认知水平、蒙特利尔认知评估量表（MoCA）、自我管理能力、生活质量评分无统计学差异，不同手段护理1周、30天、3个月后，两组VAS评分均呈现明显下降趋势，且观察组在护理1周、30天、3个月后VAS下降幅度明显大于对照组，P<0.05。两组患者认知水平均呈现明显提高趋势，且观察组在护理1周、30天、3个月对疾病认知水平评分提高幅度明显大于对照组，P<0.05。两组MoCA评分均呈现明显升高趋势，且观察组在护理1周、30天、3个月MoCA评分增加幅度明显大于对照组，P<0.05。两组患者自我管理评分均呈现明显增加趋势，且观察组在护理1周、30天、3个月自我管理评分增加幅度明显大于对照组，P<0.05。两组患者生活质量评分均呈现明显增加趋势，且观察组在护理1周、30天、3个月生活质量评分增加幅度明显大于对照组，P<0.05。 结论：对神经病理性疼痛患者实施遗忘曲线的家庭参与式管理的医护一体综合护理方案，能够显著提高患者对疾病的认知，提升患者认知功能，减轻疾病对认知功能的损害，使患者、家属及医护人员更加关注自身状况，及时进行治疗，降低患者疼痛水平，提升患者的自我管理能力，进一步提高患者生活质量，可以广泛应用于临床。

Abstract:

Abstract: Objective: To explore the pain control situation of the family participatory management integrated nursing scheme for postoperative neuropathic pain based on forgetting curve. Methods: A total of 80 patients with neuropathic pain in our hospital from June 2020 to March 2021 were collected and divided into 40 patients in the control group with family participation management and 40 patients in the observation group with forgetting curve intervention for 3 months according to the double-blind method. Disease cognition, pain, quality of life, self-management and cognitive function scores were compared between the two groups before nursing, 1 week, 30 days and 3 months after nursing. Results: The visual analog scale (VAS), disease cognition level, Montreal Cognitive Assessment Scale (MoCA), self-management ability and quality of life scores of the two groups were not significantly different. After 1 week, 30 days and 3 months of nursing by different means, the VAS scores of the two groups showed a significant downward trend. The decrease of VAS in the observation group after 1 week, 30 days and 3 months was significantly greater than that in the control group (P<0.05). The cognitive level of disease in both groups showed a significant trend of improvement, and the improvement range of the cognitive level of disease in the observation group was significantly greater than that in the control group at 1 week, 30 days and 3 months of nursing, P<0.05. The MoCA score of the two groups showed an obvious increasing trend, and the increase range of MoCA score in the observation group was significantly greater than that in the control group at 1 week, 30 days and 3 months, P<0.05. The self-management scores of both groups showed an obvious increasing trend, and the increase range of self-management scores of the observation group was significantly greater than that of the control group at 1 week, 30 days and 3 months of nursing, P<0.05. The life quality scores of both groups showed an obvious increasing trend, and the increase range of life quality scores of the observation group was significantly greater than that of the control group at 1 week, 30 days and 3 months of nursing, P<0.05. Conclusion: The implementation of the family participatory management of the forgotten curve for patients with neuropathic pain integrated nursing program can significantly improve patients' cognition of the disease, improve patients' cognitive function, reduce the damage of the disease to cognitive function, so that patients, family members and medical staff pay more attention to their own conditions, timely treatment, reduce the pain level of patients. It can be widely used in clinical practice to enhance patients' self-management ability and further improve patients' quality of life.