链式管理在带状疱疹后神经痛患者治疗期望中的应用效果研究

Effect of chain management in the treatment expectation of patients with postherpetic neuralgia

摘要:

目的:探讨链式管理在带状疱疹后神经痛(Postherpetic neuralgia, PHN)患者治疗期望中的应用效果。方法:采用便利抽样法,选取2024年4月~7月在江西省南昌市某三级甲等医院疼痛科住院治疗的48例带状疱疹后神经痛患者作为干预组,采用链式管理的方法进行干预；选取2023年9月~2024年12月收治的48例患者作为对照组,以常规方法进行干预。比较出院前后治疗期望得分、疾病认知、焦虑抑郁、疼痛评分及出院后满意度得分。结果:干预期间,共脱落3例,最终干预组纳入47例,对照组纳入46例。干预后,干预组满意度高于对照组(P＜0.05)；治疗期望、焦虑、抑郁及疼痛评分、疾病认知低于对照组(均P＜0.05)。结论:链式管理有助于降低带状疱疹后神经痛患者患者治疗期望,提高满意度及疾病认知,改善焦虑、抑郁,减轻疼痛情况。

Abstract:

Objective: To explore the application effect of chain management in the treatment expectations of patients with postherpetic neuralgia (PHN). Methods: By using the convenience sampling method, 48 patients with PHN who were hospitalized in the Pain Department of a tertiary grade A hospital in Nanchang City, Jiangxi Province from April to July 2024 were selected as the intervention group, and chain management was adopted for intervention; 48 patients admitted from September 2023 to December 2024 were selected as the control group, and conventional methods were used for intervention. The scores of treatment expectation, disease cognition, anxiety and depression, pain level and satisfaction after discharge were compared before and after discharge. Results: During the intervention period, 3 cases dropped out. Finally, 47 cases were included in the intervention group and 46 cases in the control group. After the intervention, the satisfaction rate of the intervention group was higher than that of the control group (P < 0.05); the expectations for treatment, anxiety, depression, pain degree and disease cognition were lower than those of the control group (all P < 0.05).Conclusion: Chain management can help to reduce the treatment expectations of patients with postherpetic neuralgia, improve satisfaction and disease awareness, improve anxiety and depression, and reduce pain.