摘要
目的:探讨基于微信平台的延续性护理在植入脊髓电刺激术后慢性疼痛病人中的应用效果。方法:选取植入脊髓电刺激术后慢性疼痛病人96例,采用随机数字表法分为对照组(n=48)和试验组(n=48),对照组出院后按常规护理行出院指导,试验组在对照组基础上基于微信为主的延续性护理。比较两组病人出院前、出院后1个月时,病人生活质量评分(quality of life questionnaire core-30,QLQ-C30)、焦虑自评量表(self-rating depression scale,SDS)和抑郁自评量表(self-rating anxiety scale,SAS)评分及视觉模拟评分法(visual analogue scale,VAS)评分差异。结果:两组病人干预1个月后的生活质量与出院时差异均有统计学意义,认知功能、恶心呕吐、气促及食欲丧失方面试验组比对照组改善更为显著;试验组病人出院时与出院后1个月SAS评分比较差异有统计学意义(P<0.05);两组病人出院时和出院后1个月SDS和VAS评分比较差异无统计学意义。结论:基于微信平台的延续性护理有利于增强植入脊髓电刺激术后慢性疼痛病人的自我护理能力,减轻病人焦虑水平,提高生活质量。
Objective:To explore the effect of continuous nursing based on wechat platform in patients with chronic pain after spinal cord electrical stimulation implantation.Methods:Ninety-six patients with chronic pain after spinal cord electrical stimulation were selected and randomly divided into control group(n=48)and experimental group(n=48).The control group received discharge guidance according to nursing routine after discharge,while the experimental group received wechat based continuous nursing on the basis of control group.The quality of life score(quality of life questionnaire core-30,QLQ-C30),anxiety and depression state self-rating depression scale(SDS),self-rating anxiety scale(SAS)and painscore visual analogue scale(VAS),were compared between the two groups before discharge and 1 month after discharge.Results:The quality of life of patients in the control group and the experimental group after one month of intervention were significantly different from those at discharge,and the improvement of cognitive function,nausea and vomiting,shortness of breath and loss of appetite in the experimental group were more significant than that in the control group.The SAS score of the experimental group was significantly higher than that of the control group one month after discharge(P<0.05).The SDS and VAS score ratio of the two groups at discharge and 1 month after discharge had no significant difference.Conclusion:The continuous nursing based on wechat platform is conducive to enhance the self-care ability of patients with chronic pain after spinal cord electrical stimulation,reduce the anxiety level of patients,and improve the quality of life.
作者
许丽媛
李京
王春侠
魏梦娅
李季
杜倩
蒋杏
樊碧发
赵菁
XU Li-Yuan;LI Jing;WANG Chun-Xia;WEI Meng-Ya;LI Ji;DU Qian;JIANG Xing;FAN Bi-Fa;ZHAO Jing(Department of Pain Management,China Japan Friendship Hospital,Beijing 100029,China;Nursing Department,China Japan Friendship Hospital,Beijing 100029,China)
出处
《中国疼痛医学杂志》
CAS
CSCD
北大核心
2020年第11期838-844,共7页
Chinese Journal of Pain Medicine
基金
国家临床重点专科建设项目资助。
关键词
微信平台
延续性护理
脊髓电刺激
慢性疼痛
Wechat platform
Continuous care
Spinal cord electrical stimulation
Chronic pain
