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在带状疱疹后神经痛护理中整合叙事护理与多元化健康教育:一项回顾性研究。

Integrating narrative nursing and diversified health education in postherpetic neuralgia care: A retrospective study.

作者信息

Chu Yachen, Ni Yong, Song Xiaomei, Zhang Yue, Li Ying, Pan Xuling

机构信息

Department of Pain, The Second Affiliated Hospital of Soochow University, Jiangsu Province, China.

Department of Nursing, The Second Affiliated Hospital of Soochow University, Jiangsu Province, China.

出版信息

Medicine (Baltimore). 2025 Aug 22;104(34):e44083. doi: 10.1097/MD.0000000000044083.

Abstract

This study investigates the impact of narrative nursing combined with diversified health education on negative emotions and self-management abilities in patients with postherpetic neuralgia (PHN). A retrospective analysis was conducted on 182 PHN patients treated at the Second Affiliated Hospital of Soochow University from July 2023 to June 2024. Patients were divided into an observation group and a control group, with 91 cases in each. The control group received standard care, while the observation group received narrative nursing combined with diversified health education in addition to standard care. The average pain levels of patients before and after the intervention were assessed using the numerical rating scale. Negative emotions were evaluated using the self-rating anxiety scale and the self-rating depression scale, while self-efficacy levels were measured using the chronic pain self-efficacy scale. Patient satisfaction with nursing care was surveyed at discharge using the inpatient nursing satisfaction scale. Post-intervention, the observation group showed significantly lower scores on the numerical rating scale, self-rating anxiety scale, and self-rating depression scale compared to the control group. Additionally, the observation group demonstrated markedly higher scores on the chronic pain self-efficacy and the nursing satisfaction scales than the control group. Narrative nursing combined with diversified health education effectively reduces pain levels and negative emotions in PHN patients, enhances their self-efficacy in managing chronic pain, and increases satisfaction with nursing care. This approach merits clinical promotion and application.

摘要

本研究探讨叙事护理联合多元化健康教育对带状疱疹后神经痛(PHN)患者负性情绪及自我管理能力的影响。对2023年7月至2024年6月在苏州大学附属第二医院接受治疗的182例PHN患者进行回顾性分析。将患者分为观察组和对照组,每组91例。对照组接受标准护理,观察组在标准护理的基础上接受叙事护理联合多元化健康教育。采用数字评分量表评估患者干预前后的平均疼痛水平。使用自评焦虑量表和自评抑郁量表评估负性情绪,同时使用慢性疼痛自我效能量表测量自我效能水平。出院时采用住院患者护理满意度量表对患者对护理的满意度进行调查。干预后,观察组在数字评分量表、自评焦虑量表和自评抑郁量表上的得分显著低于对照组。此外,观察组在慢性疼痛自我效能和护理满意度量表上的得分明显高于对照组。叙事护理联合多元化健康教育可有效降低PHN患者的疼痛水平和负性情绪,提高其对慢性疼痛的自我管理效能,并提高对护理的满意度。该方法值得临床推广应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0602/12385084/a036b5e92f12/medi-104-e44083-g001.jpg

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