摘要
目的:评估程序化疼痛管理联合正性激励干预在离子束治疗面部痤疮瘢痕中的应用效果。方法:选取2022年11月—2023年11月广西医科大学第一附属医院皮肤科收治的采用离子束治疗面部痤疮瘢痕的100例患者作为研究对象,通过随机数字表法将患者分为观察组与对照组,各50例。对照组行常规护理,观察组实施程序化疼痛管理联合正性激励干预。比较两组疼痛程度、负性情绪、应对方式、痤疮瘢痕的严重程度及生活质量。结果:治疗后3 d,观察组数字评分量表(NRS)评分显著低于对照组(P<0.05)。干预2个月后,观察组痤疮瘢痕权重评分(ECCA)、HAMA、HAMD、消极应对评分较对照组低(P<0.05);干预2个月后,观察组积极应对评分及生活质量综合评定问卷-74(GQOLI-74)评分均高于对照组(P<0.05)。结论:程序化疼痛管理联合正性激励干预能够有效缓解离子束治疗过程中患者的疼痛,改善其负性情绪,增强积极应对行为,促进痤疮瘢痕的修复,并显著提高生活质量。
Objective:To evaluate the application effect of programmed pain management combined with positive incentive intervention in ion beam therapy for facial acne scars.Method:A total of 100 patients with facial acne scars treated with ion beam in the Department of Dermatology of the First Affiliated Hospital of Guangxi Medical University from November 2022 to November 2023 were selected as the research subjects.They were divided into the observation group and the control group by the random number table method,with 50 cases in each group.The control group received routine nursing,while the observation group implemented programmed pain management combined with positive incentive intervention.The degree of pain,negative emotions,coping styles,the severity of acne scars and quality of life in the two groups were compared.Result:Three days after treatment,the numerical rating scale(NRS)score of the observation group was significantly lower than that of the control group(P<0.05).After 2 months of intervention,the scores ofÉchelle d'Évaluation Clinique des Cicatrices d'Acné(ECCA),HAMA,HAMD,and negative coping of the observation group were lower than those of the control group(P<0.05).After 2 months of intervention,the positive coping score and the generic quality of life inventory-74(GQOLI-74)score of the observation group were both higher than those of the control group(P<0.05).Conclusion:Programmed pain management combined with positive incentive intervention can effectively relieve the pain of patients during ion beam therapy,improve their negative emotions,enhance positive coping behaviors,promote the repair of acne scars,and significantly improve the quality of life.
作者
梁维
霍瑞玲
何莉曼
贾静丹
唐佳敏
甘雅
刘京平
苏家光
张馨予
LIANG Wei;HUO Ruiling;HE Liman;JIA Jingdan;TANG Jiamin;GAN Ya;LIU Jingping;SU Jiaguang;ZHANG Xinyu(Department of Dermatology,the First Affiliated Hospital of Guangxi Medical University,Nanning 560021,China;不详)
出处
《中国医学创新》
2026年第4期80-85,共6页
Medical Innovation of China
基金
广西壮族自治区卫生健康委员会自筹经费科研课题(Z-A20220456)。
关键词
程序化疼痛管理
正性激励干预
离子束治疗
面部痤疮瘢痕
Programmed pain management
Positive incentive intervention
Ion beam therapy
Facial acne scars
