摘要
目的:探讨带状疱疹相关性疼痛(ZAP)病人护理管理最佳证据临床应用效果,为ZAP病人疼痛护理管理提供可靠的循证医学证据支持。方法:选取疼痛科2024年4月—6月收治的36例ZAP病人为应用前组,从组织、实践者、病人3个层面进行深度剖析,制订针对性变革策略。选取2024年9月—11月收治的35例ZAP病人作为应用后组,应用检索数据库及专业网站汇总的19条最佳证据、13条审查指标进行循证实践,比较两组护理结果。结果:两组病人疼痛视觉模拟(VAS)、疼痛护理管理满意度、简明健康调查量表(SF-36)、匹兹堡睡眠质量指数量表(PSQI)、焦虑筛查量表(GAD-7)、抑郁筛查量表(PHQ-9)评分比较差异均有统计学意义(P<0.001);两组护士疼痛管理知识总分、总问卷回答正确率及审查指标3~13执行率比较差异均有统计学意义(P<0.05)。结论:ZAP病人疼痛护理管理最佳证据的应用提高了疼痛管理的效果,提升了护理人员的知识水平及审查指标的执行率。
Objective:To investigate the clinical effectiveness of the best evidence in nursing management of patients with zosterassociated pain(ZAP)and to provide reliable evidence-based medical support for pain management in ZAP patients.Methods:A total of 36 ZAP patients who were treated in the pain department from April to June 2024 were included as the pre-application group.A targeted change strategy was constructed by conducting an in-depth analysis from the three levels of organizers,practitioners,and patients.A total of 35 ZAP patients who were treated from September to November 2024 were selected as the post-application group.An evidence-based practice was conducted by 19 best evidence and 13 review indicators summarized by the retrieval database and professional websites.The nursing results of the two groups were compared.Results:The scores of Visual Analogue Scale(VAS),pain care management satisfaction,Short Form 36 Health Survey(SF-36),Pittsburgh Sleep Quality Index(PSQI),Generalized Anxiety Disorder(GAD-7),and patient health questionnaire-9(PHQ-9)of the two groups of patients were different,and the differences are statistically significant(P<O.Oo1).The total score of pain management knowledge,the correctness rate of the total questionnaire,and the comparative difference in the implementation rate of the review indicators 3~13 of the two groups of nurses were different,and the differences are statistically significant(P<0.05).Conclusions:Using the best evidence in pain management for ZAP patients enhances pain control,improves nursing staff's knowledge,and raises the review indicator compliance rate.
作者
吴娜
潘旭玲
储亚晨
WU Na;PAN Xuling;CHU Yachen(The Second Affiliated Hospital of Soochow University,Jiangsu 215000 China)
出处
《循证护理》
2026年第5期937-943,共7页
Chinese Evidence-Based Nursing
关键词
带状疱疹
疼痛
疼痛管理
循证实践
循证护理
herpes zoster
pain
pain management
evidence-based practice
evidence-based nursing
