摘要
总结1例带状疱疹后神经痛合并谵妄的老年患者,在行植入式鞘内药物输注系统治疗前后的护理措施。针对患者合并谵妄,具有沟通困难的特点,采用面部表情疼痛量表(FPS)与行为观察相结合进行动态疼痛评估;监测患者认知与精神状态,落实防跌倒、防意外拔管等安全措施;严密观察药物疗效与作用;加强术后伤口管理;强化家属的健康指导。患者原发部位疼痛较术前减轻,全程无并发症,术后第6天康复出院。针对带状疱疹神经痛(PHN)合并谵妄患者,在进行IDDS治疗前后实施精准化疼痛评估、安全防护、用药监护及家庭支持等综合护理,能有效减轻谵妄,缓解疼痛,改善患者情绪和睡眠质量,同时保障了治疗安全性和效果,促进了患者康复。
This study summarized the nursing management of one elderly patient with postherpetic neuralgia(PHN)complicated with delirium undergoing intrathecal drug delivery system(IDDS)implantation.For the communication barriers caused by delirium,dynamic pain assessment was conducted via the Faces Pain Scale(FPS)combined with behavioral observation.We continuously monitored the patient's cognitive and mental status,and strictly implemented safety interventions including fall and accidental extubation prevention.Intrathecal medication efficacy and adverse reactions were closely observed,postoperative wound care was strengthened,and detailed health education was provided for family members.The patient's pain at the primary affected site was significantly relieved postoperatively,with no complications occurring during the whole course,and was discharged on the 6th postoperative day.For PHN patients with delirium undergoing IDDS implantation,comprehensive perioperative nursing involving precise pain assessment,safety protection,medication monitoring and family support can effectively alleviate delirium and pain,ensure treatment safety and efficacy,and promote early rehabilitation.
作者
蒋杏
许丽媛
熊伟宁
金雨晴
刘超
JIANG Xing;XU Li-yuan;XIONG Wei-ning;JIN Yu-qing;LIU Chao(China-Japan Friendship Hospital Department of Pain Management,Beijing 100029,China)
出处
《安徽医专学报》
2026年第1期139-141,共3页
Journal of Anhui Medical College
关键词
植入式鞘内药物输注系统
带状疱疹后神经痛
谵妄
护理
intrathecal drug delivery system implantation
postherpetic neuralgia
delirium
nursing management
