Clinical Application of Intelligent Pain Management Program in Patients With Postherpetic Neuralgia Patients

IF 2.1 4区 医学 Q2 NURSING Pain Management Nursing Pub Date : 2025-08-01 Epub Date: 2025-02-27 DOI:10.1016/j.pmn.2025.01.014
Huaxiu Xu M.D. , Liyun Kong B.S. , Huichen Yang B.S. , Ting Huang B.S. , Fenfen Liu B.S. , Lili Zhang B.S. , Fei Zheng B.S. , Zhiyong Wu B.S. , Xulin Wang B.S. , Xinhong Zhang B.S.
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Abstract

Background

Effective pain management is crucial for treating and caring for individuals with postherpetic neuralgia (PHN). A systematic pain management program for this condition has not been established.

Purpose

To assess the clinical effectiveness of an intelligent pain management (IPM) program for patients with postherpetic neuralgia (PHN).

Methods

A randomized controlled trial was conducted, enrolling 92 PHN inpatients from January 2022 to January 2023. The control group (45 patients) received conventional pain management, while the experimental group (47 patients) underwent an IPM program. The study compared the impact of these approaches on clinical symptoms, sleep quality, and pain-catastrophizing cognition between the two groups.

Results

In the experimental group, the Numerical Rating Scale (NRS) scores were significantly lower than those in the control group on the 7th and 10th days of hospitalization. The differences in NRS scores, both in terms of treatment effects and time effects, as well as the interaction effect between treatment and time, were statistically significant (p < .05). The experimental group also exhibited a lower average daily frequency of breakthrough pain, a higher total pain relief rate, and better sleep index scores compared to the control group, with statistically significant differences (p < .05). However, the pain catastrophizing scores in the experimental group were lower than those in the control group, but this difference was not statistically significant (p > 0.05).

Conclusion

IPM programs can enhance patient pain outcomes and improve sleep quality. Nevertheless, the effect on pain catastrophizing cognition did not reach statistical significance.
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智能疼痛管理程序在带状疱疹后神经痛患者中的临床应用。
背景:有效的疼痛管理对带状疱疹后神经痛(PHN)患者的治疗和护理至关重要。针对这种情况的系统疼痛管理方案尚未建立。目的:评估智能疼痛管理(IPM)程序对带状疱疹后神经痛(PHN)患者的临床效果。方法:采用随机对照试验,纳入2022年1月至2023年1月期间住院的92例PHN患者。对照组(45例)接受常规疼痛治疗,实验组(47例)接受IPM治疗。该研究比较了两组患者在临床症状、睡眠质量和疼痛灾难认知方面的影响。结果:实验组患者住院第7天、第10天的数值评定量表(NRS)得分显著低于对照组。NRS评分在治疗效果、时间效应、治疗与时间交互效应方面的差异均有统计学意义(p < 0.05)。与对照组相比,实验组的突破性疼痛日平均频率更低,总疼痛缓解率更高,睡眠指数得分更好,差异有统计学意义(p < 0.05)。而实验组的疼痛灾难化评分低于对照组,但差异无统计学意义(p < 0.05)。结论:IPM方案可改善患者疼痛结局,改善睡眠质量。然而,对疼痛灾难认知的影响没有达到统计学意义。
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来源期刊
Pain Management Nursing
Pain Management Nursing 医学-护理
CiteScore
3.00
自引率
5.90%
发文量
187
审稿时长
>12 weeks
期刊介绍: This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.
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