Analysis of the effect of nursing intervention based on case management mode on pain status and neuroelectrophysiological level of diabetes peripheral neuropathy
基于个案管理模式护理干预对糖尿病周围神经病变的疼痛状况及神经电生理水平的影响分析

摘要

目的 探讨基于个案管理模式的护理干预在糖尿病周围神经病变患者中对疼痛状况及神经电生理水平的影响。方法 选取我院2022年1月-2024年1月收治的60例糖尿病周围神经病变患者为研究对象，采用随机数字法将患者分为两组参照组（30例）和实验组（30例），参照组接受常规护理干预，实验组在此基础上接受基于个案管理模式的护理干预。对比两组疼痛程度及神经电生理指标。结果 实验组在干预后的疼痛评分显著低于参照组（P<0.05）；实验组的正中神经感觉、腓总神经感觉、正中神经运动以及腓总神经运动传导速度均显著高于参照组（P<0.05）。结论 基于个案管理模式的护理干预能够有效缓解糖尿病周围神经病变患者的疼痛，改善其神经电生理水平，为临床护理提供了新的思路和参考。

Abstract

Objective To explore the effect of nursing intervention based on case management mode on pain status and neuroelectrophysiological level in patients with diabetes peripheral neuropathy.
Methods 60 patients with diabetes peripheral neuropathy admitted to our hospital from January 2022 to January 2024 were selected as the research objects. The patients were randomly divided into two groups: the reference group (30 cases) and the experimental group (30 cases). The reference group received routine nursing intervention, and the experimental group received nursing intervention based on the case management model. Compare the pain levels and neurophysiological indicators between two groups. Result The pain score of the experimental group after intervention was significantly lower than that of the reference group (P<0.05); The median nerve sensation, common peroneal nerve sensation, median nerve movement, and common peroneal nerve motor conduction velocity in the experimental group were significantly higher than those in the control group (P<0.05).
Conclusion   Nursing intervention based on case management mode can effectively alleviate the pain of patients with diabetes peripheral neuropathy, improve their neuroelectrophysiological level, and provide new ideas and references for clinical nursing.