625: Applying the KAP Model in Holistic Nursing for HZN Treatment with Spinal Cord Stimulation

Topic: Education, Societal Impact, and Others
Subtopic: Education of pain care

Background and Aims: This study explores the effectiveness of the Knowledge-Attitude-Practice (KAP) model in providing comprehensive nursing care for patients with herpes zoster neuralgia (HZN) who have undergone short-term spinal cord stimulation (st-SCS).

Methods: Fifty-two patients diagnosed with HZN and undergoing st-SCS were non-randomly assigned to an intervention group (n=26) or a control group (n=26). The control group received routine nursing care, while the intervention group received KAP-based holistic nursing care, spanning from admission to electrode implantation, discharge, and removal. The intervention included disease education, psychological support, and hands-on training, supplemented by online consultations and communication via the WeChat platform. Pain interference, self-care ability, and quality of life (QoL) were assessed using validated scales.

Results: Post-intervention, both groups showed significant reductions in pain interference scores (p<0.001), with no significant between-group differences (p>0.05). However, the intervention group demonstrated significantly higher scores in self-care ability, including self-concept, self-care responsibility, self-care skills, and health knowledge (p<0.001), with significant group×time interactions (p<0.05). Additionally, the intervention group reported significantly higher QoL scores in physical functioning (p=0.007), though no significant differences were observed in physical role, emotional role, or social functioning (p>0.05).

Conclusions: Holistic nursing care based on the KAP model significantly enhances self-care abilities and improves physical functioning in HZN patients undergoing st-SCS. The integration of the KAP model with digital tools, such as WeChat, provides a low-cost, scalable solution for chronic pain management, particularly in resource-limited settings.

References: 1 Koshy E, Mengting L, Kumar H, Jianbo W. Epidemiology, treatment and prevention of herpes zoster: A comprehensive review. Indian J Dermatol Venereol Leprol. 2018;84(3):251-262. doi:10.4103/ijdvl.IJDVL_1021_16
2 Isagulyan E, Tkachenko V, Semenov D, et al. The Effectiveness of Various Types of Electrical
Stimulation of the Spinal Cord for Chronic Pain in Patients with Postherpetic Neuralgia: A
Literature Review. Pain Res Manag. 2023;2023:6015680. Published 2023 Mar 24.
doi:10.1155/2023/6015680
3 Seo YG, Kim SH, Choi SS, Lee MK, Lee CH, Kim JE. Effectiveness of continuous epidural
analgesia on acute herpes zoster and postherpetic neuralgia: A retrospective study. Medicine
(Baltimore). 2018;97(5):e9837. doi:10.1097/MD.0000000000009837
4 Dong DS, Yu X, Wan CF, et al. Efficacy of Short-Term Spinal Cord Stimulation in
Acute/Subacute Zoster-Related Pain: A Retrospective Study. Pain Physician. 2017;20(5):E633-
E645.
5 Liu B, Yang Y, Zhang Z, Wang H, Fan B, Sima L. Clinical Study of Spinal Cord Stimulation and
Pulsed Radiofrequency for Management of Herpes Zoster-Related Pain Persisting Beyond Acute
Phase in Elderly Patients. Pain Physician. 2020;23(3):263-270.
6 Sun W, Jin Y, Liu H, et al. Short-term spinal cord stimulation is an effective therapeutic
Approach for herpetic-related neuralgia-A Chinese nationwide expert consensus. Front Aging
Neurosci. 2022;14:939432. Published 2022 Sep 20. doi:10.3389/fnagi.2022.939432
7 Huang J, Yang S, Yang J, et al. Early Treatment with Temporary Spinal Cord Stimulation
Effectively Prevents Development of Postherpetic Neuralgia. Pain Physician. 2020;23(2):E219-
E230.
8 Shi B, Lin Z, Shi X, et al. Effects of a lymphedema prevention program based on the theory of knowledge-attitude-practice on postoperative breast cancer patients: A randomized clinical trial. Cancer Med. 2023;12(14):15468-15481. doi:10.1002/cam4.6171
9 Wang J, Chen L, Yu M, He J. Impact of knowledge, attitude, and practice (KAP)-based rehabilitation education on the KAP of patients with intervertebral disc herniation. Ann Palliat Med. 2020;9(2):388-393. doi:10.21037/apm.2020.03.01
10 Wang XS, Mendoza TR, Gao SZ, Cleeland CS. The Chinese version of the Brief Pain
Inventory (BPI-C): its development and use in a study of cancer pain. Pain. 1996;67(2-3):407-416.
doi:10.1016/0304-3959(96)03147-8
11 Wang HH, Laffrey SC. Preliminary development and testing of instruments to measure self-
care agency and social support of women in Taiwan. Kaohsiung J Med Sci. 2000;16(9):459-467.
12 Lam CL, Tse EY, Gandek B, Fong DY. The SF-36 summary scales were valid, reliable, and
equivalent in a Chinese population. J Clin Epidemiol. 2005;58(8):815-822.
doi:10.1016/j.jclinepi.2004.12.008
13 Raja SN, Carr DB, Cohen M, et al. The revised International Association for the Study of Pain
definition of pain: concepts, challenges, and compromises. Pain. 2020;161(9):1976-1982.
doi:10.1097/j.pain.0000000000001939

Presenting Author: lingchai
Submitting Author: ling chai

Senior Author: guodongshi

IASP 2026 Global Year theme of Neuropathic Pain: Yes

• fengyu - Shanghai Public Health Clinical Center
• guodongshi - Shanghai Public Health Clinical Center
• yihongzhao - Shanghai Public Health Clinical Center