人类免疫缺陷病毒相关远端感觉性周围神经病的评估与管理：了解症状
Assessment and Management of HIV Distal Sensory Peripheral Neuropathy: Understanding the Symptoms.
作者信息
Anastasi Joyce K, Pakhomova Anna M
机构信息
Special Studies in Symptom Management New York University / NYU Meyers.
Studies in Symptom Management New York University / NYU Meyers.
出版信息
J Nurse Pract. 2020 Apr;16(4):276-280. doi: 10.1016/j.nurpra.2019.12.019. Epub 2020 Mar 20.
Abstract
Distal sensory peripheral neuropathy (HIV-DSP) affects upwards of 50% of people living with HIV. Causing often debilitating symptoms of tingling, numbness and burning, HIV-DSP can result in disability, unemployment and low quality of life. Comorbidities further complicate nursing care, heightening risk of polypharmacy and symptom exacerbation. Therefore, a neurological sensory assessment, combined with the patient's self-report of symptoms, can help nurse practitioners visualize, quantify and understand symptoms. Common pharmacological interventions include antiepileptics, antidepressants, analgesics and medical marijuana. The complexity of care for individuals with HIV-DSP merits a comprehensive approach. Implications for practice include interdisciplinary management with neurologists, podiatrists, mental health providers, and nurse-led counseling inclusive of patient safety teaching.
摘要
远端感觉性周围神经病（HIV-DSP）影响超过50%的HIV感染者。HIV-DSP常常导致使人衰弱的刺痛、麻木和灼烧症状，可导致残疾、失业和生活质量低下。合并症使护理工作进一步复杂化，增加了多重用药和症状加重的风险。因此，神经感觉评估结合患者的症状自我报告，有助于执业护士形象化、量化和理解症状。常见的药物干预措施包括抗癫痫药、抗抑郁药、镇痛药和医用大麻。对HIV-DSP患者的护理复杂性需要一种全面的方法。对实践的启示包括与神经科医生、足病医生、心理健康服务提供者进行跨学科管理，以及由护士主导的咨询，包括患者安全教学。
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