Chen Rui, Wang Donghua, Chen Zhen, Li Juan, Zhang Caiyun, Xu Chengting, Wang Yuzheng, Li Ronghui
Department of Dermatology, Xiang Yang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, 441000, Hubei, People's Republic of China.
Department of Colorectal and Anal Surgery, Xiang Yang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, 441000, Hubei, People's Republic of China.
Sci Rep. 2024 Dec 28;14(1):30650. doi: 10.1038/s41598-024-69949-5.
This study evaluates the clinical impact of comprehensive nursing care on senior patients suffering from postherpetic neuralgia (PHN), a chronic neuropathic pain condition resulting from the reactivation of the varicella-zoster virus. A total of 102 elderly patients diagnosed with PHN and treated at our hospital were divided into two groups: the control group, which received conventional nursing care, and the intervention group, which received comprehensive nursing care. Comparative analyses were conducted on pain levels, sleep quality, symptoms of depression and anxiety before and after the intervention. After a two-month period of nursing care, both groups exhibited a significant reduction in pain levels (p < 0.05), with the intervention group demonstrating a more substantial decrease (p < 0.001). Sleep quality improved in both groups (p < 0.05), with the intervention group showing a significantly greater improvement (p < 0.05). Additionally, the intervention group experienced a notable reduction in anxiety and depression ratings compared to the control group. Comprehensive nursing care interventions may effectively alleviate clinical symptoms, and diminish levels of depression and anxiety, while improving sleep quality in elderly patients with PHN. These findings underscore the potential benefits of employing a comprehensive approach to managing PHN in the elderly population.
本研究评估了综合护理对老年带状疱疹后神经痛（PHN）患者的临床影响，PHN是一种由水痘-带状疱疹病毒再激活引起的慢性神经性疼痛疾病。共有102例在我院诊断为PHN并接受治疗的老年患者被分为两组：对照组接受常规护理，干预组接受综合护理。对干预前后的疼痛程度、睡眠质量、抑郁和焦虑症状进行了比较分析。经过两个月的护理，两组患者的疼痛程度均显著降低（p < 0.05），干预组的疼痛程度下降更为明显（p < 0.001）。两组患者的睡眠质量均有所改善（p < 0.05），干预组的改善更为显著（p < 0.05）。此外，与对照组相比，干预组的焦虑和抑郁评分显著降低。综合护理干预可有效缓解老年PHN患者的临床症状，降低抑郁和焦虑水平，同时改善睡眠质量。这些发现强调了采用综合方法管理老年人群PHN的潜在益处。
