Comprehensive nursing care improves symptoms and quality of life in elderly patients with postherpetic neuralgia

Sci Rep. 2024 Dec 28;14(1):30650. doi: 10.1038/s41598-024-69949-5.

Abstract

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.

Keywords: Anxiety; Chronic pain; Depression; Neuropathic pain; Psychological distress.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anxiety*
  • Depression*
  • Female
  • Humans
  • Male
  • Neuralgia, Postherpetic* / psychology
  • Nursing Care / methods
  • Quality of Life*
  • Sleep Quality