互联网+护理服务对带状疱疹患者睡眠质量的影响

Effect of Internet+Nursing Service on Sleep Quality of Herpes Zoster Patients

目的:观察“互联网+”护理服务对带状疱疹患者睡眠质量的影响。方法:选取湖南省衡阳市南华大学附属第二医院皮肤科/神经内科收治的带状疱疹患者70例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组35例。2组患者均接受抗病毒、止痛对症处理,对照组患者在此基础上接受常规护理,包括健康知识教育护理、日常卫生护理;观察组在对照组护理措施的基础上,实施“互联网+”护理服务,比较2组患者临床症状消失时间、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、睡眠质量以及一般自我效能感(GSES)评分、患者满意度情况的差异。结果:1)2组治疗后SAS、SDS评分、VAS疼痛度评分均较治疗前下降,GSES评分较治疗前上升,观察组评分优于对照组(P<0.05);2)2组治疗后PSQI指数均明显低于治疗前,其中观察组降低幅度高于对照组,差异有统计学意义(P<0.05);3)观察组疱疹结痂时间(6.30±0.82)d,疱疹愈合时间为(14.25±2.07)d,明显较对照组的(8.67±0.98)d及(19.28±1.02)d缩短,差异有统计学意义(P<0.05)。4)治疗后观察组患者满意度为99%,明显高于对照组的78%,差异有统计学意义(P<0.05)。结论:“互联网+”护理可明显缩短带状疱疹愈合时间,缓解带状疱疹神经疼痛,改善患者的负性情绪,提高睡眠质量,值得临床加大推广力度。

Objective:To observe the effect of“Internet+”nursing service on sleep quality of herpes zoster patients.Methods:A total of 70 patients with herpes zoster in the Department of Dermatology/neurology of our hospital were included in the study.They were randomly divided into control group and observation group,with 35 cases in each group.The patients in both groups received antiviral,analgesic and symptomatic treatment,while the patients in the control group received routine nursing on this basis,including health knowledge education nursing and daily health nursing;on the basis of the nursing measures of the control group,the observation group implemented“Internet+”nursing services,and compared the time of disappearance of clinical symptoms,SAS score,SDS score,sleep quality,general self-efficacy(GSEs)score and patient satisfaction between the two groups.Results:1)after treatment,the SAS,SDS and VAS pain scores of the two groups decreased,and the GSEs score increased.The score of the observation group was better than that of the control group(P<0.05);2)the PSQI index of the two groups after treatment was significantly lower than that before treatment,and the decrease in the observation group was significantly higher than that in the control group(P<0.05);3)the scab forming time and healing time of herpes in the observation group were(6.30±0.82)days and(14.25±2.07)days,which were significantly shorter than those in the control group(8.67±0.98)days and(19.28±1.02)days(P<0.05);4)after treatment,the patients′satisfaction in the observation group was 99%,which was significantly higher than that in the control group(78%)(P<0.05).Conclusion:“Internet+”nursing can significantly shorten the healing time of herpes zoster,relieve the neuralgia of herpes zoster,improve the recovery mood of patients,and improve the sleep quality.It is worthy of clinical promotion.