Background: Effective pain management is crucial for treating and caring for individuals with postherpetic neuralgia (PHN). A systematic pain management program for this condition has not been established.
Purpose: To assess the clinical effectiveness of an intelligent pain management (IPM) program for patients with postherpetic neuralgia (PHN).
Methods: A randomized controlled trial was conducted, enrolling 92 PHN inpatients from January 2022 to January 2023. The control group (45 patients) received conventional pain management, while the experimental group (47 patients) underwent an IPM program. The study compared the impact of these approaches on clinical symptoms, sleep quality, and pain-catastrophizing cognition between the two groups.
Results: In the experimental group, the Numerical Rating Scale (NRS) scores were, the Numerical Rating Scale (NRS) scores were significantly lower than those in the control group on the 7th and 10th days of hospitalization. The differences in NRS scores, both in terms of treatment effects and time effects, as well as the interaction effect between treatment and time, were statistically significant (p < .05). The experimental group also exhibited a lower average daily frequency of breakthrough pain, a higher total pain relief rate, and better sleep index scores compared to the control group, with statistically significant differences (p < .05). However, the pain catastrophizing scores in the experimental group were lower than those in the control group, but this difference was not statistically significant (p > 0.05).
Conclusion: IPM programs can enhance patient pain outcomes and improve sleep quality. Nevertheless, the effect on pain catastrophizing cognition did not reach statistical significance.
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http://dx.doi.org/10.1016/j.pmn.2025.01.014 | DOI Listing |
JMIR Res Protoc
March 2025
Paseo de los Encomendadores, Faculty of Health Sciences, University of Burgos, Burgos, Spain.
Background: Breast cancer is the second most common cancer in women worldwide. Treatments for this disease often result in side effects such as pain, fatigue, loss of muscle mass, and reduced quality of life. Physical exercise has been shown to effectively mitigate these side effects and improve the quality of life in patients with breast cancer.
View Article and Find Full Text PDFPain Med
March 2025
Department of Anesthesiology and Pain Medicine, Université de Montréal, 2900 Boul. Edouard-Montpetit, Montréal, Québec, H3T 1J4, Canada.
Design: Platelet-rich plasma (PRP) is a popular treatment option in managing chronic tendinopathies, although the literature is inconsistent, mainly because of significant heterogeneity in patient populations. Patients who failed conservative management may respond differently than those who have not undergone first-line treatment. This systematic review and meta-analysis aimed to evaluate the efficacy of PRP injections in reducing pain and improving function in patients with chronic tendinopathy who failed conservative treatment.
View Article and Find Full Text PDFObjectives: To assess if implementing interventions to effectively manage preoperative chronic moderate to severe shoulder pain in patients undergoing rotator cuff repair (RCR) can improve shoulder surgery outcomes.
Methods: A systematic review was conducted following the PRISMA and SIGN guidelines. Randomized clinical trials (RCT), metanalysis, systematic revisions and cohort studies in Spanish/English, published within the last 10 years, evaluating interventions to control preoperative chronic moderate to severe shoulder pain in patients undergoing RCR and their impact in postoperative shoulder outcomes were included.
J Am Acad Orthop Surg
March 2025
From the Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD (Zhang and Murthi), and the Department of Anesthesiology, St. Francis Hospital and Medical Center, Hartford, CT (Sinha).
As arthroscopic and open shoulder surgery is increasingly performed on an outpatient basis, optimal and prolonged pain control is becoming more important while minimizing associated adverse effects. Traditional analgesic strategies relying on opioid and nonopioid medications provide inadequate pain control and are associated with undesirable adverse effects, such as opioid-related adverse effects (postoperative nausea and vomiting, respiratory depression, sedation), gastric lining irritation, and renal and hepatic adverse effects. Advances in ultrasonography-guided regional anesthesia have made placement of interscalene brachial plexus nerve blocks more reliable and precise and aided development of novel phrenic nerve-sparing peripheral nerve block techniques that decrease the risk of diaphragmatic paresis and dyspnea.
View Article and Find Full Text PDFJ Nurs Care Qual
March 2025
Author Affiliations: Department of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China (Dr He); Department of Infection Prevention and Control Management, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China (Mr Lin, Mss Chen, Li, Cheng, Tan, and Dr Wang); School of Public Health, Hubei University of Medicine, Shiyan, Hubei, China (Mr Lin, Ms Chen, Dr Wu); Department of Nursing, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China (Dr Feng, Ms Chen); Hubei Engineering Center for Infectious Disease Prevention, Control and Treatment, Wuhan, Hubei, China (Drs Feng, Wang); Health Science Center, Yangtze University, Jingzhou, Hubei, China (Ms Zhang); and Sinopharm Dongfeng General Hospital (Hubei Clinical Research Center of Hypertension), Hubei University of Medicine, Shiyan, Hubei, China (Dr Wu).
Background: Frequent hand hygiene is essential for infection control among health care workers (HCWs) but may cause adverse skin effects.
Purpose: To assess the relationships between frequent hand hygiene practices, skin symptoms, and microbiota alterations in HCWs.
Methods: A comprehensive search of 7 databases was conducted to identify articles published between January 2014 and July 2024 in English and Chinese.
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