ORIGINAL ARTICLE

Correlation between postherpetic neuralgia (PHN) patients’ stress level and the quality of life of their families in Universitas Sumatera Utara Hospital

Finisia Angkasa , Imam Budi Putra, Ariyati Yosi

Finisia Angkasa
Postgraduate Student of Dermatology and Venereology Department, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia. Email: finis.ang@gmail.com

Imam Budi Putra
Department of Dermatology and Venereology, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia

Ariyati Yosi
Department of Dermatology and Venereology, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
Online First: November 07, 2020 | Cite this Article
Angkasa, F., Putra, I., Yosi, A. 2020. Correlation between postherpetic neuralgia (PHN) patients’ stress level and the quality of life of their families in Universitas Sumatera Utara Hospital. Bali Medical Journal 9(3): 619-622. DOI:10.15562/bmj.v9i3.1738


Background: Postherpetic neuralgia (PHN) is the most common complication seen in herpes zoster patients. Its clinical manifestations consist of persisting sharp pain even when the initial exanthema has disappeared. These patients experienced stress from the conditions and from the treatment process, which in turn affect their families’ quality of life.

Patients and Methods: This study was an observational analytic study with a cross-sectional design involving 30 PHN patients and their families. Patients were required to fill out the Perceived Stress Scale (PSS-10) questionnaire to assess their stress levels. Their respective families were required to fill out the Family Dermatology Life Quality Index (FDLQI) questionnaire to assess their quality of life. Statistical analysis was performed on both data with the Spearman correlation test (data were not normally distributed). ANOVA test was performed to assess the average difference between the stress levels experienced by PHN patients and the quality of life of their families.

Results: The families of PHN patients who experienced severe stress levels had worse or lower quality of life compared to the families of patients with moderate or mild stress levels. The lowest average score of quality of life is 27.20 (severe stress level) and the highest average score of quality of life is 14.33 (mild stress level).

Conclusions: The stress level of PHN patients was significantly related to the quality of life of their respective families in the aspects covered in the FDLQI questionnaire (p <0.005). There was a significant difference in the family's quality of life score based on the patient's stress level (p<0.001)

References

Oxman MN, Levin MJ, Johnson GR, Schmader KE, Straus SE, Gelb LD, et al. A Vaccine to Prevent Herpes Zoster and Post Herpetic Neuralgia in Older Adults. N Engl J Med. 2005; 352(22): 2271-84.

Bartley J. Postherpetic Neuralgia, Schwann Cell Activation, and Vitamin D. Med Hypotheses. 2009; 73(6): 927-9.

Gilden DH, Kleinschmidt De Master BK, Laguardia JJ, Mahalingam R, Cohrs RJ. Neurologic Complication of The Reactivation Of Varicella-Zoster Virus. N Engl J Med. 2000; 342(9):635-45.

Cipto H, Ismiarto SP. Pengobatan Mutakhir Nyeri Paska Herpes. Badan Penerbit FKUI. Jakarta. 2002: 19-37.

Kelompok Studi Herpes Indonesia (KSHI). Buku Panduan Herpes Zoster di Indonesia. Badan Penerbit FKUI. Jakarta. 2014: 3-5.

Dworkin RH, Banks SM. A Vulnerability Diathesis Stress Model of Chronic Pain: Herpes Zoster and The Development of Post Herpetic Neuralgia. The Guilford Press. New York. 2009; 247–269.

Livengood JM. The Role of Stress in the Development of Herpes Zoster and Post Herpetic Neuralgia. Curr Rev Pain. 2000; 4(1):7-11.

Katz J, McDermott MP, Cooper EM, Walther RR, Sweeney EW, Dworkin RH. Psychosocial Risk Factors for Post Herpetic Neuralgia: A Prospective Study of Patients With Herpes Zoster. J Pain. 2005; 6(12):782-90.

Volpi A, Gatti A, Pica F, Bellino S, Marsella LT, Sabato AF. Clinical and Psychosocial Correlates of Post Herpetic Neuralgia. J Med Virol. 2008; 80(9):1646-52.

Hu X, Summers JA, Turnbull A, Zuna N. The Quantitative Measurement of Family Quality of Life: A Review of Available Instruments. J Intellect Disabil Res. 2011; 55(12):1098-114

Samuel PS, Rillotta F, Brown I. Review: The Development of Family Quality of Life Concepts and Measures. Journal of Intellectual Disability Research. J Intellect Disabil Res. 2012; 56(1):1-16.

Rachel P, Jeremy K, Philip W, Helen M, Graham B, Christopher G. Quick, Simple Measures of Family Relationships for Use in Clinical Practice and Research; A Systematic Review. Journal of Family Practice. Fam Pract. 2011; 28(2):172-87.

Poston D, Turnbull A, Park J, Mannan H, Marquis J, Wang M. Family Quality of Life: A Qualitative Inquiry. Ment Retard. 2003; 41(5):313-28.

Mellaratna WP. Pengaruh Intensitas Nyeri terhadap Kualitas Hidup Pasien Post Herpetic Neuralgia. Fakultas Kedokteran Universitas Sumatera Utara, Medan. 2019: 48-63.

Muñoz-Quiles C, López-Lacort M, Orrico-Sánchez A, Díez-Domingo J. Impact of postherpetic neuralgia: A six-year population-based analysis on people aged 50 years or older. J Infect. 2018; 77(2):131–6.

Schmidt-Ott R, Schutter U, Simon J, Nautrup BP, van Krempelhuber A, Gopala K, et al. Incidence and costs of herpes zoster and postherpetic neuralgia in German adults aged ≥ 50 years: A prospective study. J Infect. 2018; 76(5): 475-82.

Nahm FS, Kim SH, Kim HS, Shin JW, Yoo SH, Yoon MH, et al. Survey on the Treatment of Post Herpetic Neuralgia in Korea: Multicenter Study of 1.414 Patients. Korean J Pain. 2013; 26(1): 21-6.

Weaver BA. The burden of herpes zoster and postherpetic neuralgia in the United States. J Am Osteopath Assoc. 2007;107(3 Suppl 1): S2-7.

Weinke T, Glogger A, Bertrand I, Lukas K. The Societal Impact of Herpes Zoster and Post Herpetic Neuralgia on Patients, Life Partners, and Children on Patients in Germany. ScientificWorldJournal. 2014; 2014:1-8.

Basra MK, Sue-Ho R, Finlay AY. The Family Dermatology Life Quality Index; Measuring The Secondary Impact of Skin Disease. Br J Dermatol. 2007; 156(3):528-38.


No Supplementary Material available for this article.
Article Views      : 0
PDF Downloads : 0