血液透析患者疼痛与生活质量的相关性研究

J. Dantas, M. I. Martins
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引用次数: 7

摘要

背景与目的:评估接受血液透析的慢性肾脏病患者的疼痛症状及其对生活质量的影响。方法:按频率配对的描述性、探索性、比较性和横断面研究,试验组(GI,n=50)患有高血压和2型糖尿病的血液透析的慢性肾脏患者,对照组(GII,n=50。通过肾脏疾病和生活质量简表评估生活质量,通过简短疼痛量表评估疼痛,通过Beck焦虑和抑郁量表评估情绪因素,通过DN4问卷评估神经性疼痛。结果:两组均以男性为主,平均年龄47.3±16.5岁。在分娩方面,血液透析(GI)组有80%的患者不活动。生活质量受损最多的领域是工作环境和身体功能。胃肠道中普遍存在抑郁和焦虑、神经性疼痛和更多的疼痛主诉,这严重干扰了睡眠和行走能力等一般活动。焦虑、身体功能和分娩情况与疼痛之间存在显著相关性(p<0.05)。结论:疼痛通常被忽视,但会对患者的生活质量产生重大影响,导致焦虑或抑郁症状的相关恶化。因此,对此类患者进行多学科管理至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correlation between pain and quality of life of patients under hemodialysis
BACKGROUND AND OBJECTIVES: To evaluate pain symptoms and their influence on quality of life of chronic renal patients submitted to hemodialysis. METHODS: Descriptive, exploratory, comparative and crosssectional study paired by frequency, having as tested group (GI, n=50) chronic renal patients under hemodialysis with hypertension and diabetes mellitus type 2, and as control group (GII, n=50) patients with hypertension or diabetes mellitus type 2, assisted by the Hypertension Ambulatory. Quality of life was evaluated by the Kidney Disease and Quality of Life ShortForm, pain by the Brief Pain Inventory, emotional factors by Beck anxiety and depression scales and neuropathic pain by DN4 questionnaire. RESULTS: Both groups had predominance of males, mean age of 47.3±16.5 years. With regard to labor, the group under hemodialysis (GI) had 80% of inactive patients. Most impaired quality of life domains were job situation and physical function. There has been prevalence of depression and anxiety, neuropathic pain and more pain complaint in GI, significantly interfering with general activities such as sleep and walking ability. There has been significant correlation (p<0.05) between anxiety, physical function and labor situation versus pain. CONCLUSION: Pain is often ignored, but brings significant consequences to quality of life of patients, contributing for relevant worsening of anxious or depressive symptoms. Thus, it is critical the multidisciplinary management of such patients.
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