Gong Lina, Liu Jia, Yan Jin, Wang Lufang
Department of Neurology, ICU, Third Xiangya Hospital, Centeal South University, Changsha 410013, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2014 Dec;39(12):1292-8. doi: 10.11817/j.issn.1672-7347.2014.12.012.
To investigate the effect of puncture-related pain on the quality of life in patients undergoing maintenance hemodialysis through internal arteriovenous fi stula.
A total of 180 hemodialysis patients with the arteriovenous fistula were surveyed by the kidney disease quality of life short form(KDQOL-SF1.3), demographic data questionnaire, visual analogue scale and pain self-efficacy questionnaire.
The median score of puncture-related pain was 5 and the score of pain self-efficacy was (31.42±14.59). The quality of life in the patients undergoing maintenance hemodialysis is poor. KDQOL-SF1.3 was (69.45±24.19), SF-36 was (49.82±19.17) and ESRD-targeted was (55.46±18.37). Multivariate analysis demonstrated that the quality of life was positively correlated with the patient gender (β=0.152, P< 0.05, OR=1.638, 95% CI 1.241-1.954), working position (β=0.307, P< 0.05, OR=2.069, 95% CI 1.206--3.148), using time of arteriovenous fistula (β=-0.815, P< 0.05, OR=0.223, 95% CI 0.095-0.741), the score of pain (β=-0.017, P< 0.05, OR=1.004, 95% CI 0.886-1.431) and pain self-efficacy (β=-0.409, P< 0.05, OR=0.803, 95% CI 0.710-0.984). There existed negative correlation between the quality of life score and the puncture-related pain score in these patients (r=-0.472, -0.465, -0.381, P< 0.01), positive correlation between the quality of life score and the score of pain self-efficacy (r=0.647, 0.203, 0.518, P< 0.05), and negative correlation between the puncture-related pain score and the score of pain self-efficacy(r=-0.745, P< 0.01).
Puncture-related pain is a crucial influential factor on the quality of life in the patients undergoing maintenance hemodialysis through internal arteriovenous fistula.
探讨穿刺相关疼痛对维持性血液透析患者生活质量的影响。
采用肾脏病生活质量简表（KDQOL-SF1.3）、人口学资料问卷、视觉模拟评分法及疼痛自我效能感问卷，对180例动静脉内瘘血液透析患者进行调查。
穿刺相关疼痛的中位数评分为5分，疼痛自我效能感评分为（31.42±14.59）分。维持性血液透析患者生活质量较差。KDQOL-SF1.3评分为（69.45±24.19）分，SF-36评分为（49.82±19.17）分，终末期肾病针对性评分为（55.46±18.37）分。多因素分析显示，生活质量与患者性别（β=0.152，P<0.05，OR=1.638，95%CI 1.241-1.954）、工作状况（β=0.307，P<0.05，OR=2.069，95%CI 1.206-3.148）、动静脉内瘘使用时间（β=-0.815，P<0.05，OR=0.223，95%CI 0.095-0.741）、疼痛评分（β=-0.017，P<0.05，OR=1.004，95%CI 0.886-1.431）及疼痛自我效能感（β=-0.409，P<0.05，OR=0.803，95%CI 0.71-0.984）呈正相关。患者生活质量评分与穿刺相关疼痛评分呈负相关（r=-0.472、-0.465、-0.381，P<0.01），与疼痛自我效能感评分呈正相关（r=0.647、0.203、0.518，P<0.05），穿刺相关疼痛评分与疼痛自我效能感评分呈负相关（r=-0.745，P<0.01）。
穿刺相关疼痛是影响维持性血液透析患者生活质量的重要因素。
