Zins Savannah, Gross Cynthia, Hooke Mary Catherine
Registered Nurse, Mayo Clinic, Rochester, MN.
Professor, Department of Experimental and Clinical Pharmacology and School of Nursing, University of Minnesota, Minneapolis, MN.
Nephrol Nurs J. 2018 Jan-Feb;45(1):13-23.
Pain is a major problem for individuals undergoing hemodialysis and can lead to decreased quality of life when ineffectively managed. Pain is often reported as burdensome; thus, nurses must learn effective, nonpharmacological adjuncts to help care for symptomatic patients. The purpose of this review was to identify non-pharmacologic complementary therapies and evaluate their effectiveness in minimizing pain among individuals undergoing hemodialysis. Multiple complementary interventions were identified, and several reduced pain, but evidence is qualified by limitations in study methods. Complementary therapies have the potential to reduce pain among individuals undergoing hemodialysis; however, more research is needed.
疼痛是接受血液透析的患者面临的一个主要问题，如果管理不当，会导致生活质量下降。疼痛常常被认为是沉重的负担；因此，护士必须学习有效的非药物辅助方法，以帮助护理有症状的患者。本综述的目的是确定非药物补充疗法，并评估其在减轻血液透析患者疼痛方面的有效性。确定了多种补充干预措施，其中一些措施减轻了疼痛，但研究方法的局限性使证据的可信度受到影响。补充疗法有可能减轻血液透析患者的疼痛；然而，还需要更多的研究。
