Nursing Department. Faculty of Nursing. University of Girona, Spain.
Nursing Department. Faculty of Nursing. University of Girona, Spain.
Pain Manag Nurs. 2022 Oct;23(5):632-639. doi: 10.1016/j.pmn.2022.03.005. Epub 2022 Apr 22.
Pain is a considerable health concern that interferes with hemodialysis treatment outcomes and can lead to a patient developing anxiety and depression.
To examine the perception of pain in patients on chronic hemodialysis therapy, and to analyze the relationship between their pain, anxiety, depression, and sociodemographic data.
The research was conducted using a quantitative, observational, cross-sectional design. The study recruited 138 patients from multicentered hemodialysis units. A battery of questionnaires, including the visual analog scale (VaS) as pain intensity scale, the Hospital Anxiety and Depression Scale (HADS), and an ad hoc sociodemographic data questionnaire, were given to patients to answer during their hemodialysis sessions. A linear regression analysis was conducted to obtain the results.
The mean of pain to all participants was generally low, as per AVS scale (0-10) it was 3.6 (stanard deviation [SD] = 3.07). Women manifested lower levels of pain than men (p = .015). One in five participants in both sexes suffered from clinical anxiety and one in six participants in both sexes suffered from clinical depression. Women scored higher on both the anxiety (4.8 versus 4.2) and depression scale (6.8 versus 6.5). Those participants who manifested clinical anxiety were younger compared with those who did not (aged 56.8 versus 66.8 years). Finally, older patients (aged 68.5 years) manifested higher levels of depression.
The level of pain perceived by patients undergoing chronic hemodialysis therapy was generally low, especially in women. The study also demonstrated a positive association between levels of pain and anxiety and depression.
疼痛是一个严重的健康问题，会干扰血液透析治疗效果，并导致患者出现焦虑和抑郁。
检查慢性血液透析治疗患者的疼痛感知，并分析其疼痛、焦虑、抑郁与社会人口统计学数据之间的关系。
本研究采用定量、观察性、横断面设计。研究招募了来自多中心血液透析单位的 138 名患者。在患者血液透析过程中，使用视觉模拟量表（VaS）作为疼痛强度量表、医院焦虑和抑郁量表（HADS）以及专门的社会人口统计学数据问卷，对患者进行问卷调查。采用线性回归分析获得结果。
根据 AVS 量表（0-10），所有参与者的平均疼痛程度普遍较低，为 3.6（标准差[SD] = 3.07）。女性的疼痛程度低于男性（p =.015）。男女各有五分之一的参与者患有临床焦虑症，男女各有六分之一的参与者患有临床抑郁症。女性在焦虑量表（4.8 对 4.2）和抑郁量表（6.8 对 6.5）上的得分都更高。表现出临床焦虑的参与者比未表现出临床焦虑的参与者年龄更小（56.8 岁对 66.8 岁）。最后，年龄较大的患者（68.5 岁）表现出更高的抑郁水平。
接受慢性血液透析治疗的患者的疼痛感知程度普遍较低，尤其是女性。该研究还表明，疼痛程度与焦虑和抑郁之间存在正相关关系。
