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Pain in Hemodialysis Patients: Prevalence, Intensity, Location, and Functional Interference in Daily Activities.
Patrícia Roberta Dos Santos1, Carolina Rodrigues Mendonça1, Matias Noll2,3
1Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal de Goiás, Goiânia 74605-010, Goiás, Brazil.
Healthcare (Basel, Switzerland)
|October 23, 2021
Summary
Pain significantly impacts daily life for hemodialysis patients, with high prevalence in limbs and trunk. This pain frequently interferes with general activity, mobility, and disposition, affecting overall well-being.
Area of Science:
- Nephrology
- Pain Management
- Quality of Life Studies
Background:
- Chronic kidney disease (CKD) patients undergoing hemodialysis frequently report pain.
- Limited research exists on how pain functionally interferes with daily activities for this population.
Purpose of the Study:
- To determine the prevalence, location, intensity, and functional interference of pain in activities of daily living (ADLs) among CKD patients on hemodialysis.
- To examine the association between specific pain locations and severe functional interference in ADLs.
Main Methods:
- A cross-sectional study involving 65 CKD patients undergoing hemodialysis.
- Pain assessment using the Brief Pain Inventory for prevalence, intensity, and functional interference.
- Poisson regression analysis to calculate prevalence ratios.
Main Results:
- Overall pain prevalence was 89.23%.
- High prevalence of pain in the trunk (55.38%), upper limbs (35.38%), and lower limbs (60.00%).
- Severe functional interference observed in general activity (61.54%), mobility (56.92%), and disposition (55.38%).
Conclusions:
- Pain, particularly musculoskeletal and intradialytic pain, is highly prevalent in hemodialysis patients.
- Pain significantly interferes with ADLs, leading to patient incapacitation.
- Targeted pain management strategies are crucial for improving the quality of life for hemodialysis patients.
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