Bone pain assessment in patients with chronic kidney disease undergoing
            hemodialysis

Vides, Mariana Capelo; Martins, Marielza Regina Ismael

doi:10.5935/1806-0013.20170109

Cited by 7 publications

(8 citation statements)

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“…A dor representou aproximadamente 40,0% do total de queixas apresentadas pelos pacientes com DRC em diálise (10) e grande parte desses sintomas dolorosos ocorreu devido a um mecanismo fisiopatológico conhecido, podendo, portanto, ser adequadamente tratado durante o tratamento dialítico: a dor musculoesquelética que se segue, cãibras resultantes da remoção rápida de fluidos corporais, dores de cabeça associadas à pressão arterial alta e dor torácica que ocorre durante a chamada síndrome de reação (anteriormente conhecida como síndrome de primeiro uso) ao dialisador (11) .…”

Section: Discussionunclassified

“…Outro motivo para dores ósseas e musculares é a síndrome musculoesquelética que se manifesta em pacientes em diálise há muitos anos e pode ser provocada pela deposição de amilóide e beta 2-microglobulina (10)(11) . Outros tipos de dores, como manifestações de dor neuropática por danos nos nervos, também estão presentes; no entanto, a intensidade, incapacidade, dano físico e fatores emocionais e ocupacionais relacionados às dores na DRC não foram encontrados na literatura nacional (13) .…”

Section: Discussionunclassified

“…Portanto, a literatura recomenda que o indivíduo descanse de seis a oito horas de sono por noite. Uma média menor que isso aumenta a sensibilidade de um indivíduo à dor no dia seguinte (2) ; portanto, a baixa qualidade do sono pode elevar os níveis de dor (11) . Assim, a equipe de enfermagem deve proporcionar um ambiente calmo e confortável para esses pacientes, tornando o tempo de diálise um tempo de descanso (1) .…”

Section: Discussionunclassified

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Assessment of pain in chronic renal failure patients going through hemodialysis

Silva¹,

Melo²,

Santos³

et al. 2020

Rev Rene

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Objective: to assess the pain and the differences of this assessment with social, economic and clinical variables in individuals with chronic kidney disease. Methods: cross-sectional study, with 90 patients with hemodialysis clinics. Three instruments were used clinical/sociodemographic, visual analogue pain scale and McGill pain questionnaire. Mann-Whitney and Kruskal-Wallis U tests were used. Results: the most frequent kind of pain was musculoskeletal (35.6%), which was classified as moderate by using the visual analogue pain scale. In McGill’s questionnaire, the most selected categories were sensory and affective, which characterize pain as acute and thin. Significant statistical differences in medians of pain were found with family income, source of income, use of analgesics/anti-inflammatories, use of acupuncture and impaired sleep. Conclusion: pain was a recurrent result in various regions of the body among patients with chronic renal failure.

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Section: Discussionunclassified

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Assessment of pain in chronic renal failure patients going through hemodialysis

Silva¹,

Melo²,

Santos³

et al. 2020

Rev Rene

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“…Persistent pain can impair sleep, decrease memory, compromise physical status, and decrease social activities (24) . When correlating the change in the sleep pattern caused by pain with comfort in the physical and sociocultural domains, statistical significance was observed, with the highest mean of comfort among patients who had no change in sleep.…”

Section: Discussionmentioning

confidence: 99%

Relationship between the comfort level of chronic renal patients and sociodemographic and clinical variables

et al. 2020

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Objective: To assess the association between the comfort level of chronic hemodialysis patients with sociodemographic and clinical variables using the General Comfort Questionnaire. Method: Cross-sectional study, with a quantitative approach, considering 180 chronic hemodialysis renal patients. Two instruments were used: one for sociodemographic and clinical variables; and the General Comfort Questionnaire, Brazilian version. Mann-Whitney’s, Kruskal-Wallis’s, and Spearman’s tests were used for data analysis. Results: The overall comfort level of patients was 78.16%. The socio-cultural domain presented the lowest level of comfort and the psychospiritual the highest level. Some variables were significantly associated with the domains, such as marital status, education, and considering oneself to be anxious. Conclusion: In the four domains of comfort, it was possible to identify patients’ needs, such as the presence and intensity of pain, anxiety, constipation and type of access, making it possible to guide nurses in the systematization of care and improve the comfort of these patients.

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“…Among the expressions of CKD-MBD, the most important are deposits of the protein ß2microglobulin on tissues, causing joint pain, painful shoulders, carpal tunnel syndrome, trigger finger and arthritis [42]. ß2 microglobulin is demonstrated to be a major constituent of amyloid fibrils especially in patients undergoing HD or CAPD.…”

Section: ß2-microglobulinmentioning

confidence: 99%

Chronic Kidney Disease-Mineral and Bone Disorders (CKD-MBD)

Mosbah¹

2019

Arch Nephrol Urol

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The kidney plays a vital role in the metabolism of minerals and bone health. It is not only the target organ of several regulating hormones such as parathormon (PTH) and fibroblast growth factor-23 (FGF-23), but it is also the main organ that activates vitamin D. CKD-MBD was further expanded to include cardiovascular diseases (CVD), left ventricular hypertrophy (LVH), hypertension, immune dysfunction, inflammation and iron deficiency anemia, and thus its treatment is still a major challenge for the nephrologist that necessitates further pushing for the development of new agents with high specificity to the treatment of CKD induced MBD.

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Bone pain assessment in patients with chronic kidney disease undergoing hemodialysis

Cited by 7 publications

References 0 publications

Assessment of pain in chronic renal failure patients going through hemodialysis

Assessment of pain in chronic renal failure patients going through hemodialysis

Relationship between the comfort level of chronic renal patients and sociodemographic and clinical variables

Chronic Kidney Disease-Mineral and Bone Disorders (CKD-MBD)

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