Pain in Patients With Chronic Kidney Disease Undergoing Hemodialysis: A Systematic Review

Santos, Patrícia Roberta dos; Mendonça, Carolina Rodrigues; Hernandes, Janete Capel; Borges, Cândido; Barbosa, María Alves; Romeiro, Amanda Maria de Sousa; Alves, Polissandro Mortoza; Dias, Nicole Geovana; Porto, Celmo Celeno

doi:10.1016/j.pmn.2021.05.009

Cited by 15 publications

(8 citation statements)

References 43 publications

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“…We hypothesized that pain in patients undergoing HD could be limiting and disabling, ultimately affecting patient mobility. A recent systematic review suggests that acute and chronic pain is a prevalent complaint in adults and elderly people on HD and that the higher frequency of moderate and severe pain in different parts of the body interfered with daily activities [ 38 ]. These findings reinforce the fact that pain in patients undergoing HD must be considered and treated.…”

Section: Discussionmentioning

confidence: 99%

Pain in Hemodialysis Patients: Prevalence, Intensity, Location, and Functional Interference in Daily Activities

et al. 2021

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Although pain is a frequent complaint of patients with chronic kidney disease who undergo hemodialysis, few studies have assessed the functional interference of pain in activities of daily living (ADLs). Hence, the aim of this study was to evaluate the prevalence, location, intensity, and functional interference of pain in ADLs of chronic kidney disease patients undergoing hemodialysis and to estimate the association of specific pain sites with severe functional interference by pain in ADLs. This cross-sectional study included patients with chronic kidney disease undergoing hemodialysis. The prevalence, intensity, and functional interference of pain in ADLs were assessed using the brief pain inventory. Poisson regression was used to calculate the prevalence ratio. A total of 65 patients participated in the study. The overall prevalence of pain was 89.23%; the prevalence of headache was 18.46% and that of pain in the trunk was 55.38%, upper limbs was 35.38%, and lower limbs was 60.00%. The prevalence of moderate and severe pain at the time of hemodialysis was 13.85% and 21.54%, respectively. A high prevalence of severe functional interference of pain in general activity (61.54%), mobility (56.92%), and disposition (55.38%) was observed. Pain is a frequent complaint in patients undergoing hemodialysis, mainly musculoskeletal and intradialytic, and it interferes with ADLs and incapacitates the patient. Pain was highly prevalent in the upper and lower limbs and the trunk. Furthermore, a higher prevalence of severe pain at the time of hemodialysis and functional interference of pain, mainly in general activity, mobility, and disposition, were observed.

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Section: Discussionmentioning

confidence: 99%

Pain in Hemodialysis Patients: Prevalence, Intensity, Location, and Functional Interference in Daily Activities

et al. 2021

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“…PUMH report various types of pain, the most important of which (in terms of clinical management) are HD-related ( Brkovic et al, 2016 ) and chronic pain ( Ghonemy et al, 2016 ). A SR reported that PUMH experiences acute, chronic, and neuropathic pain, as well as myalgia ( dos Santos et al, 2021 ). Measuring the type of pain but not its intensity (or vice-versa) can misdirect the intervention, so it is essential to assess the type and severity of pain, which affects the selection and efficiency of the intervention.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Benson's Relaxation Technique on Stress and Pain Among Patients Undergoing Maintenance Hemodialysis: A Systematic Review

Abu Maloh,

Soh,

Chong

et al. 2024

SAGE Open Nursing

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Introduction Stress and pain are high among patients undergoing hemodialysis. Benson's Relaxation technique affected a wide range of physical and psychological signs and symptoms among patients undergoing hemodialysis. Objective To evaluate the effectiveness of Benson's Relaxation Technique in reducing stress and pain among patients undergoing maintenance hemodialysis. Materials and Methods A systematic review of randomized controlled trials was conducted. A systematic literature search was carried out from 2000 to 2023. Searched databases included EBSCO-Host “Academic Search, Cochrane, CINAHL, Health Business, MEDLINE, Psychology and Behavioral Sciences, SPORTDiscus”, PubMed, Ovid, and Google Scholar. The Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines were conducted. RCTs were critically appraised using the Cochrane's Risk of Bias Tool. Four RCTs met the inclusion criteria and included in this review since they were applicable to practice. Results Four randomized controlled trials were identified supporting the use of Benson's relaxation technique as a nursing treatment in managing stress and pain among patients undergoing maintenance hemodialysis, as it achieved a significant decrease in stress and pain scores. The overall quality of the randomized controlled trials was judged to be low to relatively moderate. Conclusions Most of the randomized controlled trials lacked details on intervention adherence. It is recommended to conduct additional longitudinal randomized controlled trials in different countries with bigger sample sizes, to provide more evidence for generalizing outcomes.

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“…It reported that most of the patients had either one or more musculoskeletal problems such as muscle cramps, myalgias, and arthralgias. In another study, depression was the second most common accompanying disease to CKD [ 29 , 30 , 31 ]. In this study, we observed that the mean value of emotional wellbeing indicated that the hospitalized patients had a poorer QoL than the OPD patients.…”

Section: Discussionmentioning

confidence: 99%

Impact of Hospitalization on the Quality of Life of Patients with Chronic Kidney Disease in Saudi Arabia

Jalal

Beth

Khamseen

2022

IJERPH

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Chronic kidney disease (CKD) is a global health problem. CKD causes patients to be hospitalized for a longer time to treat the disease. The impact of the hospitalization brings major changes and affects the quality of life (QoL) of the patients. In this study, we aimed to evaluate the impact of hospitalization on the QoL of patients with CKD. A cross-sectional study was conducted at the inpatient departments (IPDs) and outpatient departments (OPDs) of selected hospitals, in the eastern region of Saudi Arabia. The kidney disease quality of life (KDQOL) scale was used for the data collection and the findings were analyzed. The hospitalized patients had a poorer QoL than the OPD patients. The physical component summary (PCS) and mental component summary (MCS) mean scores were 52.82 ± 2.32 and 52.57 ± 2.93 in IPD patients, respectively, and 63.46 ± 3.65 and 66.39 ± 0.91 in OPD patients, respectively, which was significant (p < 0.0001). The QoL of patients decreased in the end stages of CKD. A significant association was observed between gender, occupation, smoking, and the stages of CKD with the QoL of the hospitalized patients. Measures must be taken to improve the QoL of these patients at all levels.

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Pain in Patients With Chronic Kidney Disease Undergoing Hemodialysis: A Systematic Review

Cited by 15 publications

References 43 publications

Pain in Hemodialysis Patients: Prevalence, Intensity, Location, and Functional Interference in Daily Activities

Pain in Hemodialysis Patients: Prevalence, Intensity, Location, and Functional Interference in Daily Activities

Efficacy of Benson's Relaxation Technique on Stress and Pain Among Patients Undergoing Maintenance Hemodialysis: A Systematic Review

Impact of Hospitalization on the Quality of Life of Patients with Chronic Kidney Disease in Saudi Arabia

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