Pain, control over treatment, and compliance in dialysis and transplant patients (original) (raw)
Related papers
An important dimension that influences the quality of life of hemodialysis patients is the pain they experience. Quality of life and selfefficacy in pain can play an important role in chronic kidney disease and treatment outcomes. The purpose of the study was to examine self-efficacy in pain and quality of life among patients with end stage renal disease undergoing hemodialysis. Between April 2013 and June 2013, 224 hemodialysis patients completed the Missoula-VITAS Quality of Life Index-15 and the Pain Self-Efficacy Questionnaire. The study was conducted in four dialysis units in hospitals of the Peloponnese region. Sociodemographic data of patients and their individual medical history were recorded. Statistical analysis was performed using SPSS version 19. The more effective the self-efficacy in pain, the lower the quality of life enjoyed by hemodialysis patients. The majority of respondents described the overall quality of life as ‘‘moderate,’’ while the self-efficacy in pain depended on comorbidity or complications that accompany the process of hemodialysis. The findings of this study can be used in the development and improvement of health services for the management of patients. Healthcare professionals should understand the concerns and treat the symptoms of patients that affect quality of life, providing thereby holistic health care.
Journal of Research and Health, 2023
Background: Pain control and adherence to treatment is one of the most common problems in dialysis patients. Psychological treatments can be effective in reducing the problems of these patients. This study attempted to investigate the effectiveness of acceptance and commitment therapy (ACT) on pain control and adherence to treatment among dialysis patients. Methods: It was a semi-experimental pre-test, post-test study with a control group. The statistical population consisted of 40 people who were referred to a dialysis clinic in 2022 and an available sampling method was used to select and randomly assign patients to two experimental and control groups. In the experimental group, ACT was performed in eight sessions of 90 minutes. McGill pain questionnaire (MPQ) and adherence to treatment scale were used. Data were analyzed using SPSS software, version 21 and analysis of covariance. Results: There was a significant difference between the mean scores of pain control and adherence to treatment in the two experimental and control groups (P<0.05). The effect of this treatment on increasing the pain control score was 51% and on increasing the adherence to treatment score was 44%. Conclusion: ACT can increase pain control and adherence to treatment in dialysis patients; thus, it can be used in designing treatment plans for dialysis patients.
Health and Quality of Life Outcomes
Background Chronic kidney disease is considered as a global health problem. Hemodialysis (HD), following renal transplantation, is the most common form of renal replacement therapy. However, HD may impact the quality of life (QOL). Pain is a frequent complaint among this population that also affects their QOL. The purposes of this study were to assess pain and QOL among end-stage renal disease (ESRD) patients on HD and to examine their association. Methods This was a multicenter, cross-sectional study that occurred in Palestine between August and November 2018. Brief Pain Inventory and European Quality of Life scale 5 dimensions (EQ-5D) scale, including its European Quality of Life visual analogue scale (EQ-VAS) component, were used to assess pain and QOL, respectively. Results A total of 300 participants were included in the final study. The average age of the subjects was 54 ± 16 years. Their median EQ-5D score was 0.68 [0.54–0.88], whereas their median EQ-VAS score was 60 [40–75]...
Chronic kidney disease: psychosocial impact of chronic pain
Geriatrics, 2007
Chronic kidney disease (CKD) affects more than 19 million people in the United States, and prevalance of CKD is expected to double within 10 years. Additionally, a significant number of predominantly elderly patients have end stage renal disease, necessitating dialysis or kidney transplant. Perception of chronic pain, especially in elderly dialysis patients, may be greatly underrecognized. As a result management of pain, as well as depression, and other physical and mental symptoms, may not be adequately addressed in the primary care setting. Clinical interventions such as psychiatric evaluation, pain management, and therapy to improve physical and mental symptoms, may markedly impact wellbeing for CKD patients. Constant reassessment is critical when treating CKD patients. Such an approach may significantly better elderly patients health-related quality of life.