Abstract
Introduction: This study aims to assess the prevalence, as well as the impact of chronic pain on the daily life of hemodialysis patients and to determine the associated socio-demographic, clinical-biological, and psychological factors. Methods: This study was a cross-sectional study that included 441 hemodialysis patients. The characteristics of the chronic pain were collected by the Brief Pain Inventory questionnaire and by the visual analog scale. The anxious and depressed mood was assessed by the Hospital Anxiety and Depression Scale, factors associated with chronic pain were determined through univariate and multivariate analysis. Results: the prevalence of chronic pain was 72.8%. It was severe in 40.8% of cases and it completely interfered with general activity in 72.9% of cases. The most frequently reported pain site was: lowers extremities (39.9%). Thus, 59.9% of patients reported using analgesics, with a frequent intake in 74.3% of cases. Anxiety and depression were found respectively in 68% and 66% of cases. The chronic pain was significantly associated with depression (p<0.001), anxiety (p<0.001), living conditions (p<0.001), level of studies (p<0.001), and marital status (p=0.020). Conclusion: A multidisciplinary approach is recommended for the management of chronic pain, involves Nurses, physiotherapists, psychologists, health educators and family.
Highlights
This study aims to assess the prevalence, as well as the impact of chronic pain on the daily life of hemodialysis patients, in order to determine the associated sociodemographic, clinical-biological, and psychological factors
The total included in the study was 441 of chronic hemodialysis patients, with a mean age of 56.05 (15.67)
Chronic pain on hemodialysis needs to be understood in the context of social, biological, psychological, and physical factors
Summary
This study aims to assess the prevalence, as well as the impact of chronic pain on the daily life of hemodialysis patients and to determine the associated socio-demographic, clinical-biological, and psychological factors. The prevalence of chronic pain in hemodialysis patients was up to 82 % and 92 % [3,4], and it is severe to moderate in about 35 % to 70 % of these patients [4]. Health professionals should understand and relieve pain in this population, in order to improve their quality of life and care [4]. Chronic pain must be understood in the context of social, biological, psychological, and physical factors in order to develop treatment plans and prevention strategies [1]. It is important to analyze these different factors for adequate and holistic pain management
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