Avaliação da dor em pacientes renais crônicos dialíticos

Abstract

The chronic kidney disease consists of partial or total loss of renal function, irreversibly, and may be symptomatic or asymptomatic. One of the ills that affected this population is the chronic pain defined as pains lasting more than 3 months and reaches about 58% of this public. The objective of this study was to evaluate the chronic renal patient's pain on hemodialysis using a sociodemographic and clinical questionnaire, visual analogue scale and the McGill pain questionnaire. The research was performed with 90 patients from two hemodialysis clinics. After explaining the study and signing the informed consent, the questionnaires were applied, later tabulated in Excel 2016 and analyzed by Statistical Package for the Social Sciences24. The results of the sociodemographic questionnaire showed that (51.1%) were single, male (57.1%), Catholic (61.1%), received sickness aid (50.6%), and both income (58.9%), schooling ≤8 years of schooling (51.1%), individual and family was ≥1 minimum wage. Clinical data revealed that the prevalent comorbidity was systemic arterial hypertension (77.8%), using arteriovenous fistula (80.9%). They are anxious (68.9%) and have difficulty sleeping (69%). The predominant pain was muscle (35.6), followed by back (22.2%). Regarding pain constancy (58.9%), they did not experience momentary but continuous pains that did not interfere with their lives (73.3%) and did not use medication for relief (68.9%) as well as pain relief no activity reduces pain (74.4%). Being characterized as a moderate pain in pang, tiring, annoying and annoying, proving to be something exhausting, that change your state of mind. The variables that presented significance with pain were: family income (p <0.031), source of income (p <0.049), pain medication (p <0.046) and hearing about acupuncture (p <0.002) correlated with McGill and difficulty sleeping (p <0.026)associated with the visual analogue scale. It reinforces the use of scientific knowledge and empathy of the nurse, to elaborate care directed to the difficulties presented by this clientele and to work with them ways to overcome them and reduce them.