PAIN CHARACTERISTICS ON PATIENT UNDERTAKING HEMODIALYSIS
PDF

Keywords

hemodialysis
pain
Visual Analogue Scale
mnemonic PQRST

How to Cite

Afifah, F. H., Nurjannah, I., & Sunaryo, E. Y. A. B. (2018). PAIN CHARACTERISTICS ON PATIENT UNDERTAKING HEMODIALYSIS. Belitung Nursing Journal, 4(2), 123–127. https://doi.org/10.33546/bnj.337
Crossref
Scopus
Google Scholar

Link to Google Scholar

Accepted for publication: 2018-03-05
Peer reviewed: Yes

Related articles in


Search Relations - Article by Author(s)

Share this article on:

Abstract

Background: Research in pain especially in patients undertaking hemodialysis is important to be conducted in order to help the process of their hemodialysis therapy.

Aim: The aim this study was to describe pain characteristic on hemodialysis patient using Visual Analogue Scale (VAS) and mnemonic PQRST (Provocation, Quality, Regio, Radiation and Time).

Methods: This was a descriptive quantitative cross-sectional research. The number of respondents were 72 and they routinely undertook hemodialysis therapy twice a week. The study was conducted in one central hospital in Yogyakarta Indonesia on February to March 2017. Univariate analysis was used to describe respondents’ pain characteristic.

Results: The majority of respondents (51.39%) experienced moderate pain, followed by mild pain (33.33%) and severe pain (15.28%). The most painful characteristic in the provocation aspect was movement (87.50%), and the quality of pain was knife-like pain (83.33%). Moreover, hand was the major area of pain (84.72%), and there was no radiation of pain (91.67%). Most of pain was intermittent (97.22%). Of 53% of respondents expressed that the pain had an impact on their lives, specifically in their activities (52.63%), followed by others (15.79%), nausea/vomiting (15.79%), sleep disturbance (13.16%), and appetite (13.16%). However, the pain did not have an impact on their emotion.

Conclusion: The respondents experienced mostly moderate pain. The percentage of pain characteristics on PQRST mnemonic was above 80%, and more than half of the respondents experienced moderate pain. Majority of the respondents felt the impacts of the pain in their lives.

https://doi.org/10.33546/bnj.337
PDF

Supporting Agencies

School of Nursing Faculty of Medicine Universitas Gadjah Mada, Indonesia

Copyright

Copyright (c) 2018 Fatin Hapsah Afifah, Intansari Nurjannah, Ery Yanuar Akhmad Budi Sunaryo

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Article Metrics

Total views 1328 [Abstract: 889 | PDF: 439 ]

Downloads

Download data is not yet available.

PlumX Metrics


References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2014). Seidel's guide to physical examination e-book. Philadelphia: Elsevier Health Sciences.

Black, J., & Hawks, J. (2009). Medical-surgical nursing - single volume (8th ed.). Philadelphia: Saunders.

Carpenito, L. (2013). Nursing Diagnosis Application to Clinical Practice Philadelphia: Lippincot Williams & Wilkins.

Claxton, R. N., Blackhall, L., Weisbord, S. D., & Holley, J. L. (2010). Undertreatment of symptoms in patients on maintenance hemodialysis. Journal of Pain and Symptom Management, 39(2), 211-218.

da Silva, R. L., Moreira, D. M., Fattah, T., da Conceição, R. S., Trombetta, A. P., Panata, L., . . . Giuliano, L. C. (2015). Pain assessment during transradial catheterization using the Visual Analogue Scale. Revista Brasileira de Cardiologia Invasiva (English Edition), 23(3), 207-210.

Davison, S. N. (2003). Pain in hemodialysis patients: prevalence, cause, severity, and management. American Journal of Kidney Diseases, 42(6), 1239-1247.

Harris, T. J., Nazir, R., Khetpal, P., Peterson, R. A., Chava, P., Patel, S. S., & Kimmel, P. L. (2011). Pain, sleep disturbance and survival in hemodialysis patients. Nephrology Dialysis Transplantation, 27(2), 758-765.

Hjermstad, M. J., Fayers, P. M., Haugen, D. F., Caraceni, A., Hanks, G. W., Loge, J. H., . . . Kaasa, S. (2011). Studies comparing numerical rating scales, verbal rating scales, and visual analogue scales for assessment of pain intensity in adults: a systematic literature review. Journal of Pain and Symptom Management, 41(6), 1073-1093.

Hsu, H.-J., Yen, C.-H., Hsu, K.-H., Wu, I. W., Lee, C.-C., Hung, M.-J., . . . Hsieh, M.-F. (2014). Factors associated with chronic musculoskeletal pain in patients with chronic kidney disease. BMC Nephrology, 15(1), 6.

Johnson, R. J., Feehally, J., & Floege, J. (2014). Comprehensive clinical nephrology e-book: Elsevier Health Sciences.

Lanser, P., & Gesell, S. (2001). Pain management: the fifth vital sign. Healthcare Benchmarks, 8(6), 68-70, 62.

Nurjannah, I., & Mailani, F. (2016). The most frequent diagnosis on patients undergoing hemodialysis. International Journal of Research in Medical Sciences, 4(10), 4453-4457.

O'Connor, N. R., & Corcoran, A. M. (2012). End-stage renal disease: Symptom management and advance care planning. American Family Physician, 85(7).

Özkan, G. l. m., & Ulusoy, S. u. k. (2011). Acute complications of hemodialysis. In Technical problems in patients on hemodialysis (pp. 251-294). London: InTechOpen.

PERNEFRI Perhimpunan Nefrology Indonesia.. (2014). Dialysis consensus (VII ed.). Jakarta: Penerbit Perhimpunan Nefrology Indonesia. Retrieved 10th May, 2016, from http://www.pernefri-inasn.org/index.html

Polkinghome, K., & Kerr, P. (2016). Acute complications during haemodialysis. Canada: Elsevier.

Santoro, D., Satta, E., Messina, S., Costantino, G., Savica, V., & Bellinghieri, G. (2013). Pain in end-stage renal disease: a frequent and neglected clinical problem. Clinical Nephrology, 79(Suppl 1), S2-S11.

Theofilou, P., Aroni, A., Tsironi, M., & Zyga, S. (2013). Measuring pain self-efficacy and health related quality of life among hemodialysis patients in Greece: A cross-sectional study. Health Psychology Research, 1(3), e30.


Readers are able to give us their valuable feedbacks here. The comments will be reviewed by the editors and then published here. Important Note: The "Comments" related to the Galley Proof PDF must NOT be submitted via this form. Authors should submit their comments on their galley proofs only via system