Measuring pain in patients undergoing hemodialysis: a review of pain assessment tools.
Measuring pain in patients undergoing hemodialysis: a review of pain assessment tools.
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DOI：
10.1093/ckj/sfu067
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发表时间：
2014-08
影响因子：
4.6
通讯作者：
Battistella M
中科院分区：
文献类型：
--
作者：
Upadhyay C;Cameron K;Murphy L;Battistella M
接受血液透析的患者经常报告疼痛有多因素原因，不限于血液透析治疗直接引起的疼痛。他们的疼痛可能是伤害性的，神经性的，躯体的或内脏的性质。尽管如此，这一人群的疼痛仍然没有得到充分的认识和治疗。尽管文献中报告了几种工具用于测量血液透析患者的疼痛，但没有一种工具在该人群中得到专门验证。本综述的目的是比较和对比这些疼痛评估工具，并讨论其在该患者人群中的临床效用。为了识别在接受血液透析的患者中研究的疼痛评估工具，在PubMed和Medline中进行了文献检索。由透析和疼痛临床医生组成的专家小组审查了每种工具。评估每种疼痛评估工具的管理和评分方式，其心理测量特性，如可靠性，有效性和对变化的反应，以及其在血液透析人群中的临床效用。采用简明疼痛量表、McGill疼痛问卷、疼痛管理指数、埃德蒙顿症状评定系统、视觉焦虑量表和面孔疼痛量表进行评定和比较。这项评估将帮助临床医生在肾脏病学实践，以确定这些疼痛评估工具是最适合在他们的个人临床实践中使用。
Patients undergoing hemodialysis frequently report pain with multifactorial causes, not limited to that experienced directly from hemodialysis treatment. Their pain may be nociceptive, neuropathic, somatic or visceral in nature. Despite this, pain in this population remains under-recognized and under-treated. Although several tools have been used to measure pain in patients undergoing hemodialysis as reported in the literature, none of them have been validated specifically in this population. The objective for this review was to compare and contrast these pain assessment tools and discuss their clinical utility in this patient population. To identify pain assessment tools studied in patients undergoing hemodialysis, a literature search was performed in PubMed and Medline. An expert panel of dialysis and pain clinicians reviewed each tool. Each pain assessment tool was assessed on how it is administered and scored, its psychometric properties such as reliability, validity and responsiveness to change, and its clinical utility in a hemodialysis population. Brief Pain Inventory, McGill Pain Questionnaire, Pain Management Index, Edmonton Symptom Assessment System, Visual Analogue Scale and Faces Pain Scale were evaluated and compared. This assessment will help clinicians practicing in nephrology to determine which of these pain assessment tools is best suited for use in their individual clinical practice.