[1]刘晓辉),单岩)#,时秋英).血液透析患者动静脉内瘘穿刺疼痛的影响因素*[J].郑州大学学报(医学版),2013,(06):810.
 LIU Xiaohui),SHAN Yan),SHI Qiuying).Arteriovenous fistula punctureGAAB2related pain and its influencing factors in hemodialysis patients[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2013,(06):810.
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血液透析患者动静脉内瘘穿刺疼痛的影响因素*
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2013年06期
页码:
810
栏目:
应用研究
出版日期:
2013-11-20

文章信息/Info

Title:
Arteriovenous fistula punctureGAAB2related pain and its influencing factors in hemodialysis patients
作者:
刘晓辉1)单岩1)#时秋英2)
1)郑州大学护理学院 郑州 450052;2)郑州大学第二附属医院血液净化室 郑州 450014
Author(s):
LIU Xiaohui1)SHAN Yan1) SHI Qiuying2)
1)Nursing College, Zhengzhou University, Zhengzhou 450052; 2)Blood Purification Room, the Second Affiliated Hospital, Zhengzhou University, Zhengzhou 450014
关键词:
疼痛 动静脉内瘘 血液透析
Keywords:
pain arteriovenous fistula hemodialysis
分类号:
R473.5
摘要:
目的:了解血液透析患者动静脉内瘘穿刺疼痛状况及影响因素,为进行有效疼痛管理提供依据。方法:随机整群抽取河南省某市4所三级甲等医院血液净化中心的动静脉内瘘穿刺血液透析患者,采用疼痛视觉模拟法、状态焦虑量表、疼痛自我效能量表、自评抑郁量表及患者一般情况调查表对248例动静脉内瘘穿刺患者进行调查。结果:动静脉内瘘穿刺患者疼痛评分的中位数为4分。穿刺疼痛与焦虑程度得分、抑郁程度得分呈正相关(rs=0.912、0.809,P<0.001),与疼痛自我效能呈负相关(rs=-0.765,P<0.001)。穿刺疼痛主要与内瘘使用时间、焦虑和疼痛自我效能有关(β=-0.861、0.372、-0.151,P<0.05),其OR值(95%CI)分别为0.423(0.194~0.923)、1.450(1.276~1.648)、0.860(0.763~0.970)。结论:对动静脉内瘘血液透析患者的穿刺疼痛管理应予以重视,针对影响因素实施有效干预,以改善患者穿刺疼痛状况。
Abstract:
Aim:To investigate the status and influencing factors of punctureGAAB2related pain associated with arteriovenous fistula in hemodialysis patients. Methods:A total of 248 hemodialysis patients with arteriovenous fistula were investigated with the demographic data questionnaire,visual analogue scale,state anxiety inventory, pain selfGAAB2efficacy questionnaire and selfGAAB2rating depression scale.Results:The median score of punctureGAAB2related pain was 4. The score of pain was positively correlated with the scores of anxiety and depression(rs=0.912,0.809,P<0.001), and was negatively correlated with the score of pain selfGAAB2efficacy(rs=-0.765,P<0.001). Regression analysis revealed that using time of arteriovenous fistula,anxiety and pain selfGAAB2efficacy were the main influencing factors of pain(β=-0.861,0.372,-0.151,P<0.05),and their OR(95%CI)was 0.423(0.194-0.923), 1.450(1.276-1.648), 0.860(0.763-0.970).Conclusion: PunctureGAAB2related pain management of hemodialysis patients with arteriovenous fistula should be concerned and interventions targeted at the influencing factors of pain should be enhanced.

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备注/Memo

备注/Memo:
*河南省医学科技攻关计划基金资助项目 201203065
#通讯作者,女,1969年10月生,博士,教授,研究方向:肾脏病,EGAAB2mail:sy110@sina.com
更新日期/Last Update: 2013-11-20