Bibliographic Details
| Title: |
Relationship between Renal Osteodystrophy, Pain, Pruritus, and Comfort in Hemodialysis Patients. |
| Authors: |
Korkmaz, Seyit Ahmet1, Topbaş, Eylem2 eylem.topbas@amasya.edu.tr |
| Source: |
Turkish Journal of Nephrology. Jan2025, Vol. 34 Issue 1, p52-62. 11p. |
| Subject Terms: |
*RENAL osteodystrophy, *BLOOD urea nitrogen, *BRIEF Pain Inventory, *STATISTICAL significance, *HEMODIALYSIS patients, *BONE remodeling |
| Abstract: |
Background: The study aimed to determine renal osteodystrophy, pain, pruritus, and comfort level in hemodialysis patients and examine the relationship between them and the a#ecting factors. Methods: The study population consisted of 244 hemodialysis patients in the province of X and its districts, and the sample consisted of 163 patients who met the inclusion criteria. Data were collected using a Patient Identification Form, the 5-D Itch Scale, the Brief Pain Inventory, and the Hemodialysis Comfort Scale Version II. Results: The mean age of the patients was 62.07 ± 13.51 years. According to parathormone levels, 26.4% had low bone turn over renal osteodystrophy, 30.7% had normal bone turnover, and 42.9% had high bone turn over renal osteodystrophy. The total score on the comfort scale was 99.96 ± 12.28. According to the Brief Pain Inventory, the mean pain level in the last 24 hours was 2.13 ± 2.10, and the 5-D Itch Scale score was 8.26 ± 374. There was a statistically significant negative correlation between the comfort scale score and the mean pain score (r = $0.409, P < .001) and the itch scale score (r = -0.181, P = .021). A positive significant correlation was determined between the itch scale score and the mean pain score (r = 0.292, P < .001). There was a positive relationship between the mean pain score and P level (r = 0.167, P = .033), a positive relationship between the itch scale score and blood urea nitrogen (BUN) (r = 0.160, P = .041), and a positive relationship with creatinine (r = 0.157, P = .045). Conclusion: It was observed that elevated phosphorus increased pain and that elevated BUN and creatinine increased pruritus. It was determined that pain and pruritus negatively a#ected patient comfort and that pruritus increased the pain score. [ABSTRACT FROM AUTHOR] |
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