[1]张颖,刘雪琴,刘晓辉,等.维持性血液透析患者疼痛评估与管理的最佳证据总结[J].军事护理,2023,40(05):97-101.[doi:10.3969/j.issn.2097-1826.2023.03.024]
 ZHANG Ying,LIU Xueqin,LIU Xiaohui,et al.Best Evidence Summary of Pain Assessment and Management for Maintenance Hemodialysis Patients[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(05):97-101.[doi:10.3969/j.issn.2097-1826.2023.03.024]
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维持性血液透析患者疼痛评估与管理的最佳证据总结
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年05期
页码:
97-101
栏目:
循证护理
出版日期:
2023-05-15

文章信息/Info

Title:
Best Evidence Summary of Pain Assessment and Management for Maintenance Hemodialysis Patients
文章编号:
2097-1826(2023)03-0097-05
作者:
张颖1刘雪琴1刘晓辉2魏巍3吴亚琪1江啸1
(1.河南中医药大学 护理学院,河南 郑州 450046; 2.河南中医药大学第二附属医院 护理部,河南 郑州 450023; 3.商丘工学院 医学院,河南 商丘 476000)
Author(s):
ZHANG Ying1LIU Xueqin1LIU Xiaohui2WEI Wei3WU Yaqi1JIANG Xiao1
(1.School of Nursing,Henan University of Chinese Medicine,Zhengzhou 450046,Henan Province,China; 2.Department of Nursing,The Second Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450023,Henan Province,China; 3.School of Medicine,Shangqiu Institute of Technology,Shangqiu 476000,Henan Province,China)
关键词:
维持性血液透析 疼痛管理 循证护理 证据总结
Keywords:
maintenance hemodialysis pain management evidence-based nursing evidence summary
分类号:
R473.58
DOI:
10.3969/j.issn.2097-1826.2023.03.024
文献标志码:
A
摘要:
目的 总结维持性血液透析患者疼痛评估与管理最佳证据,为其提供实践依据。方法 系统检索国内外数据库、指南网及专业协会网站等关于维持性血液透析患者疼痛评估与管理的相关证据。结果 纳入13篇文献,包含临床决策4篇、证据总结1篇、指南2篇、系统评价6篇,从6个方面汇总了21条证据。结论 证据应用人员可根据临床实际组建多学科团队,结合患者意愿提供适宜疼痛评估及鉴别、镇痛原则、动静脉内瘘穿刺痛、透析间期相关疼痛、药物护理等可行的疼痛管理措施,减轻维持性血液透析患者疼痛水平。
Abstract:
Objective To summarize the best evidence of pain assessment and management for maintenance hemodialysis(MHD)patients,so as to provide references for practice.Methods The domestic and foreign databases,guideline networks and professional association websites were systematically searched for evidence relevant to pain assessment and management for MHD patients.Results A total of 13 articles were involved,including 4 clinical decisions,1 evidence summary,2 guidelines and 6 systematic reviews.Twenty-one pieces of evidence were summarized,covering 6 aspects.Conclusions The multidisciplinary team of evidence applicators should be established based on clinical practice.Pain management measures compatible with pain assessment and identification,analgesia principles,arteriovenous fistula puncture pain,dialysis-related pain,and drug nursing should be provided in conjunction with patients wishes,so as to relieve the pain of MHD patients.

参考文献/References:

[1] SANTOS P R D,MENDONCA C R,HERNANDES J C,et al.Pain in patients with chronic kidney disease undergoing hemodialysis:a systematic review[J].Pain Manag Nurs,2021,22(5):605-615.
[2] SAMOUDI A F,MARZOUQ M K,SAMARA A M,et al.The impact of pain on the quality of life of patients with endstage renal disease undergoing hemodialysis:a multicenter cross-sectional study from palestine[J/OL].[2022-08-02].https://pubmed.ncbi.nlm.nih.gov/33531025.DOI:10.1186/s12955-021-01686-z.
[3] RAO Q,ZENG J,WANG S,et al.Chronic pain and quality of life in maintenance hemodialysis patients in China:a multicenter,cross-sectional study[J].J Pain Res,2022(15):147-157.
[4] WEISBORD S D,MOR M K,SEVICK M A,et al.Associations of depressive symptoms and pain with dialysis adherence,health resource utilization,and mortality in patients receiving chronic hemodialysis[J].Clin J Am Soc Nephrol,2014,9(9):1594-1602.
[5] JHAMB M,ABDEL-KADER K,YABES J,et al.Comparison of fatigue,pain,and depression in patients with advanced kidney disease and cancer-symptom burden and clusters[J/OL].[2022-08-02].https://pubmed.ncbi.nlm.nih.gov/30552961.DOI:10.1016/j.jpainsymman.2018.12.006.
[6] DAVISON S N,RATHWELL S,GEORGE C,et al.Analgesic use in patients with advanced chronic kidney disease:a systematic review and meta-analysis[J/OL].[2022-08-02].https://pubmed.ncbi.nlm.nih.gov/35186302.DOI:10.1177/2054358120910329.
[7] JHAMB M,TUCKER L,LIEBSCHUTZ J.When ESKD complicates the management of pain[J].Semin Dial,2020,33(3):286-296.
[8] THE REGISTERED NURSES' ASSOCIATION OF ONTARIO.Assessment and management of pain(third edition)[EB/OL].[2022-08-02].https://rnao.ca/bpg/guidelines/assessment-and-management-pain.
[9] DAVID T,STACEY B R.Approach to the management of chronic non-cancer pain in adults.[EB/OL].[2022-08-02].https://www.uptodate.cn/contents/Approachto-the-management-of-chronic-non-cancer-pain-in-adults.
[10]DICENSO A,BAYLEY L,HAYNES R B.Accessing pre-appraised evidence:fine-tuning the 5S model into a 6S model[J].Evid Based Nurs,2009,12(4):99-101.
[11]曲畅,郭海玲,魏宇,等.维持性血液透析后疲乏管理最佳证据总结[J].护理学报,2021,28(5):43-48.
[12]FOSTER M J,SHURTZ S.Making the critical appraisal for summaries of evidence(CASE)for evidence-based medicine(EBM):critical appraisal of summaries of evidence[J].J Med Libr Assoc,2013,101(3):192-198.
[13]谢利民,王文岳.《临床指南研究与评价系统Ⅱ》简介[J].中西医结合学报,2012,10(2):160-165.
[14]张方圆,沈傲梅,曾宪涛,等.系统评价方法学质量评价工具AMSTAR 2解读[J].中国循证心血管医学杂志,2018,10(1):14-18.
[15]王春青,胡雁.JBI证据预分级及证据推荐级别系统(2014版)[J].护士进修杂志,2015,30(11):964-967.
[16]范美龄,刘雨薇,李智,等.围术期体温监测的最佳证据总结[J].解放军护理杂志,2022,39(5):47-50,56.
[17]SARA N D.Management of chronic pain in advanced chronic kidney disease[EB/OL].[2022-08-02].https://www.uptodate.cn/contents/management-of-chronic-pain-in-advanced-chronic-kidney-disease?.
[18]MICHAEL A.Overview of hemodialysis arteriovenous fistula maintenance and thrombosis prevention[EB/OL].[2022-08-02].https://www.uptodate.cn/contents/overview-of-hemodialysis-arteriovenous-fistula-maintenance-and-thrombosis-prevention?.
[19]SARA N D.Kidney palliative care principles,benefits,and core components[EB/OL].[2022-08-02].https://www.uptodate.cn/contents/kidney-palliative-care-principles-benefits-and-core-components?.
[20]PINTO R,SOUSA C,SALGUEIRO A,et al.Arteriovenous fistula cannulation in hemodialysis:a vascular access clinical practice guidelines narrative review[J].J Vasc Access,2021,23(5):825-831.
[21]KONCICKI H M,UNRUH M,SCHELL J O.Pain management in CKD:a guide for nephrology providers[J].Am J Kidney Dis,2017,69(3):451-460.
[22]BERNIER-JEAN A,BERUNI N A,BONDONNO N P,et al.Exercise training for adults undergoing maintenance dialysis[J/OL].[2022-08-02].https://pubmed.ncbi.nlm.nih.gov/35018639.DOI:10.1002/14651858.CD014653.
[23]CHENG J,ZHANG H,BAO H,et al.Music-based interventions for pain relief in patients undergoing hemodialysis:a prisma-compliant systematic review and meta-analysis[J/OL].[2022-08-02].https://pubmed.ncbi.nlm.nih.gov/33466179.DOI:10.1097/MD.0000000000024102.
[24]JAFARI-KOULAEE A,MOOSAZADEH M,BAGHERI N M,et al.Effect of cryotherapy on arteriovenous fistula puncture-related pain in hemodialysis patients:a systematic review and meta-analysis[J/OL].[2022-08-02].https://pubmed.ncbi.nlm.nih.gov/32147063.DOI:10.1016/j.ctim.2020.102326.
[25]BOUYA S,AHMADIDAREHSIMA S,BADAKHSH M,et al.Effect of aromatherapy interventions on hemodialysis complications:a systematic review[J].Complement Ther Clin Pract,2018(32):130-138.
[26]WAN Q,YANG S,CHU F.Effects of far infrared therapy on arteriovenous fistulas in hemodialysis patients:a meta-analysis[J].Ren Fail,2017,39(1):613-622.
[27]WONG B,MUNEER M,WIEBE N,et al.Buttonhole versus rope-ladder cannulation of arteriovenous fistulas for hemodialysis:a systematic review[J].Am J Kidney Dis,2014,64(6):918-936.
[28]赵珊,韩叶芬,李砺,等.芳香疗法对病人疼痛干预作用的研究进展[J].护理研究,2019,33(21):3702-3705.
[29]蓝宪,叶然,林法财.音乐疗法文献研究探析[J].中华中医药杂志,2020,35(4):2099-2101.
[30]张丽,李春波,汪作为,等.认知行为治疗在中国部分地区临床应用现状调查[J].心理学通讯,2021,4(1):26-30.
[31]MOORMAN D,SURI R,HIREMATH S,et al.Benefits and barriers to and desired outcomes with exercise in patients with ESKD[J].Clin J Am Soc Nephrol,2019,14(2):268-276.

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备注/Memo

备注/Memo:
【 收稿日期 】2022-05-16 【 修回日期 】2022-12-06
【 作者简介 】张颖,硕士在读,护师,电话:0371-53622156
【 通信作者 】刘晓辉,电话:0371-60908855
更新日期/Last Update: 2023-05-15