CHARACTERISTICS OF CHRONIC PAIN USING THE McGILL PAIN QUESTIONNAIRE IN MAINTENANCE HEMODIALYSIS PATIENTS AT MILITARY HOSPITAL 103
DOI:
https://doi.org/10.59459/1859-1655/JMM.987Từ khóa:
Chronic kidney disease, chronic pain, McGill Pain QuestionnaireTóm tắt
Objectives: To Assess chronic pain characteristics using the McGill Pain Questionnaire in maintenance hemodialysis patients at Military Hospital 103.
Subjects and methods: A cross-sectional study was conducted on 131 maintenance hemodialysis patients at Military Hospital 103 from May 2024 to May 2025. Chronic pain characteristics were assessed using the McGill Pain Questionnaire prior to the hemodialysis session.
Results: A total of 83.97% of patients experienced chronic pain. The most common pain locations were the head and facial region (55.0%), extremities (42.7%), and back (39.7%). Most patients reported pain at one or two sites (both accounting for 31.3%). Regarding the sensory dimension of pain, mild pain sensation predominated, with 72.5% of patients having a sensory score ≤ 5. In terms of the affective dimension, the majority of patients reported mild to moderate pain-related emotional responses (96.2%), with affective scores ≤ 6. Based on the total sensory-affective score, pain severity was predominantly mild, as 75.6% of patients had a total score < 10. With respect to pain intensity, most patients experienced mild pain intensity (0-3 points), accounting for 61.1% of cases. Regarding pain perception, chronic pain was mainly distributed within the mild-to-moderate range, with 72.5% of patients reporting a present pain intensity score ≤ 2. There were significant differences in the prevalence of chronic pain according to age, dialysis duration greater than 5 years, and parathyroid hormone (PTH) levels between the pain and non-pain groups (p < 0.05).
Conclusions: Pain characteristics assessed using the McGill Pain Questionnaire demonstrated that the sensory, affective, and intensity dimensions of pain were generally mild to moderate in severity; however, the pain was persistent and bothersome to patients. Older age, longer dialysis duration, and elevated parathyroid hormone (PTH) levels were significantly associated with the presence of chronic pain.
Tài liệu tham khảo
1. Mercadante S, Ferrantelli A, Tortorici C et al, “Incidence of chronic pain in patients with end-stage renal disease on dialysis”, J Pain Symptom Manage [Internet], 30 (4): p. 302, October 2005.
2. Davison SN, “Clinical Pharmacology Considerations in Pain Management in Patients with Advanced Kidney Failure”, Clin J Am Soc Nephrol [Internet], 14 (6): pp. 917-31, 2019.
3. Sadigova E, Ozkurt S, Yalcin A, “Pain Assessment in Hemodialysis Patients”, Cureus 12 (2): e6903, DOI 10.7759/cureus.6903, 2020
4. Lambourg E., Colvin L., Guthrie G., Murugan K., Lim M., Walker H., Boon G., & Bell S., “The prevalence of pain among patients with chronic kidney disease using systematic review and meta-analysis”, Kidney International, 100 (3), pp. 636-649, 2021.
5. Srinivasa N. Raja., Daniel B. Carr., Milton Cohen et al, The Revised IASP definition of pain: concepts, challenges, and compromises, the IASP Council in 1979, 161 (9): pp. 1976-1982, 2020.
6. International Association for the Study of Pain, IASP revises its definition of pain for the first time since 1979, IASP, 2020
7. Mustaqe E., Liolis E., Bekou E. et al, “Pain scales: Types and comparison”, Medical Science and Discovery, 11 (12), pp. 395-398, 2024.
8. Melzack R., “The short-form McGill pain questionnaire”, Pain, 30 (2), pp. 191-197. doi:10.1016/0304-3959(87)91074-8, 1987.
9. Levey A.S., Coresh J. et al, “National Kidney Foundation practice guidelines for chronic kidney disease: evaluation, classification, and stratification”, Ann Intern Med, 139 (2), pp. 137-47, 2003.
10. Anna Masajtis-Zagajewska, Michal Nowicki, “Effect of atorvastatin on iron metabolism regulation in patients with chronic kidney disease - a randomized double blind crossover study”, Renal failure, 40; 1, pp. 701-710, 2018.
Tải xuống
Đã Xuất bản
Cách trích dẫn
Số
Chuyên mục
Ngày xuất bản 31-05-2026
