Abstract

ASSESSMENT ON SEVERITY OF PAIN AND EVALUATION OF EFFECTIVENESS OF PAIN MANAGEMENT IN HAEMODIALYSIS PATIENTS

Dr. Akshaya S., Dr. Ginit P. Samuel, Dr. Haritha P.V., Dr. Haroon S. Asharaf, *Radhakrishnan Rahul

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Abstract

Background: Chronic kidney disease is defined as a global health burden with higher cost of treatment with increased prevalence and incidence. Haemodialysis is the most commonly preferred renal replacement therapy for patients who are diagnosed with End Stage Renal Disease. Pain, one of the major consequences of haemodialysis and was often left under diagnosed and under treated. Methods: A non-randomised prospective observational study was carried out on 46 haemodialysis patients from a secondary care teaching hospital. The patients were analysed based on their socio demographic characteristics and disease characteristics along with measurement of pain, location and cause of pain during haemodialysis and Pain Management Index. The pain was measured using Wong Baker Scale and McGill Questionnaire. The adequacy of treatment was evaluated using Pain Management Index. Results: The study showed that pain was experienced in 58.6 % of male and 41.3% of female patients, in which majority of patients belonged to the age group of 60-69 yrs (34.7). Study analysed a total of 3 common analgesic drugs and found that the most commonly used drugs among haemodialysis patients were tramadol (41.3%), followed by ibuprofen (34.7%) respectively. The pain experienced among patients were mild (58.6%), moderate (23.9%) and severe (17.3%). The analysis of Pain management index showed 69.5% patients with positive values and 30.4% with neutral values. Conclusion: This study showed that pain during HD is common. Tramadol was mostly prescribed to manage the pain and it is effective for the majority of the patients.

Keywords: Chronic Kidney Disease, Haemodialysis, Pain Management Index, Pain Analysis, Pain Management.