CAJ | 학술논문

目的：调查分析维持性血液透析患者动静脉内瘘穿刺疼痛的现状及相关影响因素。方法使用疼痛视觉模拟法评分、疼痛自我效能量表及患者一般情况调查表对180例使用动静脉内瘘进行维持性血液透析治疗的患者进行调查。结果回收有效问卷169份，有效回收率93.89%（169/180）。动静脉内瘘穿刺患者穿刺疼痛强度中位数评分为5分，疼痛自我效能得分为（31.42±14.59）分；逐步多元回归分析显示，穿刺疼痛主要与患者性别、内瘘使用时间及疼痛自我效能有关（β=0.152、-0.017、-0.409，P＜0.05），OR值（95%CI）分别为2.069（1.206~3.148）、0.803（0.710~0.984）、1.004（0.886~1.431）；穿刺疼痛强度与疼痛自我效能呈负相关，r=-0.647，P<0.01。结论动静脉内瘘穿刺维持性血液透析患者穿刺疼痛普遍存在，患者的性别、内瘘使用时间及疼痛自我效能可影响患者对疼痛的感知。
목적：조사분석유지성혈액투석환자동정맥내루천자동통적현상급상관영향인소。방법사용동통시각모의법평분、동통자아효능량표급환자일반정황조사표대180례사용동정맥내루진행유지성혈액투석치료적환자진행조사。결과회수유효문권169빈，유효회수솔93.89%（169/180）。동정맥내루천자환자천자동통강도중위수평분위5분，동통자아효능득분위（31.42±14.59）분；축보다원회귀분석현시，천자동통주요여환자성별、내루사용시간급동통자아효능유관（β=0.152、-0.017、-0.409，P＜0.05），OR치（95%CI）분별위2.069（1.206~3.148）、0.803（0.710~0.984）、1.004（0.886~1.431）；천자동통강도여동통자아효능정부상관，r=-0.647，P<0.01。결론동정맥내루천자유지성혈액투석환자천자동통보편존재，환자적성별、내루사용시간급동통자아효능가영향환자대동통적감지。
Objective To investigate the current situation of puncture-related pain in patients with the arteriovenous fistula undergoing maintenance hemodialysis and its correlated factors. Methods A total of 180 hemodialysis patients with the arteriovenous fistula undergoing maintenance hemodialysis were investigated with demographic data questionnaire, visual analogue scale and pain self-efficacy questionnaire. Results The effective questionnaires rate was 93.89%(169/180). The median score of puncture-related pain was 5 scores, the score of pain self-efficacy was (31.42±14.59) scores;multivariate analysis demonstrated that the puncture-related pain was positively correlated with the patient gender, using time of arteriovenous fistula and pain self-efficacy ( β=0.152,-0.017,-0.409, P<0.05), OR (95%CI)were 2.069 (1.206-3.148), 0.803(0.710-0.984), 1.004(0.886-1.431). There was negative correlation between the puncture-related pain score and pain self-efficacy in these patients, r=-0.647, P<0.01. Conclusions Puncture-related pain is common sense in patients with the arteriovenous fistula undergoing maintenance hemodialysis, some factors including the patient gender, using time of arteriovenous fistula and pain self-efficacy influence this feeling.