The relationship between malnutrition-inflammation and cannulation pain in hemodialysis patients

Abstract

GİRİŞSon dönem böbrek hastalığı (SDBH) olan ve buna paralel olarak renal replasman tedavisine gereksinim duyan hasta sayısı hızla artmaktadır. Bu hasta grubunda yıllık mortalite oranı, bu konudaki yeni gelişmelere rağmen, normal populasyona göre halen çok yüksektir. SDBH olan hastalarda artmış kardiyovasküler olay riski, bu hasta grubundaki mortalite ve morbitide açısından birinci sıradaki yeri ve öne-mini halen korumaktadır. Bu riski oluşturan faktörler arasında alışılagelmiş risk faktörleri dışında kronik inflamasyon, artmış oksidatif stres, anemi, hiperparatiroidizm, malnütrisyon ve diyaliz tedavisinin kendisine bağlı olan nedenler üzerinde bugün daha fazla durulmaktadır. Protein-enerji malnütrisyonu (PEM), diyaliz hastalarında, hastalığın mortalite ve morbitidesini yüksek oranda etkileyen bir faktördür. İlk olarak Schribner ve ark.1 tarafından 1960'lı yıllarda malnütrisyonun renal replasman tedavisi alan hastaların MIS (p<0.05, r=0.357), CRP and pain (p<0.01, r=0.423), and a negative correlation between pain and albumin (p<0.01, r=-0.47 ABSTRACT Malnutrition-inflammation and pain are the most important factors affecting quality of life of end-stage renal failure patients. In this study we looked at the relationship between malnutritioninflammation and pain perception in hemodialysis (HD) patients. Among patients with chronic renal failure incompliance to treatment, and their diseases is often present. We think that in these patients we can improve treatment performance and quality of life by increasing patient compliance. In 44 hemodialysis patients, we found a positive correlation; between perception of pain and malnutrition-inflammation score (MIS) (p<0.001, r=0.768), C Reactive Protein (CRP) and

Effect of inhaler and topical lavender oil on pain management of arteriovenous fistula cannulation

“…9 The Complementary and Alternative Medicine (CAM) applied to these patients include music therapy, relaxation, and inhalers. 10–12 Aromatherapy is the most frequently preferred complementary therapy after massage by nurses and is often used to reduce AVF cannulation pain. 13 Aromatherapy is defined as “the use of oils derived entirely from plants,” “the healing of therapeutic essential oils by inhalation,” and “scenting or other methods.” 14,15 Aromatic oils exhibit the promising effect when inhaled due to their volatile properties, because, when inhaled, it reaches the smell receptors in the nose.…”