Malnutrition and pain are common in patients with chronic kidney disease who undergo hemodialysis.
Although both pain and malnutrition are associated with increased morbidity and mortality, few
studies have explored the correlation between pain and nutritional status. This study aimed to
investigate the factors associated with pain intensity in patients undergoing hemodialysis, focusing
on the risk of malnutrition. This was a cross-sectional study conducted at a regional dialysis center in
a large tertiary hospital. Convenience sampling was used to recruit adult patients who had undergone
hemodialysis for more than three months. An interviewer-administered questionnaire was used to
gather sociodemographic and clinical data related to dialysis status, comorbidities, and body mass
index (BMI). Pain severity and pain interference with functioning domains of the Brief Pain Index
(BPI) were used to assess pain, and the malnutrition inflammation score (MIS) was used to assess
nutritional status. Descriptive and inferential statistics were used to report the findings. The data
were analyzed using the 25th version of the Statistical Package for the Social Sciences (IBM-SPSS)
software. Of the final sample of 230 patients, 63.0% were males and 37.0% were females, with an
average age of 58.3 years. Almost one-third of the participants had a BMI within the normal range
(33.9%), and nearly one-third had a BMI within the underweight range (33.9%). Slightly more than
half had a normal nutritional status or mild malnutrition (54.8%), while just under half had moderate
or severe malnutrition (45.2%). The prevalence of pain was 47.0%. At the multivariate level, the
severity of pain was associated with malnutrition (p < 0.001). Pain interference with function was
associated with marital status (p = 0.045), number of comorbidities (p = 0.012), and malnutrition
(p < 0.001). The MIS was positively correlated with both the severity of pain and the interference score.
Pain and malnutrition were found to be prevalent in patients undergoing hemodialysis. Pain severity
was associated with malnutrition, and pain interference was associated with malnutrition, marital
status, and the number of comorbidities. Hemodialysis treatment should follow a patient-tailored
approach that addresses pain, nutritional status, and associated chronic conditions. In addition, pain
assessment and management should be included in the curriculum of nephrology training programs.

العنوان

Scientific reports

الناشر

Mohammad M Jaber

بلد الناشر

الولايات المتحدة الأمريكية

نوع المنشور

مطبوع فقط

المجلد

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السنة

2024

الصفحات

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