Possible Duration-related Influences of Hemodialysis on Assessment of Pain : Verbal Behaviors of Old People with Dementia

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  • 血液透析の時間経過に伴う認知症高齢者の言動の変化と苦痛の評価
  • ケツエキ トウセキ ノ ジカン ケイカ ニ トモナウ ニンチショウ コウレイシャ ノ ゲンドウ ノ ヘンカ ト クツウ ノ ヒョウカ

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Abstract

<p>  The purpose of the study was to gain hints of nursing practice after clarifying changes of verbal behaviors of the old people with dementia influenced by duration of hemodialysis: blood-pressure lowering and degree of pain assessed from the behaviors. Participants were 11 old people with dementia (two males, nine females) receiving hemodialysis. Two researchers per one participant observed the participant once every three minutes from entering a dialysis room to the end of hemodialysis, and collected participant’s blood pressure value every thirty minutes. The degree of pain was assessed on the basis of the criteria made by the researchers and shown in the list along time proceeds. All participants showed pain that disrupted the continuance of hemodialysis more than one time, and the degree of the pain in four participants became higher between thirty minutes and one hour before hemodialysis. In needle insertion, 10 participants (91%) shouted “It hurts!” or stood silent without moving their forearm (shunt side) until the end of the insertion. From these results, it is necessary for nurses to set a time to focus on observation and care, and to explain to the old people with dementia by any means necessary at the time of needle insertion while believing their patience.</p>

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