title: [Effect of puncture-related pain on the quality of life in patients undergoing maintenance hemodialysis through internal arteriovenous fistula].
abstract: OBJECTIVE
  To investigate the effect of puncture-related pain on the quality of life in patients undergoing maintenance hemodialysis through internal arteriovenous fi stula.
  
  
  METHODS
  A total of 180 hemodialysis patients with the arteriovenous fistula were surveyed by the kidney disease quality of life short form(KDQOL-SF1.3), demographic data questionnaire, visual analogue scale and pain self-efficacy questionnaire.
  
  
  RESULTS
  The median score of puncture-related pain was 5 and the score of pain self-efficacy was (31.42±14.59). The quality of life in the patients undergoing maintenance hemodialysis is poor. KDQOL-SF1.3 was (69.45±24.19), SF-36 was (49.82±19.17) and ESRD-targeted was (55.46±18.37). Multivariate analysis demonstrated that the quality of life was positively correlated with the patient gender (β=0.152, P< 0.05, OR=1.638, 95% CI 1.241-1.954), working position (β=0.307, P< 0.05, OR=2.069, 95% CI 1.206--3.148), using time of arteriovenous fistula (β=-0.815, P< 0.05, OR=0.223, 95% CI 0.095-0.741), the score of pain (β=-0.017, P< 0.05, OR=1.004, 95% CI 0.886-1.431) and pain self-efficacy (β=-0.409, P< 0.05, OR=0.803, 95% CI 0.710-0.984). There existed negative correlation between the quality of life score and the puncture-related pain score in these patients (r=-0.472, -0.465, -0.381, P< 0.01), positive correlation between the quality of life score and the score of pain self-efficacy (r=0.647, 0.203, 0.518, P< 0.05), and negative correlation between the puncture-related pain score and the score of pain self-efficacy(r=-0.745, P< 0.01).
  
  
  CONCLUSIONS
  Puncture-related pain is a crucial influential factor on the quality of life in the patients undergoing maintenance hemodialysis through internal arteriovenous fistula.
authors.affiliation: Department of Neurology, ICU, Third Xiangya Hospital, Centeal South University, Changsha 410013, China.
authors.forename: Lina
authors.initials: L
authors.lastname: Gong
authors.forename: Jia
authors.initials: J
authors.lastname: Liu
authors.forename: Jin
authors.initials: J
authors.lastname: Yan
authors.forename: Lufang
authors.initials: L
authors.lastname: Wang
mesh_terms: D001164:Arteriovenous Fistula; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D015999:Multivariate Analysis; D010146:Pain; D010147:Pain Measurement; D011677:Punctures; D011788:Quality of Life; D006435:Renal Dialysis; D011795:Surveys and Questionnaires