People who receive hemodialysis in renal failure often experience chronic pain associated with their illness, which can be difficult to manage with apioids and other traditional treatments. The new study reveals that by offering these patients learning the skills to combat pain (PCST) significantly reduced their suffering and improved their quality of life.
Twenty -two new Mexicans – Many of them Indians – participated in the UN research, Mark Urukh, chairman, UNM Internal Medicine Chair This group. “
Problems with the treatment of pain associated with dialysis
In a randomized controlled study, 643 participants from 16 medical centers and 103 clinical dialysis in the Hope Consortium, a permanent multifunctional study that studies new therapies for patients with dialysis, were enrolled. “New -mexico played a big role in the trial,” he said. “We acted as the main results, and in New -Mexico there was an application for recruitment from rural clinics with a focus on our insufficient population.”
Many factors probably contribute to dialysis pain. Patients are usually older and live with arthritis, diabetes, peripheral neuropathy and back pain, he said. “Dialysis on its own can contribute either directly, or indirectly, for example, uremic toxins in the blood,” Dnih said. “The process of hiking for dialysis and the presence of a needle in the hand can become difficult for some people.”
Doctors face problems in the treatment of dialysis pain because patients have kidney failure. “We somehow hate the use of non-steroidal anti-inflammatory drugs, and in general we avoid apioids,” he said. “Some apioids are better than others, but many of them are partially cleaned of the kidneys. You kind of tied hands.”
PCST: A new approach to control of pain
Half of the study participants received random purpose for obtaining PCST intervention, and the other was intended to receive usual assistance. The PCST consisted of 45-minute coaching sessions of advisers provided by phone or video for 12 weeks, after which an additional 12 weeks of daily automated interactive voice response sessions for the control of the progress of participants.
The content included modules concerning the anxiety associated with pain, difficulty stress and sleep, as well as CBS, care, pain and explication training, with all the purpose of improving the efficiency for the use of acquired fight skills. “It’s like a recipe with 12 components,” said Unnuh. “You talk about strategies and focus on the redistribution and restriction of catastrophization. You will make some carefulness of meditation, and then you talk about solving, anxiety and depression and strategies to prevent the opposite impact.”
The study found that patients who had undergone PCST intervention showed modest improvements to the extent that pain prevented their daily activities, he said. “This value would be that if I see anyone in the clinic that has chronic pain, not appointing opioid, I could refer to their psychologist who practices CBT and they can take it.” The study is an example of how studies can lead to improvement clinical help, said Unnuh. “It is great to see these results in The Press and offer alternatives except apioids for our patients for dialysis for chronic pain.”
