ĐÁNH GIÁ SỰ BIẾN ĐỔI TÌNH TRẠNG NGỨA THEO THANG ĐIỂM NGỨA 5-D Ở BỆNH NHÂN LỌC MÁU CHU KỲ TRÊN 3 THÁNG TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Objectives: To investigate the progression of pruritus condition according to the 5-D itchscale in hemodialysis (HD) patients and its association with clinical and paraclinical characteristics. Methods: A cross-sectional descriptive study was conducted on 108 HD patients at Military Hospital 103 from August 2024 to August 2025. Results: The total pruritus score according to the 5-D itch scale (5-D score) increased from 10.29 to 14.43 points (accounted for 45.4%), in which the D4 score increased (1.73 to 2.80 points) and the D1 score remained unchanged (at 0- 6 hours) with statistical significance (p< 0.05). The 5-D score was associated with the duration of dialysis (p < 0.05). Age was negatively correlated with the D3 score and D4 score (with r being -0.274 and -0.245, respectively; p < 0.05). Parathyroid hormone (PTH) blood concentration was positively correlated with the 5-D score (r = 0.548, p < 0.05). The degree of anemia was associated with the 5-D score; 50% of patients with severe anemia had an increased 5-D score. Conclusion: The 5-D score in HD patients increased from 10.29 to 14.43, in which D1 and D2 scores did not increase, but the D4 score increased from little influence (1.63) to frequent influence (3.10). The longer the dialysis time, the more severe the anemia, the higher the PTH concentration, the higher the 5-D score. D1, D2, and D4 scores were inversely correlated with plasma PTH concentration.