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유영미 ( Yoo Young-Mee ) - 고려대학교 의과대학 안암병원
김진연 ( Kim Jin-Youn ) - 고려대학교 안암병원
배현주 ( Bae Hyun-Ju ) - 고려대학교 안암병원
문성미 ( Moon Sung-Mi ) - 고려대학교 안암병원
하혜림 ( Ha Hye-Rim ) - 고려대학교 안암병원
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Abstract
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Purpose: This research was done to compare the pain relief effects of various nursing interventions, such as cold therapy, attention diversion and 10% Lidocaine spray during arteriovenous fistula needling for patients on hemodialysis, and also to identify and develop more effective nursing interventions for pain relief in these patients.
Methods: This research was conducted from October 1, 2010 to January 31, 2011 with 8 hemodialysis patients, who were on regular dialysis (3 times a week) at K University Hospital in Seoul and had an arteriovenous fistula within the past 3 months. Each patient received the three nursing interventions (cold therapy, attention diversion and 10% Lidocaine spray therapy) prior to the arteriovenous fistula needling and applied in turn with the series being repeated 4 times. After each intervention, physiologic indexes, subjective and objective pain were measured at the time of needling. ANOVA was used with SPSS/WIN 12.0 to analyze pain scores and comparison of physiologic indexes (BP, pulse).
Results: No significant differences were found for subjective pain (p=.574), objective pain (p=.562) and total pain (p=.506) among the 3 interventions. Systolic blood pressure (p=.689), diastolic blood pressure (p=.969) and pulse (p=.980) also showed no significant difference among the 3 interventions.
Conclusion: These 3 interventions are all possible for pain relief during arteriovenous fistula needling for these patients. However, the only interventions that nurses can do independently are cold therapy and attention diversion so we recommend that these nursing interventions be used.
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KeyWords
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혈액투석, 동정맥루, 통증
Hemodialysis, Arteriovenous fistula, Pain
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원문 및 링크아웃 정보
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등재저널 정보
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