Arab Vajihe, Bagheri-Nesami Masoumeh, Mousavinasab Seyed Nouraddine, Espahbodi Fatemeh, Pouresmail Zahra
Department of Medical-Surgical Nursing, Student Research Committee, Nasibeh Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
Department of Medical-Surgical Nursing, Nasibeh Faculty of Nursing and Midwifery, Infectious Diseases Research Center with Focus on Nosocomial Infection, Mazandaran University of Medical Sciences, Sari, Iran.
J Caring Sci. 2017 Jun 1;6(2):141-151. doi: 10.15171/jcs.2017.014. eCollection 2017 Jun.
There is a paucity of information on the effects of Hegu point ice massage and 2% lidocaine gel on fistula puncture-related pain in hemodialysis patients. The aim of the present research was compare the two methods in terms of their effectiveness. This study is a randomized controlled trial. Seventy hemodialysis patients were divided into two groups. The fistula puncture-related pain in the two groups was measured in the first session of hemodialysis without any intervention. During a hemodialysis session, 2% lidocaine gel was applied on the patient's arteriovenous fistula site in one group. Also, for the other group, an ice cube was used to massage on the Hegu point in the hand without fistula in the other hemodialysis session. The pain score was recorded, using the Visual Analogue Scale. The data were analyzed using SPSS ver.13. No significant differences were observed in the mean pain scores of the two groups in the preintervention phase. The comparison of the pain score before and after interventions of the lidocaine gel and ice massage groups was found to bear significant differences. Moreover, the comparison of the mean changes of the pain score before and after the intervention of the Hegu point ice massage groups revealed a further reduction for Hegu point than of lidocaine gel groups. Lidocaine gel and Hegu point ice massage affect the intensity of fistula puncture related pain in hemodialysis patients. Given the higher effectiveness of Hegu point ice massage, this method is recommended to be used for fast and safe pain reduction in hemodialysis patients.
关于合谷穴冰敷按摩和2%利多卡因凝胶对血液透析患者动静脉内瘘穿刺相关疼痛的影响，目前信息较少。本研究的目的是比较这两种方法的有效性。本研究为一项随机对照试验。70例血液透析患者被分为两组。在首次血液透析且无任何干预的情况下，测量两组患者的动静脉内瘘穿刺相关疼痛情况。在一次血液透析过程中，一组在患者的动静脉内瘘部位涂抹2%利多卡因凝胶。同样，在另一次血液透析过程中，另一组使用冰块对手部无内瘘侧的合谷穴进行按摩。使用视觉模拟评分法记录疼痛评分。数据采用SPSS 13.0软件进行分析。干预前两组患者的平均疼痛评分无显著差异。利多卡因凝胶组和冰敷按摩组合谷穴组干预前后疼痛评分的比较存在显著差异。此外，合谷穴冰敷按摩组干预前后疼痛评分的平均变化比较显示，合谷穴组比利多卡因凝胶组疼痛进一步减轻。利多卡因凝胶和合谷穴冰敷按摩会影响血液透析患者动静脉内瘘穿刺相关疼痛的强度。鉴于合谷穴冰敷按摩效果更佳，建议采用该方法以快速、安全地减轻血液透析患者的疼痛。
