Al Amer Hamad S, Dator Wireen Leila, Abunab Hamzeh Y, Mari Mohammad
Department of Physical Therapy, University of Tabuk, Tabuk, Saudi Arabia.
Post Graduate and Scientific Research Unit, College of Nursing, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.
Saudi J Kidney Dis Transpl. 2017 Sep-Oct;28(5):1050-1056. doi: 10.4103/1319-2442.215141.
Pain during arteriovenous fistula (AVF) cannulation remains a common problem in hemodialysis (HD) patients that leads to noncompliance to lifetime maintenance HD. This study was performed to determine the effect of cryotherapy on reducing pain during AVF cannulation among HD patients in the King Khalid Hospital, Tabuk, Kingdom of Saudi Arabia. This is an experimental study which included 62 patients undergoing HD through an AVF. Randomization was used to assign the patients into the experimental (received cryotherapy) and control (no cryotherapy) groups. The Arabic version of Wong-Baker pain rating scale was used to determine the pain score. There was a significant difference in the pre-and post-intervention pain scores among the experimental group, while there was no such difference in the control group. The null hypothesis was rejected based on a P <0.05. Our study suggests that cryotherapy intervention to relieve AVF cannulation-related pain among adult patients undergoing HD is effective. Therefore, it is recommended that cryotherapy should be considered as a complementary intervention to reduce pain related to AVF cannulation.
动静脉内瘘(AVF)穿刺时的疼痛仍是血液透析(HD)患者的常见问题,这会导致患者不配合终身维持性血液透析治疗。本研究旨在确定在沙特阿拉伯王国塔布克市哈立德国王医院,冷冻疗法对减轻HD患者AVF穿刺时疼痛的效果。这是一项实验性研究,纳入了62例通过AVF进行血液透析的患者。采用随机化方法将患者分为实验组(接受冷冻疗法)和对照组(未接受冷冻疗法)。使用阿拉伯语版的面部表情疼痛评分量表来确定疼痛评分。实验组干预前后的疼痛评分存在显著差异,而对照组则无此差异。基于P<0.05,原假设被拒绝。我们的研究表明,冷冻疗法干预对于缓解接受HD治疗的成年患者AVF穿刺相关疼痛是有效的。因此,建议将冷冻疗法视为减轻与AVF穿刺相关疼痛的辅助干预措施。