Alzaatreh Mohammad Y, Abdalrahim Maysoon S
Clinical Nursing Specialist, Prince Hamzeh Hospital, Amman, Jordan.
School of Nursing, The University of Jordan, Amman, Jordan.
Hemodial Int. 2020 Jan;24(1):3-11. doi: 10.1111/hdi.12803. Epub 2019 Dec 3.
Patients on maintenance hemodialysis are subjected to mild-to-moderate pain associated with arteriovenous fistula needle insertion. This pain might adversely affect patient compliance with dialysis and quality of life. The aim of this study was to evaluate published research studies on management strategies for pain associated with fistula needle insertion. A review of 35 studies from well-known databases such as CINAHL, ProQuest, and PubMed was conducted. Three strategies of cannulation pain management were found to have been tried: specific cannulation techniques; use of alternative complementary therapies; and use of local anesthetic agents.
维持性血液透析患者会遭受与动静脉内瘘穿刺相关的轻至中度疼痛。这种疼痛可能会对患者的透析依从性和生活质量产生不利影响。本研究的目的是评估已发表的关于内瘘穿刺相关疼痛管理策略的研究。我们对来自CINAHL、ProQuest和PubMed等知名数据库的35项研究进行了综述。结果发现，人们尝试了三种内瘘穿刺疼痛管理策略：特定的穿刺技术；使用替代补充疗法；以及使用局部麻醉剂。
