Department of Nursing, Yeosu Hankook Hospital, 10 Yeocheoncheyukgongwon-gil, Yeosu, Jeonnam 59684, Korea.
Department of Nursing, Sunchon National University, 255 Jungang-ro, Suncheon, Jeonnam 57922, Korea.
Int J Environ Res Public Health. 2020 Sep 29;17(19):7147. doi: 10.3390/ijerph17197147.
Chronic renal failure patients undergoing hemodialysis complain of moderate pain from repeated punctures of the arteriovenous fistula. This study examined the optimal application time of thermotherapy for reducing pain, anxiety, and side effects during arteriovenous fistula puncture. This study was conducted as a single-blinded randomized controlled trial. The participants were arteriovenous fistula puncture patients with chronic renal failure who were divided into two thermotherapy groups and one control group. This study was approved by the institutional review board and registered with the Clinical Research Information Service (KCT0003768). Differences between groups regarding pain, anxiety, and side effects were analyzed using one-way ANOVA, the χ test, and the Scheffé test. A significant difference was observed between the 10-min and 20-min thermotherapy groups and the control group in terms of the pain they experienced. Additionally, more side effects were encountered in the 20-min thermotherapy group than in the 10-min group. The 10-min application of thermotherapy for an arteriovenous fistula puncture showed the same pain-reducing effect as the conventional 20-min application. The study confirmed a 10-min application of thermotherapy to be an effective nursing intervention for pain relief without side effects.
慢性肾衰竭血液透析患者因反复动静脉瘘穿刺而感到中度疼痛。本研究旨在探讨热疗在减少动静脉瘘穿刺疼痛、焦虑和不良反应方面的最佳应用时间。这是一项单盲随机对照试验。参与者为慢性肾衰竭行动静脉瘘穿刺的患者，分为热疗组和对照组。本研究得到了机构审查委员会的批准，并在临床研究信息服务（KCT0003768）上注册。采用单因素方差分析、卡方检验和谢夫检验比较组间疼痛、焦虑和不良反应的差异。10 分钟和 20 分钟热疗组与对照组的疼痛程度存在显著差异。此外，20 分钟热疗组的不良反应发生率高于 10 分钟组。动静脉瘘穿刺 10 分钟应用热疗与常规 20 分钟应用的镇痛效果相同。研究证实，10 分钟的热疗应用是一种有效的护理干预措施，可缓解疼痛，且无不良反应。
