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吸入器和局部薰衣草油对动静脉瘘管插管疼痛管理的影响。

Effect of inhaler and topical lavender oil on pain management of arteriovenous fistula cannulation.

机构信息

İzmir Kavram Vocational School, Dialiysis Programme, Turkey.

Department of Internal Medicine Nursing, Ege University, Faculty of Nursing, Izmir, Turkey.

出版信息

J Vasc Access. 2023 May;24(3):465-474. doi: 10.1177/11297298211031086. Epub 2021 Aug 16.

Abstract

BACKGROUND

The recurrent arteriovenous fistula (AVF) intervention in the treatment of hemodialysis induces pain in patients. Lavender oil has analgesic, antimicrobial, and calming effects. This oil is widely used in patients to reduce anxiety and stress associated with pain caused by analgesics.

METHOD

The present study is a randomized controlled and experimental clinical trial in which patients ( = 90) who underwent hemodialysis with AVFs were randomly divided into three groups. The intensity of pain was measured in all patients at three different stages during the insertion of arterial needles for hemodialysis: (1) The topical application of 100% lavender essential oil, (2) the inhaler application of 100% lavender essential oil, and (3) no intervention. The placebo (water) was applied to groups 1 and 2.

RESULTS

Our findings revealed that the mean pre-application pain scores in hemodialysis patients were 57.58 ± 20.28 in the working group, 48.53 ± 20.23 in the control group, 19.49 ± 15.66 in the post-application group, and 45.33 ± 25.52 in the control group ( < 0.005). The average pain scores after the application of lavender oil were 22.66 ± 15.35 in the inhaler lavender group, 16.33 ± 15.97 in the topical lavender group, and 45.33 ± 25.52 in the control group.

CONCLUSIONS

After inhaler and topical application of lavender oil, a significant decrease in the severity of pain was recorded for patients at the time of arterial insertion of needles.

摘要

背景

在治疗血液透析患者的复发性动静脉瘘(AVF)介入中会引起疼痛。薰衣草油具有镇痛、抗菌和镇静作用。这种油在患者中广泛用于减轻与疼痛相关的焦虑和压力,而疼痛是由镇痛剂引起的。

方法

本研究为一项随机对照的临床试验,将接受 AVF 血液透析的患者( = 90)随机分为三组。在所有患者中,在进行血液透析动脉针插入的三个不同阶段测量疼痛强度:(1)局部应用 100%薰衣草精油,(2)吸入 100%薰衣草精油,(3)无干预。第 1 组和第 2 组应用安慰剂(水)。

结果

我们的研究结果表明,在血液透析患者中,应用薰衣草油前的平均疼痛评分在工作组为 57.58±20.28,在对照组为 48.53±20.23,在应用后组为 19.49±15.66,在对照组为 45.33±25.52( < 0.005)。吸入薰衣草组和局部应用薰衣草组的薰衣草油平均疼痛评分分别为 22.66±15.35 和 16.33±15.97,对照组为 45.33±25.52。

结论

在动脉针插入时,吸入和局部应用薰衣草油后,患者的疼痛严重程度显著降低。

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