Faculty of Nursing, Universitas Riau, Pekanbaru, Indonesia.
Faculty of Nursing, Universitas Indonesia, Indonesia.
J Pak Med Assoc. 2024 May;74(5 (Supple-5)):S78-S83. doi: 10.47391/JPMA.Ind-RInC-21.
To evaluate studies related to pain management associated with arteriovenous fistula cannulation among children.
The systematic review comprised literature search on Embase, ProQuest, Science Direct, Scopus, SpringerLink and Wiley Online databases for studies published in English between 1998 and 2021. The search used key words, including pain management OR analgesia AND child OR paediatric AND haemodialysis OR dialysis AND arteriovenous fistula OR arteriovenous fistula cannulation OR fistula needle OR arteriovenous fistula insertion OR needle insertion. The quality of the studies was evaluated using the Joana Briggs Institute checklist. General characteristics of the and pain outcomes were noted.
Of the 2,877 studies initially identified, 8(0.27%) were analysed; 7(87.5%) quasi-experimental and 1(12.5%) randomised controlled trial. Overall, there were 283 participants aged 6-18 years. The strategies used for reducing arteriovenous fistula puncture-related pain among children undergoing haemodialysis included cryotherapy, lidocaine agents, virtual reality (VR), guided visualisation, balloon inflation, aromatherapy, and other programmed distractions. The strategies had a positive effect on reducing arteriovenous fistula cannulation-related pain among children.
Non-pharmacological pain management is an easier, simpler, inexpensive and more effective method of atraumatic care among children undergoing haemodialysis.
评估与儿童动静脉瘘管穿刺相关的疼痛管理研究。
系统综述在 Embase、ProQuest、Science Direct、Scopus、SpringerLink 和 Wiley Online 数据库中检索了 1998 年至 2021 年发表的英文文献。搜索使用了关键词，包括疼痛管理或镇痛和儿童或儿科和血液透析或透析和动静脉瘘或动静脉瘘管穿刺或瘘管针或动静脉瘘管插入或针插入。使用 Joana Briggs 研究所检查表评估研究质量。记录了研究的一般特征和疼痛结果。
最初确定的 2877 项研究中有 8 项（0.27%）进行了分析；7 项（87.5%）为准实验研究，1 项（12.5%）为随机对照试验。总体而言，有 283 名 6-18 岁的参与者。用于减轻血液透析儿童动静脉瘘管穿刺相关疼痛的策略包括冷冻疗法、利多卡因制剂、虚拟现实（VR）、引导可视化、气球充气、芳香疗法和其他程序化分散注意力。这些策略对减轻儿童动静脉瘘管穿刺相关疼痛有积极影响。
非药物性疼痛管理是一种更容易、更简单、更经济且对接受血液透析的儿童更有效的无创伤护理方法。
