Demırağ Hatice, Kulakaç Nurşen
Department of Medical Services and Techniques, Kelkit Sema Doğan Vocational School Of Health Services, Gümüşhane University, Gümüşhane, Turkey.
Nursing Department, Faculty of Health Sciences, Gümüşhane University, Gümüşhane, Turkey.
Hemodial Int. 2025 Jan;29(1):47-55. doi: 10.1111/hdi.13190. Epub 2024 Oct 28.
The study aimed to investigate the impact of the using local skin cooling on arteriovenous fistula cannulation pain and the comfort levels of hemodialysis patients.
The single-blind randomized controlled trial was formed with 50 patients between June 20, 2023, and July 31, 2023, in the hemodialysis units of two state hospitals in Turkey. Patients were randomly assigned to either the experimental group (n = 25) or the control group (n = 25) using the block randomization method. This data were collected through the use of the CoolSense device, the "Patient Information Form," the "Verbal Category Scale," and the "General Comfort Scale." Patients in the experimental group received the local skin cooling for five seconds during arteriovenous fistula cannulation, while the control group followed the standard hospital protocol. The study was registered on Clinical Trials (NCT06144801).
The study revealed that the application of the local skin cooling during arteriovenous fistula cannulation significantly reduced pain and increased patients' comfort levels, demonstrating an anesthetic effect (p < 0.001). Furthermore, it was observed that as pain levels decreased, patient comfort levels increased (p < 0.001).
It is concluded that the using lokal skin cooling is an effective tool for reducing pain and enhancing comfort during arteriovenous fistula cannulation in hemodialysis patients.
本研究旨在探讨局部皮肤冷却对动静脉内瘘穿刺疼痛及血液透析患者舒适度的影响。
2023年6月20日至2023年7月31日期间，在土耳其两家国立医院的血液透析科，对50例患者进行了单盲随机对照试验。采用区组随机化方法将患者随机分为实验组（n = 25）或对照组（n = 25）。通过使用CoolSense设备、“患者信息表”、“言语分类量表”和“一般舒适度量表”收集这些数据。实验组患者在动静脉内瘘穿刺期间接受局部皮肤冷却5秒，而对照组遵循医院标准方案。该研究已在临床试验注册（NCT06144801）。
研究表明，动静脉内瘘穿刺期间应用局部皮肤冷却可显著减轻疼痛并提高患者舒适度，显示出麻醉效果（p < 0.001）。此外，观察到随着疼痛程度降低，患者舒适度提高（p < 0.001）。
得出的结论是，在血液透析患者动静脉内瘘穿刺过程中，使用局部皮肤冷却是减轻疼痛和提高舒适度的有效手段。
