Ozen Nurten, Akcoban Sümeyye, Tosun Betul
Associate Professor, Department of Internal Medicine Nursing, Faculty of Nursing, Istanbul University, Istanbul, Turkey.
Lecturer, Hatay Mustafa Kemal University, Kırıkhan Vocational School, Health Services Department, Hatay, Turkey.
J Res Nurs. 2025 Aug 14:17449871251364711. doi: 10.1177/17449871251364711.
Cold application is a non-pharmaceutical method that has been shown to be effective in relieving pain by slowing down or blocking the conduction of peripheral nerves.
This study aimed to evaluate the effect of cold needle use during arteriovenous fistula cannulation on cannulation-related invasive pain.
A semi-experimental, self-controlled, and double-blind study was used. The cannulation procedure was performed with room temperature needles during the first three haemodialysis sessions and with cold needles during the next three sessions. Patients were those treated in the haemodialysis unit with arteriovenous fistula of a state hospital in Turkey between April and May 2024.
The study was completed with a total of 33 patients. The mean pain score of the three sessions was found to be statistically significantly lower when a cold needle was used (5.08 ± 0.67) compared to the use of a room temperature needle (6.68 ± 0.68; 1.78 ± 0.94; 95%CI: 1.45-2.12; < 0.001).
Cold needle use is recommended during arteriovenous fistula cannulation to reduce invasive pain. Cannulation with cold needle is a non-pharmacological, easy to apply, and cost-effective method. These findings have potential for informing policy and procedure in effective pain management.
冷敷是一种非药物方法，已被证明可通过减缓或阻断周围神经传导来有效缓解疼痛。
本研究旨在评估动静脉内瘘插管时使用冷针对于插管相关的侵入性疼痛的影响。
采用半实验性、自身对照、双盲研究。在前三次血液透析疗程中使用室温针进行插管操作，在后三次疗程中使用冷针。研究对象为2024年4月至5月期间在土耳其一家国立医院血液透析科接受动静脉内瘘治疗的患者。
本研究共纳入33例患者。结果发现，与使用室温针（6.68±0.68）相比，使用冷针时三个疗程的平均疼痛评分在统计学上显著更低（5.08±0.67；1.78±0.94；95%CI：1.45 - 2.12；<0.001）。
建议在动静脉内瘘插管时使用冷针以减轻侵入性疼痛。冷针插管是一种非药物、易于应用且具有成本效益的方法。这些研究结果有可能为有效疼痛管理中的政策和程序提供参考。
