Park J S
Taehan Kanho. 1994;33(1-2):37-51.
The cutaneous stimulation is an independent nursing intervention used in various painful conditions, and is explained by gate control theory. This study was aimed at identifying the effect of cutaneous stimulation on reduction of arteriovenous fistula puncture pain of hemodialysis patients. One group repeated measurement post test research was designed. Forty-five hemodialysis patients who received arteriovenous fistula puncture regularly in hemodialysis units of an attached D hospital to K university have been studied from August 16 to 21, 1993. First the arteriovenous fistula puncture pain of control period was measured, and then the arteriovenous fistula puncture pain of experimental period (with cutaneous stimulation) was measured. The instrument used for this study were visual analogue pain scale as subjective pain measurement, objective pain behavior checklist and Spielberger's Trait Anxiety Inventory as intervening variables. Analysis of data was done by use of paired t-test, t-test, ANOVA and Perarson correlation coefficient. The results of this study were summarized as follows; 1) The first hypothesis that the subjective pain score of arteriovenous fistula puncture pain in experimental period (with cutaneous stimulation) will be lower than in control period was partly supported. The subjective pain score of arterial line was rejected (paired t = -0.28, p = 0.77) and the subjective pain score of venous line was supported (paired t = 2.61, p = 0.01). 2) The second hypothesis that the objective pain behavior score of arteriovenous fistula pain in experimental period (with cutaneous stimulation) will be lower than in control period was rejected (arterial line paired t = -0.45, p = 0.65; venous line paired t = -0.36, p = 0.72). 3) The third hypothesis that the cardiopulmonary signs of arteriovenous fistula puncture pain in experimental period (with cutaneous stimulation) will be lower than in control period was rejected (pulse paired t = -0.8, p = 0.42; systolic BP paired t = 0.98, p = 0.33; diastolic BP paired t = 0.43, p = 0.66). Further experimental studies with simple intravenous injection patients will be recommended in order to identify the effect of cutaneous stimulation.
皮肤刺激是一种用于各种疼痛状况的独立护理干预措施，其依据闸门控制理论进行解释。本研究旨在确定皮肤刺激对减轻血液透析患者动静脉内瘘穿刺疼痛的效果。设计了一组重复测量后测研究。1993年8月16日至21日，对在K大学附属D医院血液透析科定期接受动静脉内瘘穿刺的45例血液透析患者进行了研究。首先测量对照期的动静脉内瘘穿刺疼痛，然后测量实验期（进行皮肤刺激）的动静脉内瘘穿刺疼痛。本研究使用的工具包括视觉模拟疼痛量表作为主观疼痛测量工具、客观疼痛行为清单以及作为干预变量的斯皮尔伯格特质焦虑量表。数据采用配对t检验、t检验、方差分析和皮尔逊相关系数进行分析。本研究结果总结如下：1）第一个假设，即实验期（进行皮肤刺激）动静脉内瘘穿刺疼痛的主观疼痛评分低于对照期，部分得到支持。动脉穿刺点的主观疼痛评分未得到支持（配对t = -0.28，p = 0.77），静脉穿刺点的主观疼痛评分得到支持（配对t = 2.61，p = 0.01）。2）第二个假设，即实验期（进行皮肤刺激）动静脉内瘘疼痛的客观疼痛行为评分低于对照期，未得到支持（动脉穿刺点配对t = -0.45，p = 0.65；静脉穿刺点配对t = -0.36，p = 0.72）。3）第三个假设，即实验期（进行皮肤刺激）动静脉内瘘穿刺疼痛的心肺体征低于对照期，未得到支持（脉搏配对t = -0.8，p = 0.42；收缩压配对t = 0.98，p = 0.33；舒张压配对t = 0.43，p = 0.66）。为确定皮肤刺激的效果，建议对单纯静脉注射患者进行进一步的实验研究。
