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Review Papers | Nursing | India | Volume 13 Issue 12, December 2024 | Popularity: 3.5 / 10

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The Effect of Cryotherapy on Arterio - Venous Fistula Puncture Related Pain among Hemodialysis Patients at Selected Hospital in City

Kanchan Arjun Satav, Dr. Vishwanath S. Biradar

Abstract: Introduction: Pain is not just a physical sensation. It is influenced by attitude, beliefs, personality and social factors and can affect emotional and mental wellbeing of person. Pain during arterio-venous fistula (AVF) cannulation remains a common problem in haemodialysis patients. Cryotherapy is the non-pharmacological therapy which helps to reduce the pain among patients undergoing haemodialysis. AIM: The aim of the study was to identify the effect of cryotherapy on arterio-venous fistula puncture related pain among patients undergoing haemodialysis. Methods: The true experimental design was adopted in this study. A total of 70 patients undergoing haemodialysis through AVF were selected in haemodialysis unit at selected Hospital in city. Among 70 samples, 35 patients were allotted in experimental Group who were given routine care first alternated by cryotherapy on subsequent visits and other 35 patients were allotted to control Group who were not given cryotherapy in first and second visits only routine care provide. Pain assessment was done using Numerical Pain Rating scale after AVF puncture. RESULTS: Finding revealed that the mean score of pre-tests was 8.14 and 8.06 with standard deviation was 1.03 and 1.11 among patients in experimental Group and control Group. Whereas, the mean score of post-test pain during cryotherapy in experimental Group 3.31 with 0.15 SD and mean of routine care was 8.34 and 0.19 with standard deviation in control group. There was a significant difference in the arterio-venous fistula puncture related pain between the interventions in both Groups (t = 20.818, p<0.0001, significant). Conclusion: It was concluded that cryotherapy is able to reduce intensity of pain during AV fistula puncture in hemodialysis patients. It can be used as a non- pharmacological intervention and is a simple and inexpensive therapy.

Keywords: cryotherapy, hemodialysis, a.v. fistula, non-pharmacological pain management

Edition: Volume 13 Issue 12, December 2024

Pages: 1444 - 1450

DOI: https://www.doi.org/10.21275/SR241218153602

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