Comparison of the effects of cryotherapy and placebo on reducing the pain of arteriovenous fistula cannulation among hemodialysis patients: A randomized control trial

Ali Aghajanloo; Mansour Ghafourifard; Hamidreza Haririan; Parvin Shiri Gheydari

doi:10.18869/acadpub.jnms.3.1.59

Journal of Nursing and Midwifery Sciences

The Official Journal of Mazandaran University of Medical Sciences

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https://doi.org/10.18869/acadpub.jnms.3.1.59

Comparison of the effects of cryotherapy and placebo on reducing the pain of arteriovenous fistula cannulation among hemodialysis patients: A randomized control trial

Author(s):

Ali Aghajanloo^{1, 2},

Mansour Ghafourifard^3,*,

Hamidreza Haririan³,

Parvin Shiri Gheydari²

1Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

2Department of Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran

3Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran

Journal of Nursing and Midwifery Sciences:Vol. 3, issue 1; 59-65

Published online:Mar 16, 2016

Article type:Research Article

Received:Nov 28, 2015

Accepted:Feb 01, 2016

How to Cite:Ali AghajanlooMansour GhafourifardHamidreza HaririanParvin Shiri GheydariComparison of the effects of cryotherapy and placebo on reducing the pain of arteriovenous fistula cannulation among hemodialysis patients: A randomized control trial.J Nurs Midwifery Sci.3(1):e141269.https://doi.org/10.18869/acadpub.jnms.3.1.59.

Abstract

Background and Purpose: Pain perception with arteriovenous fistula (AVF) cannulation is a major concern among patients undergoing
hemodialysis. This study aimed to compare the efficacy of cryotherapy and placebo in the reduction of AVF puncture-related pain in
hemodialysis patients.
Methods: This randomized clinical trial was conducted on 50 patients undergoing hemodialysis selected via random sampling. Patients
were randomly divided into two groups of intervention and control. Patients in the intervention group received cryotherapy using
ice cubes wrapped in latex gloves, which were placed on the back of the hands without AVF (between the index finger and thumb).
The same process was performed on the patients of the control group by using wooden cubes as placebo instead of ice cubes. Pain
perception of the patients was recorded during two consecutive hemodialysis sessions using a visual analogue scale. Data analysis was
performed in SPSS V.13 using Chi-square and independent T-test.
Results: With cryotherapy, scores of AVF puncture-related pain significantly reduced from 5.9±0.96 in session one (routine care) to
3.2±1.71 in session two of hemodialysis. However, no significant difference was observed between the two sessions in patients of the
control group (P=0.07).
Conclusion: According to the results of this study, cryotherapy, as a non-pharmacological and complementary approach, could be
effective in the prevention of the pain associated with AVF cannulation. Therefore, it is recommended that nurses apply this method
before AVF cannulation in order to alleviate pain intensity in hemodialysis patients.

Keywords

Arteriovenous fistula

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Author(s):

Ali Aghajanloo:[PubMed][Scholar]
Mansour Ghafourifard:[PubMed][Scholar]
Hamidreza Haririan:[PubMed][Scholar]
Parvin Shiri Gheydari:[PubMed][Scholar]