Effect of acupressure applied to L4 point on the severity of fistula needle pain in patients: A randomised control trial

IF 1.5 4区 医学 Q3 NURSING
Banu Çevik PhD, Gülay Turgay PhD, Işılay Inanoğlu, Semiha Kaya, Cihat Burak Sayin
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引用次数: 0

Abstract

Background

Patients usually feel pain when a needle is inserted into the fistula. This acute pain can be relieved by acupressure, which is a nonpharmacological application method.

Objective

This study was designed to explore the effect of acupressure application to the Hegu point on the severity of acute pain caused by fistula needle insertion in patients with antecubital arteriovenous fistula.

Design

It is a randomised control study.

Participants

The study was conducted with 32 intervention and 32 control patients, recruited from a dialysis centre of a foundation university in Turkey between October 2021 and January 2022.

Measurements

Acupressure was applied 3 min before needle placement in the fistula area of the patients in the experimental group.

Result

While there was no decrease in the severity of acute pain during fistula needle insertion in the patients in the control group, there was a significant decrease in the mean acute pain severity scores experienced by the patients in the experimental group, whose Hegu point acupressure was applied.

Conclusion

The results of this study support the effectiveness of Hegu point acupressure as an effective and low-cost way to reduce the acute pain of needle insertion put on dialysis patients with a fistula. In addition, the results provide a practical reference for acute pain management for dialysis nurses.

穴位按摩 L4 穴对瘘管针刺痛患者严重程度的影响:随机对照试验。
背景:当针刺入瘘管时,患者通常会感到疼痛。穴位按摩是一种非药物应用方法,可以缓解这种急性疼痛:本研究旨在探讨穴位按摩合谷穴对肘前动静脉瘘患者因瘘管进针引起的剧烈疼痛的影响:设计:这是一项随机对照研究:研究于 2021 年 10 月至 2022 年 1 月期间在土耳其一所基础大学的透析中心招募了 32 名干预患者和 32 名对照患者:实验组患者在瘘管部位扎针前 3 分钟进行穴位按摩:结果:对照组患者在瘘管针刺入时的剧烈疼痛程度没有减轻,而实验组患者在进行合谷穴穴位按摩后,剧烈疼痛程度的平均值明显减轻:本研究结果表明,合谷穴穴位按摩是一种有效、低成本的减轻瘘管透析患者针刺急性疼痛的方法。此外,研究结果还为透析护士提供了急性疼痛处理的实用参考。
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来源期刊
Journal of renal care
Journal of renal care Nursing-Advanced and Specialized Nursing
CiteScore
3.50
自引率
5.30%
发文量
36
期刊介绍: The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.
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