Volume 27, Issue 124 (September & October 2019)                   J Adv Med Biomed Res 2019, 27(124): 37-42 | Back to browse issues page

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Porramezani N, Imani Goghary Z, Firouzabadi M, Balvardi M, Irannejad-Parizi F. The Effect of Cryotherapy in the Hoku point on the Severity of Pain of Fistula Catheterization in Patients on Hemodialysis. J Adv Med Biomed Res 2019; 27 (124) :37-42
URL: http://journal.zums.ac.ir/article-1-5486-en.html
The Effect of Cryotherapy in the Hoku point on the Severity of Pain of Fistula Catheterization in Patients on Hemodialysis
Naimeh Porramezani1 , Zahra Imani Goghary *2 , Maryam Firouzabadi3 , Mohadeseh Balvardi4 , Fatemeh Irannejad-Parizi5
1- Dept. of Nursing and Midwifery, Sirjan School of Medical Sciences, Kerman University of Medical Sciences, Kerman, Iran
2- Dept. of Nursing and Midwifery, Sirjan School of Medical Sciences, Sirjan, Iran , npourramezani@yahoo.com
3- Dept. of Nursing and Midwifery, Sirjan School of Medical Sciences, Sirjan, Iran
4- Dept. of Biostatistics, Sirjan School of Medical Sciences, Sirjan, Iran
5- Dept. of Pediatric Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract:   (146537 Views)

 Background & Objective: Pain is an unpleasant feeling that influences the quality of patients’ life. Arteriovenous fistula catheterization pain can be reduced in hemodialysis patients with nonmedicinal and noninvasive methods of pain relief. This study aimed to investigate the efficacy of cryotherapy at the Hoku point on the severity of the pain of catheterization in hemodialysis patients.
Materials & Methods: This quasi experimental study was conducted on 40 hemodialysis patients selected by census sampling method. In the first session, intensity of arterial and venous puncture pain, without applying any intervention, was recorded using the visual analogue scale (VAS). In the second and third sessions before catheterization, ice cubes were placed on the Hoku point for 10 minutes and the intensity of pain of arterial and venous fistula was immediately measured. Data were analyzed using SPSS 19 by independent t-test.
Results: The mean score of pain in the first session (arterial: 5.97±2.44, venous: 6.00±2.62) was compared with the mean score of pain in the second (arterial: 2.80±1.92, venous: 2.72±2.09) and third sessions (arterial: 2.42±1.72, venous: 2.50±1.93). The results of repeated measure analysis of variance showed that the mean score of pain significantly reduced in the second and third sessions compared to the first session (P<0.05).
Conclusion: Cryotherapy at the Hoku point reduces the severity of pain of arteriovenous fistula catheterization and, thus, can be suggested as an effective noninvasive method for puncture pain relief in hemodialysis patients.

Keywords: Arteriovenous Fistula, Cryotherapy, Hemodialysis, Pain
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✅ Cryotherapy at the Hoku point reduces the severity of pain of arteriovenous fistula catheterization and, thus, can be suggested as an effective noninvasive method for puncture pain relief in hemodialysis patients.


Type of Study: Original Research Article | Subject: Medical Laboratory and Animal Investigation
Received: 2019/01/1 | Accepted: 2020/03/7 | Published: 2020/03/7
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