J Korean Biol Nurs Sci.  2019 Aug;21(3):207-216. 10.7586/jkbns.2019.21.3.207.

Comparison of Skin Stimulation Method and Topical Anesthetic Cream on Pain and Heart Rate Variability during Arteriovenous Fistula Puncture in Hemodialysis Patients

• Kang HY
• Chae YR

• KMID: 2457601
• DOI: http://doi.org/10.7586/jkbns.2019.21.3.207

Abstract

PURPOSE
The purpose of this was to compare effects of application of the skin stimulation method and topical anesthetic cream on pain, heart rate variability and satisfaction according to nursing intervention methods during arteriovenous fistula puncture in chronic renal failure hemodialysis patients.
METHODS
This study was a crossover design. Participants were 36 patients with chronic renal failure receiving hemodialysis treatment. Two forms of intervention were applied to participants, and then pain and heart rate variability were measured during the puncture.
RESULTS
There were no statistically significant differences according to each treatment in vein pain and artery pain. Also, there were no statistically significant differences according to each treatment in stress index, sympathetic activity (LF), parasympathetic activity (HF) and sympathetic activity/parasympathetic activity (LF/HF ratio). Satisfaction with application of skin stimulation method was statistically higher than that of topical anesthetic cream application.
CONCLUSION
This suggests that application of the skin stimulation method complements disadvantages of topical anesthetic cream application and demonstrates possibility of application as a nursing intervention method which can be conveniently used by nurses in clinical practice.

Keyword

Renal Dialysis; Arteriovenous Fistula; Punctures; Pain

MeSH Terms

Arteries
Arteriovenous Fistula*
Complement System Proteins
Cross-Over Studies
Heart Rate*
Heart*
Humans
Kidney Failure, Chronic
Methods*
Nursing
Punctures*
Renal Dialysis*
Skin*
Veins
Complement System Proteins