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혈액투석 환자의 동정맥루 천자 시 에틸클로라이드 스프레이 적용이 통증, 우울 및 치료 지시 불이행에 미치는 효과

Effects of Ethyl Chloride Spray before Arteriovenous Fistula Puncture on Pain, Depression, and Noncompliance of Hemodialysis

이민주|신창민
대한근관절건강학회 (Korean Society of Muscle and Joint Health)|2023.04|근관절건강학회지 (Journal of Muscle and Joint Health)|제30권 제1호|pp. 25-35|DOI 10.5953/JMJH.2023.30.1.25

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키워드

Pain혈액투석천자Renal dialysis동정맥루에틸클로라이드통증중재Ethyl chloridePuncturesArteriovenous fistula
주제분류간호학

초록

Purpose: This study was conducted to examine the effects of ethyl chloride spray during arteriovenous fistula punctureon pain, depression, and noncompliance in hemodialysis patients. Methods: This study used a randomized controlledtrial design on adults with chronic renal failure who received hemodialysis treatment through arteriovenous fistula. Ethylchloride spray was applied to 20 subjects in the experimental group during arteriovenous fistula puncture, and a placebospray was applied to 20 subjects in the control group; the intervention was conducted 12 times for 4 weeks. A total of33 participants were used in the final analysis. The outcomes were measured using the face pain rating scale, Centerfor Epidemiological Studies Depression Scale (CES-D), and modified United States Renal Data System tools. Results:As a result of the pre-homogeneity test between the two groups, it was confirmed that the sexes were not homogeneous. Therefore, sex was treated as a covariate and analyzed. Puncture pain was significantly reduced in the experimentalgroup (p<.001). However there was no significant difference between the groups in depression and noncompliance. Conclusion: Ethyl chloride spray was convenient and effective pain management intervention for both hemodialysispatients and medical staff.

Abstract

Purpose: This study was conducted to examine the effects of ethyl chloride spray during arteriovenous fistula punctureon pain, depression, and noncompliance in hemodialysis patients. Methods: This study used a randomized controlledtrial design on adults with chronic renal failure who received hemodialysis treatment through arteriovenous fistula. Ethylchloride spray was applied to 20 subjects in the experimental group during arteriovenous fistula puncture, and a placebospray was applied to 20 subjects in the control group; the intervention was conducted 12 times for 4 weeks. A total of33 participants were used in the final analysis. The outcomes were measured using the face pain rating scale, Centerfor Epidemiological Studies Depression Scale (CES-D), and modified United States Renal Data System tools. Results:As a result of the pre-homogeneity test between the two groups, it was confirmed that the sexes were not homogeneous. Therefore, sex was treated as a covariate and analyzed. Puncture pain was significantly reduced in the experimentalgroup (p<.001). However there was no significant difference between the groups in depression and noncompliance. Conclusion: Ethyl chloride spray was convenient and effective pain management intervention for both hemodialysispatients and medical staff.

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