혈액투석 환자의 동정맥루 천자 시 통증완화를 위한 온요법과 냉요법의 효과

Abstract

Purpose: The purpose of this study is to examine the effect of warm and ice application verified to reduce the pain caused by arteriovenous fistula needling under hemodialysis. Method: This study was performed with the one group pretest-posttest design from pre-experimental design. A total of 34 patients who have matured arteriovenous fistula were given an objective pain score, subjective pain score(VAS) and physiologic index respectively 5 times pre-experiment, post warm application and post ice application. The data were analyzed with SPSS win 12.0 program by using descriptive statistics, a repeated measure ANOVA and a paired t-test. Result: The post treatment of warm and ice application reduced the subjective and objective pain rather than pre-treatment when they experienced arteriovenous fistula needling. Concerning the effect of warm and ice application, there turned out to be no significant difference in pain score. Regarding warm and ice application, the hypothesis that physiologic index, such as blood pressure and pulse, was not significantly different between pre needling and post needling and it was partially verified. Conclusion: The findings suggest that both of warm and ice application were effective ways to relieve pain. Therefore, according to characteristic and tendency of patients, it can be recommended to choose warm or ice application