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Optimal Time of Thermotherapy for Reducing Pain, Anxiety, and Side Effects in Arteriovenous Fistula Puncture Patients: A Randomized Controlled Trial

Author

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  • Yangok Back

    (Department of Nursing, Yeosu Hankook Hospital, 10 Yeocheoncheyukgongwon-gil, Yeosu, Jeonnam 59684, Korea)

  • Yoonyoung Lee

    (Department of Nursing, Sunchon National University, 255 Jungang-ro, Suncheon, Jeonnam 57922, Korea)

Abstract

Chronic renal failure patients undergoing hemodialysis complain of moderate pain from repeated punctures of the arteriovenous fistula. This study examined the optimal application time of thermotherapy for reducing pain, anxiety, and side effects during arteriovenous fistula puncture. This study was conducted as a single-blinded randomized controlled trial. The participants were arteriovenous fistula puncture patients with chronic renal failure who were divided into two thermotherapy groups and one control group. This study was approved by the institutional review board and registered with the Clinical Research Information Service (KCT0003768). Differences between groups regarding pain, anxiety, and side effects were analyzed using one-way ANOVA, the χ 2 test, and the Scheffé test. A significant difference was observed between the 10-min and 20-min thermotherapy groups and the control group in terms of the pain they experienced. Additionally, more side effects were encountered in the 20-min thermotherapy group than in the 10-min group. The 10-min application of thermotherapy for an arteriovenous fistula puncture showed the same pain-reducing effect as the conventional 20-min application. The study confirmed a 10-min application of thermotherapy to be an effective nursing intervention for pain relief without side effects.

Suggested Citation

  • Yangok Back & Yoonyoung Lee, 2020. "Optimal Time of Thermotherapy for Reducing Pain, Anxiety, and Side Effects in Arteriovenous Fistula Puncture Patients: A Randomized Controlled Trial," IJERPH, MDPI, vol. 17(19), pages 1-10, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:7147-:d:421626
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    References listed on IDEAS

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    1. Chrysoula Vasilopoulou & Eirini Bourtsi & Sophia Giaple & Ioannis Koutelekos & Paraskevi Theofilou & Maria Polikandrioti, 2016. "The Impact of Anxiety and Depression on the Quality of Life of Hemodialysis Patients," Global Journal of Health Science, Canadian Center of Science and Education, vol. 8(1), pages 1-45, January.
    2. Semra Aciksoz & Aygul Akyuz & Servet Tunay, 2017. "The effect of self‐administered superficial local hot and cold application methods on pain, functional status and quality of life in primary knee osteoarthritis patients," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 5179-5190, December.
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