Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
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Effects of Ethyl Chloride Spray before Arteriovenous Fistula Puncture on Pain, Depression, and Noncompliance of Hemodialysis

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

  • Received : 2023.03.31
  • Accepted : 2023.04.19
  • Published : 2023.04.30
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Abstract

Purpose: This study was conducted to examine the effects of ethyl chloride spray during arteriovenous fistula puncture on pain, depression, and noncompliance in hemodialysis patients. Methods: This study used a randomized controlled trial design on adults with chronic renal failure who received hemodialysis treatment through arteriovenous fistula. Ethyl chloride spray was applied to 20 subjects in the experimental group during arteriovenous fistula puncture, and a placebo spray was applied to 20 subjects in the control group; the intervention was conducted 12 times for 4 weeks. A total of 33 participants were used in the final analysis. The outcomes were measured using the face pain rating scale, Center for 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 experimental group (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 hemodialysis patients and medical staff.

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References

  1. Chu, H., & Park, M. (2018). Knowledge and adherence to evidence based practice guidelines for hemodialysis among nurses in dialysis units. Journal of Digital Convergence, 16(7), 277-288. https://doi.org/10.14400/JDC.2018.16.7.277
  2. Daugirdas, J. T., Blake, P. G., & Ing, T. S. (2015). Handbook of Dialysis (5th ed.). Philadelphia, PA: Wolters Kluwer Health.
  3. Figueiredo, A. E., Viegas, A., Monteiro, M. B., & Poli-de-Figueiredo, C. E. (2008). Research into pain perception with arteriovenous fistula (avf) cannulation. Journal of Renal Care, 34(4), 169-172. https://doi.org/10.1111/j.1755-6686.2008.00041.x
  4. Ghoreyshi, Z., Amerian, M., Amanpour, F., & Ebrahimi, H. (2018). Evaluation and comparison of the effects of Xyla-P cream and cold compress on the pain caused by the cannulation of arteriovenous fistula in hemodialysis patients. Saudi Journal of Kidney Diseases and Transplantation, 29(2), 369-375. https://doi.org/10.4103/1319-2442.229265
  5. Griffith, R. J., Herd, D., Reed, S., & Dalziel, S. R. (2016). Vapocoolants (cold spray) for pain treatment during intravenous cannulation. Cochrane Database of Systematic Reviews, 4(4), CD 009484. https://doi.org/10.1002/14651858.CD009484.pub2
  6. Gu, M. O., Cho, Y. A., Eun, Y., Jung, I. S., Jang, H. K., Kim, H. L., et al. (2017). Evidence-based clinical nursing practice guidelineintravenous infusion. Seoul: Korean Hospital Nurses Association.
  7. Han, G., Bohmart, A., Shaaban, H., Mages, K., Jedlicka, C., Zhang, Y., et al. (2021). Emergency department utilization among maintenance hemodialysis patients: A systematic review. Kidney Medicine, 4(2), 100391. https://doi.org/10.1016/j.xkme.2021.09.007
  8. Hogan, M. E., Smart, S., Shah, V. S., & Taddio, A. (2014). A systematic review of vapocoolants for reducing pain from veinpuncture and venous cannulation in children and adults. The Journal of Emergency Medicine, 47(6), 736-749. https://doi.org/10.1016/j.jemermed.2014.06.028
  9. Hur, J. (2005). A study of the treatment related-stressors and stress coping methods of hemodialysis noncompliant patients. Journal of Korean Academy of Nursing Administration, 11(4), 1-10.
  10. Jafari-Koulaee, A., Moosazadeh, M., Bagheri Nesami, M., & Goudarzian, A. H. (2020). Effect of cryotherapy on arteriovenous fistula puncture-related pain in hemodialysis patients: A systematic review and meta-analysis. Complementary Therapies in Medicine, 49, 102326. https://doi.org/10.1016/j.ctim.2020.102326
  11. Jeon, K. K., Choi, S. J., & Yang, B. C. ( 2001). Integrated adaptation of CES-D in Korea. The Korean Journal of Health Psychology, 6(1), 59-76.
  12. Jo, S. H., Kim, H. I., Lee, I. H., Ahn, K. S., Woo, J. M., & Kang, G. W. (2016). Clinical and psychological factors associated with depression in hemodialysis patients. Poster session presented at the Autumn conference of the Korean Association of Internal Medicine, Seoul, Korea.
  13. Kang, H. Y., & Chae, Y. R. (2019). Comparison of skin stimulation method and topical anesthetic cream on pain and heart rate variability during arteriovenous fistula puncture in hemodialysis patients. Journal of Korean Biological Nursing Science, 21(3), 207-216. https://doi.org/10.7586/jkbns.2019.21.3.207
  14. Kilic, A., & Midilli, T. S. (2017). Effects of cold application on pain and bruising complications associated with subcutaneous heparin in intensive care patients. International Journal of Health Sciences and Research, 7(9), 173-183.
  15. KORDS Committee, Korean Society of Nephrology. (2021). Trends in epidemiologic characteristics of end-stage renal disease from 2020 KORDS (Korean Renal Data System).
  16. Kosmadakis, G., Amara, B., Costel, G., & Lescure, C. (2022). Pain associated with arteriovenous fistula cannulation: Still a problem. Nephrologie & Therapeutique, 18(1), 59-62. https://doi.org/10.1016/j.nephro.2021.05.002
  17. Kwon, K. W., Choi, S. H., & Song, Y. H. (2010). Comparison of the effects of cold therapy and ethyl chloride spray for pain relief during arteriovenous fistula puncture in hemodialysis patients. Dialysis Nursing, 21, 69-84.
  18. Lee, D. W., Baik, B. J., Kim, J. G., Yang, Y. M., & So, Y. R. (2011). Comparative efficacy of 5% EMLA cream and 20% Benzocaine gel during topical anesthesia. Journal of Korean Academy of Pediatric Dentistry, 38(1), 1-8. https://doi.org/10.5933/JKAPD.2011.38.1.001
  19. Lee, J. S. (2020). A study on the effectiveness of telemedicine monitoring for the health care of the elderly with chronic diseases. Journal of Knowledge Information Technology and Systems, 15(6), 1105-1115. https://doi.org/10.34163/JKITS.2020.15.6.018
  20. Lee, S. J., Park, H. S., Han, J. H., Kim, H. J., Seo, M. W., Choi, E. A., et al. (2009). Effects of an individualized educational program on knowledge, compliance, and physiologic parameters in non-compliant hemodialysis patients. Journal of Korean Clinical Nursing Research, 15(3), 5-16.
  21. Leggat, J. E. Jr. (2005). Adherence with dialysis: A focus on mortality risk. Seminars in Dialysis, 18(2), 137-141. https://doi.org/10.1111/j.1525-139X.2005.18212.x
  22. Park, C. S., & Park, E. J. (2019). Identification of knowledge structure of pain management nursing research applying text network analysis. Journal of Korean Academy of Nursing, 49 (5), 538-549. https://doi.org/10.4040/jkan.2019.49.5.538
  23. Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385-401. https://doi.org/10.1177/014662167700100306
  24. Sackett, D. L., & Haynes, R. B. (1976). Compliance with therapeutic regimens. Baltimore, MD: John Hopkins University Press.
  25. Saran, R., Bragg-Gresham, J. L., Rayner, H. C., Goodkin, D. A., Keen, M. L., Van Dijk, P. C., et al. (2003). Nonadherence in hemodialysis: Associations with mortality, hospitalization, and practice patterns in the DOPPS. Kidney International, 64(1), 254-262. https://doi.org/10.1046/j.1523-1755.2003.00064.x
  26. Shafii, Z., Bastami, N. A., & Nasiri, A. A. (2020). Cold spray for reducing venopuncture pain in hemodialysis patients: A randomized double-blinded controlled trial. Journal of Nephropharmacology, 9(1), e01. https://doi.org/10.15171/npj.2020.01
  27. Song, J. M., & Park, H. J. (2016). Effects of 10% lidocaine spray and aroma hand massage on pain, anxiety, blood pressure, and pulse during arteriovenous fistula needling in hemodialysis patients. The Korean Journal of Rehabilitation Nursing, 19(1), 1-11. https://doi.org/10.7587/kjrehn.2016.1
  28. Wong, D. L., & Baker, C. M. (1988). Pain in children: Comparison of assessment scales. Pediatric Nursing, 14(1), 9-17.
  29. Yeom, E. Y., & Kim, M. (2014). The "good nursing" experienced by hemodialysis patients. Korean Journal of Adult Nursing, 26(3), 275-286. https://doi.org/10.7475/kjan.2014.26.3.275