Browse > Article
http://dx.doi.org/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, Hyo Young (Namyangju Taeam Clinic, Namyangju, College of Nursing, Kangwon National University)
Chae, Young Ran (College of Nursing, Kangwon National University)
Publication Information
Journal of Korean Biological Nursing Science / v.21, no.3, 2019 , pp. 207-216 More about this Journal
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.
Keywords
Renal Dialysis; Arteriovenous Fistula; Punctures; Pain;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Korean Society of Nephrology, ESRD Registry Committee. Current Renal Replacement Therapy in Korea-Insan Memorial Dialysis Registry[Internet]. Seoul: The Association; c2016[cited 2019 Mar 17]. Available from: http://www.ksn.or.kr/rang_board/list.html?code=sinchart#
2 Han JH. In patients with hemodialysis, a cold needle pain in the arteriovenous fistula. Journal of Korean Society of Quality Assurance in Health Care. 2005; 2005(2):39-40.
3 Celik G, Ozbek O, Yilmaz M, Duman I, Ozbek S, Apiliogullari S. Vapocoolant spray vs lidocaine/prilocaine cream for reducing the pain of venipuncture in hemodialysis patients: a randomized, placebo-controlled, crossover study. International Journal of Medical Sciences. 2011;8(7):623-627. http://dx.doi.org/10.7150/ijms.8.623   DOI
4 Yu YM, Moon SM, Kim JY, Bae HJ, Ha HR. Comparison of the degree of pain according to nursing intervention method during arteriovenous fistula needle insertion for patients on hemodialysis. Journal of Korean Clinical Nursing Research. 2011;17(2):286-296.
5 Song JM, Park HJ. Effects of 10 % lidocaine spray and aroma hand massage on pain, anxiety, blood pressure, and pulse during arteriovenous fistula needling in hemodialysis patients. Korean Academic Society of Rehabilitation Nursing. 2016;19(1):1-11. http://dx.doi.org/10.7587/kjrehn.2016.1   DOI
6 Choi SH, Baek KH, Lee JY, Lim HB, Kim HJ, Kim YS, et al. The effect of warm and ice application for pain control caused by arteriovenous fistula needling under hemodialysis. Journal of Korean Clinical Nursing Research. 2006;12(1):179-189.
7 Park JE. Improvement activities to alleviate pain by applying warm therapy and conversion therapy in hemodialysis patients. Journal of Korean Society of Quality Assurance in Health Care. 2008;2008(3):845-847.
8 Park JS. The effect of cutaneous stimulation and distraciton on IV injection pain of chemotherapy patients. Journal of Korean Academy of Nursing. 1998; 28(2):303-318. http://dx.doi.org/10.4040/jkan.1998.28.2.303   DOI
9 Squire SJ, Kirchhoff KT, Hissong K. Comparing two methods of topical anesthesia used before intravenous cannulation in pediatric patients. Journal of Pediatric Health Care. 2000;14(2):68-72. http://dx.doi.org/10.1067/mph.2000.103647   DOI
10 Melzack R, Wall PD. Gate control theory of pain. Pain 1968:11-31.
11 Park JS. The effect of cutaneous stimulation on AV fistula puncture pain of hemodialysis patients. Journal of Korean Academy of Nursing. 1994;33(1):37-51.
12 Ball LK. Improving arteriovenous fistula cannulation skills. Journal of the American Nephrology Nurses Association. 2005;32(6):611.
13 Woo, JM. The concept and clinical application for the measurement of heart rate variability. Korean Journal of Psychosomatic Medicine. 2004;12(1):3-14.
14 Chung YS, Park KW, Kim JS. Effects of EMLA cream to decrease venipuncture related pain and anxiety in children. Child Health Nursing Research. 2006; 12(2):253-259.
15 Sesay M, Robin G, Tauzin-Fin P, Sacko O, Gimbert E, Vignes J, et al. Responses of heart rate variability to acute pain after minor spinal surgery: Optimal thresholds and correlation with the numeric rating scale. Journal of Neurosurgical Anesthesiology. 2015;27(2):148-154. http://dx.doi.org/10.1097/ana.0000000000000102   DOI
16 Terkelsen AJ, Molgaard H, Hansen J, Andersen OK, Jensen TS. Acute pain increases heart rate: Differential mechanisms during rest and mental stress. Autonomic Neuroscience. 2005;121(1-2):101-109. http://dx.doi.org/10.1016/j.autneu.2005.07.001   DOI
17 Griffis CA, Crabb Breen E, Compton P, Goldberg A, Witarama T, Kotlerman J, et al. Acute painful stress and inflammatory mediator production. Journal of Neuroimmunomodulation 2013;20(3):127-133. http://dx.doi.org/10.1159/000346199   DOI
18 Hyun KS, Lee SY, Han SS. The effect of topical application of lidocaine cream before arteriovenous(AV) fistula puncture on pain and anxiety among hemodialysis patients. The Korean Academic Society of Adult Nursing 2008;20(3):386-394.
19 Oh JS, Bae WH, Lee HM, Kim HJ, Kim NS, Yun SH, et al. Comparison of heart rate variability between end stage renal disease patients on hemodialysis and hypertensive patients.The Korean Journal of Medicine. 2008;75(1):54-59.
20 Jeong ES. Effect of warm therapy and topical anesthetic cream on the pain and anxiety of patients under hemodialysis during arteriovenous fistula needling [dissertation]. Daejon: Eulji University; 2014. 65 p.
21 Lee KW. A study on the effect of meditation on shift workers' stress coping skills and heart rate variability [dissertation]. Seoul: Dongguk University; 2014. 135 p.
22 Lee YJ. Clinical application of heart rate variability. Korean Journal of Family Practice 2016;6(2):S372-374.