지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Purpose: This research was done to compare the pain relief effects of various nursing interventions, such as cold therapy, attention diversion and 10% Lidocaine spray during arteriovenous fistula needling for patients on hemodialysis, and also to identify and develop more effective nursing interventions for pain relief in these patients. Methods: This research was conducted from October 1, 2010 to January 31, 2011 with 8 hemodialysis patients, who were on regular dialysis (3 times a week) at K University Hospital in Seoul and had an arteriovenous fistula within the past 3 months. Each patient received the three nursing interventions (cold therapy, attention diversion and 10% Lidocaine spray therapy) prior to the arteriovenous fistula needling and applied in turn with the series being repeated 4 times. After each intervention, physiologic indexes, subjective and objective pain were measured at the time of needling. ANOVA was used with SPSS/WIN 12.0 to analyze pain scores and comparison of physiologic indexes (BP, pulse). Results: No significant differences were found for subjective pain (p=.574), objective pain (p=.562) and total pain (p=.506) among the 3 interventions. Systolic blood pressure (p=.689), diastolic blood pressure (p=.969) and pulse (p=.980) also showed no significant difference among the 3 interventions. Conclusion: These 3 interventions are all possible for pain relief during arteriovenous fistula needling for these patients. However, the only interventions that nurses can do independently are cold therapy and attention diversion so we recommend that these nursing interventions be used.
목차
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참고문헌 (37)
참고문헌 신청
Art, S. E. / 1994 / Age-relatedresponse to lidocaine-prilocaine (EMLA) emulsion andeffect of music distraction on the pain of intravenouscannulation / Pediatrics 93 (5) : 79
Buhse, M / 2006 / Efficacy of EMLA cream to reduce fear andpain associated with interferon beta 1a injection inpatients with multiple sclerosis / The Journal of Neuroscience
Curtin, R. B. / 2002 / Hemodialysis patients' symptomexperiences: Effects on physical and mental functioning / Nephrology Nursing Journal 562 : 567 ~ 574
French, G. M / 1994 / Blowingaway shot pain: A technique for pain managementduring immunization / Pediatrics 93 (3) : 384 ~ 388
Hocutt,J.E.Jr / 1981 / Cryotherapy / American Family Physian 23 (3) : 141 ~ 144
Buhse, M / 2006 / Efficacy of EMLA cream to reduce fear andpain associated with interferon beta 1a injection inpatients with multiple sclerosis / The Journal of Neuroscience
Curtin, R. B. / 2002 / Hemodialysis patients' symptomexperiences: Effects on physical and mental functioning / Nephrology Nursing Journal 562 : 567 ~ 574
French, G. M / 1994 / Blowingaway shot pain: A technique for pain managementduring immunization / Pediatrics 93 (3) : 384 ~ 388
Hocutt,J.E.Jr / 1981 / Cryotherapy / American Family Physian 23 (3) : 141 ~ 144
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