The effect of using a local skin cooling device on arteriovenous fistula cannulation pain and comfort level of patients on hemodialysis: A single-blind randomized controlled study.

Hatice Demırağ, Nurşen Kulakaç
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Abstract

Introduction: The study aimed to investigate the impact of the using local skin cooling on arteriovenous fistula cannulation pain and the comfort levels of hemodialysis patients.

Methods: The single-blind randomized controlled trial was formed with 50 patients between June 20, 2023, and July 31, 2023, in the hemodialysis units of two state hospitals in Turkey. Patients were randomly assigned to either the experimental group (n = 25) or the control group (n = 25) using the block randomization method. This data were collected through the use of the CoolSense device, the "Patient Information Form," the "Verbal Category Scale," and the "General Comfort Scale." Patients in the experimental group received the local skin cooling for five seconds during arteriovenous fistula cannulation, while the control group followed the standard hospital protocol. The study was registered on Clinical Trials (NCT06144801).

Findings: The study revealed that the application of the local skin cooling during arteriovenous fistula cannulation significantly reduced pain and increased patients' comfort levels, demonstrating an anesthetic effect (p < 0.001). Furthermore, it was observed that as pain levels decreased, patient comfort levels increased (p < 0.001).

Discussion: It is concluded that the using lokal skin cooling is an effective tool for reducing pain and enhancing comfort during arteriovenous fistula cannulation in hemodialysis patients.

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使用局部皮肤冷却装置对血液透析患者动静脉内瘘插管疼痛和舒适度的影响:单盲随机对照研究。
简介:该研究旨在探讨局部皮肤冷却对动静脉内瘘插管疼痛和血液透析患者舒适度的影响:该研究旨在探讨局部皮肤冷却对动静脉内瘘插管疼痛和血液透析患者舒适度的影响:在 2023 年 6 月 20 日至 7 月 31 日期间,在土耳其两家国立医院的血液透析室对 50 名患者进行了单盲随机对照试验。采用分块随机法将患者随机分配到实验组(25 人)或对照组(25 人)。这些数据是通过使用 CoolSense 设备、"患者信息表"、"口头分类量表 "和 "一般舒适度量表 "收集的。实验组患者在动静脉内瘘插管过程中接受了 5 秒钟的局部皮肤冷却,而对照组则按照医院的标准方案进行。该研究已在临床试验(NCT06144801)上注册:研究结果表明,在动静脉内瘘插管时应用局部皮肤冷却可明显减轻疼痛,提高患者的舒适度,显示出麻醉效果(P 讨论):结论:在血液透析患者动静脉内瘘插管期间,使用局部皮肤冷却是减轻疼痛和提高舒适度的有效工具。
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