Effect of The Arterial Needle Bevel Orientation on Puncture Pain and Post-Removal Bleeding Time Among Patients on Maintenance Hemodialysis.
Mahmoud, A., Desoky, G., Zaki, S., Weheida, S. (2025). Effect of The Arterial Needle Bevel Orientation on Puncture Pain and Post-Removal Bleeding Time Among Patients on Maintenance Hemodialysis.. EKB Journal Management System, 27(1), 31-44. doi: 10.21608/asalexu.2025.414946
Ayman Fawzy Abd El-Halim Mahmoud; Gehan Mohamed , Desoky; Sherif Aziz , Zaki; Sohier , Weheida. "Effect of The Arterial Needle Bevel Orientation on Puncture Pain and Post-Removal Bleeding Time Among Patients on Maintenance Hemodialysis.". EKB Journal Management System, 27, 1, 2025, 31-44. doi: 10.21608/asalexu.2025.414946
Mahmoud, A., Desoky, G., Zaki, S., Weheida, S. (2025). 'Effect of The Arterial Needle Bevel Orientation on Puncture Pain and Post-Removal Bleeding Time Among Patients on Maintenance Hemodialysis.', EKB Journal Management System, 27(1), pp. 31-44. doi: 10.21608/asalexu.2025.414946
Mahmoud, A., Desoky, G., Zaki, S., Weheida, S. Effect of The Arterial Needle Bevel Orientation on Puncture Pain and Post-Removal Bleeding Time Among Patients on Maintenance Hemodialysis.. EKB Journal Management System, 2025; 27(1): 31-44. doi: 10.21608/asalexu.2025.414946

Effect of The Arterial Needle Bevel Orientation on Puncture Pain and Post-Removal Bleeding Time Among Patients on Maintenance Hemodialysis.

Alexandria Scientific Nursing Journal
Volume 27, Issue 1, March 2025, Page 31-44  XML PDF (241.13 K)
Document Type: Research articles
DOI: 10.21608/asalexu.2025.414946
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Authors
Ayman Fawzy Abd El-Halim Mahmoud1; Gehan Mohamed , Desoky2; Sherif Aziz , Zaki3; Sohier , Weheida4
1, Demonstrator Medical-Surgical Nursing, Faculty of Nursing, Alexandria University.
2Assistant Professor Medical-Surgical Nursing, Faculty of Nursing, Alexandria University.
3Professor Internal Medicine, Faculty of Medicine, Alexandria University.
4Professor Medical-Surgical Nursing, Faculty of Nursing, Alexandria University.
Abstract
Background: The vascular access for hemodialysis is considered a patient's lifeline. Pain and
bleeding are common problems facing patients with vascular access. So, nurses bear a large deal of
responsibility for selection of cannulation technique whether bevel up or down, to achieve less painful
technique and less bleeding. Aim of the Study: Evaluate the effect of arterial needle bevel orientation on
puncture pain and the post-removal bleeding time among patients on maintenance hemodialysis. Design:
A quasi-experimental research design was utilized for this study. Setting: Hemodialysis unit at Al-Moasat
Alexandria university hospital Subjects: A sample of 50 patients (25 patients in each study group (group 1
/ group 2) who met the inclusion criteria was involved in the study. Results: There was no statistically
significant difference between the two groups regarding level of pain (P value = 0.169), however bleeding
time was lower in patients had their arterial needle inserted in bevel down orientation (P value <0.05).
Conclusion: Insertion of arterial needle for arteriovenous fistula in bevel down was found to be effective
in reducing bleeding time and the need for manual compression, but there were no statistically significant
differences in level of pain with bevel up and bevel down orientation. Recommendations: Replication of
the study on larger probability sample.

Keywords
Arterial Needle; Needle Orientation; Bevel; Puncture Pain; Maintenance hemodialysis
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