Effect of Valsalva Maneuver Application versus Cryotherapy on Pain Intensity during Vascular Needle Insertion Among Children Undergoing Hemodialysis | ||||
| Mansoura Nursing Journal | ||||
| Volume 12, Issue 2, July 2025 PDF (806.1 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mnj.2025.341633.1467 | ||||
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| Authors | ||||
Nesma Elsabahy Mahmoud Elsabahy  1; Fawzia Elsayed Abusaad2; Eman Gamal Elshabrawy3
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| 1Demonstrator in Pediatric Nursing Department Faculty of Nursing - Mansoura University | ||||
| 2pediatric Nursing Faculty of Nursing Mansoura University | ||||
| 3Lecturer of Pediatric - Faculty of Medicin- Mansoura University | ||||
| Abstract | ||||
| Abstract Background: Arteriovenous fistula puncture pain is a major stressful experience facing children undergoing hemodialysis. Complementary therapies such as cryotherapy and Valsalva maneuver are used to manage pain. Aim: Evaluate effect of Valsalva Maneuver application versus cryotherapy on pain intensity during vascular needle insertion among children undergoing hemodialysis. Method: A quasi-experimental design was utilized on a purposive sample of 80 school age children undergoing hemodialysis at Pediatric hemodialysis unit affiliated to Mansoura University Children's Hospital. Tools: three Tools were used to collect data: Tool I: Structured questionnaire sheet, Tool II: Wong–Baker faces pain rating scale, Tool III: Observational Scale for Behavioral Distress (OSBD). Results: revealed that the mean scores of Wong Baker faces pain and total behavioral distress scale was lower among children in Valsalva group than those in cryotherapy group. Conclusion: the study concluded that both Valsalva maneuver and cryotherapy had a positive effect on the reduction of arteriovenous fistula puncture pain for children undergoing hemodialysis but Valsalva maneuver was more effective in pain reduction than cryotherapy. Recommendation: the study recommended implementation of Valsalva maneuver should to be endorsed as a part of the routine care for hemodialysis children. Keywords: Children, Cryotherapy, Hemodialysis, Pain, Vascular needle insertion, Valsalva maneuver | ||||
| Keywords | ||||
| Children; Cryotherapy; Pain; Vascular needle insertion; Valsalva maneuver | ||||
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