Cryotherapy Versus Lavender Oil Inhalation on Alleviating Arteriovenous Fistula Puncture Pain among Patients with Hemodialysis | ||||
| Egyptian Journal of Health Care | ||||
| Volume 12, Issue 3, September 2021, Page 2121-2135 PDF (796.68 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2021.317248 | ||||
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| Authors | ||||
| Marwa Abdelhamid Mohammed Mahmoud11; Shereen Hussein Deep2; Islam Ibrahim Ragab3; Lamiaa Abdelsalam Elgamasy2; Amoura Soliman Behairy4 | ||||
| 1Lecturer of Medical Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt | ||||
| 2Lecturer of Medical Surgical Nursing, Faculty of Nursing, Menoufia university, Egypt. | ||||
| 3Assistant Professor of Adult Medical Surgical Nursing, Faculty of nursing, South Valley University, Qena, Egypt | ||||
| 4Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Menoufia university, Egypt. | ||||
| Abstract | ||||
| The management of pain associated with arteriovenous fistula (AVF) puncture is crucial in nursing care and is regarded as one of the most challenging situations that nurses and patients undergoing hemodialysis (HD) face. Aim: evaluate the effect of cryotherapy versus lavender oil inhalation on alleviating arteriovenous fistula puncture pain among Hemodialysis Patients. This study applied Quasi-experimental research design. Setting: The study was carried out in Egypt's Menoufia University Hospital's dialysis unit. Subjects: The study involved a purposive sample of 60 patients receiving hemodialysis with AVF in the aforementioned setting. Three tools were utilized to gather the data; tool I: a structured interview questionnaire, tool II: Visual analogue Scale (VAS), and tool III: Physiological parameters assessment sheet. Results revealed that patients in the two groups (Cryotherapy and Lavender oil inhalation) experienced lower pain during AVF puncture in post application and follow up compared to preapplication. Additionally, patients in the cryotherapy group experienced lower degree of pain during AVF puncture than patients in the lavender oil inhalation group in post application and follow up of both, as the mean score of pain VAS was 2.63 during AVF puncture before application of cryotherapy in the 1st visit and became 1.56 and 1.16 after application of cryotherapy in the 2nd and 3rd visit, respectively. However, the mean score of pain VAS was 2.46 during AVF puncture before inhalation of lavender oil in the 1st visit and became 1.83, 1.8 after inhalation of lavender oil in the 2nd and 3rd visit, respectively. Conclusion: both cryotherapy and lavender oil inhalation positively affected AVF puncture pain among HD patients, but cryotherapy was more effective than lavender oil inhalation on alleviating AVF puncture pain. Recommendations: The application of cryotherapy for HD patients should be considered part of the routine care in HD units for alleviating AVF puncture pain. | ||||
| Keywords | ||||
| Arteriovenous fistula; Cryotherapy; Hemodialysis; Lavender oil inhalation; Pain | ||||
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