Unit:
Κατεύθυνση Νεφρολογική ΝοσηλευτικήLibrary of the School of Health Sciences
Author:
Aslanidou Christina
Supervisors info:
Μαργαρίτα Γιαννακοπούλου
Καθηγήτρια, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Βασιλική Μάτζιου, Καθηγήτρια, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Δήμητρα Παϊκοπούλου, ΕΔΙΠ,Τμήμα Νοσηλευτικής, ΕΚΠΑ
Original Title:
Μέθοδοι ανακούφισης πόνου κατά την παρακέντηση της αυτόχθονης αρτηριοφλεβικής επικοινωνίας (Φίστουλα) σε ασθενείς υπό αιμοκάθαρση: Συστηματική ανασκόπηση
Translated title:
Methods of pain relief during the cannulation of indigenous arteriovenous communication (fistula) in patients under hemodialysis: A systematic review
Summary:
INTRODUCTION: Patients undergoing dialysis usually experience pain during
fistula puncture resulting in intense anxiety and low quality of life.
AIM: To investigate methods of pain relief with the greatest effectiveness in
puncturing the fistula.
METHODOLOGY: The Pubmed / Medline, ScopusPreview, CohraneLibrary and
GoogleScholar databases were searched from July 2020 to March 2021. The
index words used were: hemodialysis, fistula, puncture, cannulation and pain. The
selection criteria of the articles were the relevance of the research question, the
English language and the adult population of the study sample. Finally, 66 studies
were included in the review.
RESULTS: From the articles of the study, three categories of interventions for the
relief of the pain of the puncture emerged. The first category concerned drugs /
topical anesthetics and herbal remedies used to reduce pain. The second category
included alternative forms of pain relief intervention, such as cryotherapy (majority
of studies), aromatherapy, heat therapy, etc. The third category focused on fistula
puncture techniques (mainly the "buttonhole" or "wind ladder" techniques) and the
material used (sharp or blunt needles and beveling) in relation to pain relief.
CONCLUSIONS: The results of many studies are contradictory and conflicting. In
most articles a comparison is made between the interventions of the same
category. Therefore, more studies are needed to determine the best method of
relieving fistula puncture pain. The vigilance of nephrology nurses and
documented knowledge will improve clinical practice and patients' quality of life.
Main subject category:
Health Sciences
Keywords:
Hemodialysis, Fistula, Puncture, Cannulation, Pain
Number of references:
118
