Effectiveness of Cryotherapy on Arteriovenous Fistula Puncture related Pain among Patients on Hemodialysis in selected Hospital at Mehsana District
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Background: Chronic renal failure is a devastating medical, social, and economic problem for both patients and their families in India. Hemodialysis (HD) is the most frequently used RRT with the arteriovenous fistula (AVF) being the gold standard for vascular access in HD patients. Aims and Objective: To determine the pain during Arteriovenous fistula puncturing among experimental group & control group. To evaluate the effectiveness of cryotherapy on pain during arteriovenous fistula puncture among experimental group. To determine the post test pain scores among hemodialysis in experimental &control group. To find out the association of pain with selected demographic variables in control and experimental group. Methods-The data were collected from 60 patients by “Non-Probability Convenient” sampling technique with the use Numerical rating scale for subjective pain assessment. and one group pretest posttest design was used. Results: Study show that out of 60 subjects in 30 experimental group, 10(33.3%) belongs to the age group between 28–37 years, Regarding sex group majority 20(66.7%) were males, Regarding the educational status, 10(33.3%) had primary education, 20(67.7%) were having less than 1year of duration of illness, 17(56.7%) undergoes 11–15 times dialysis per month. and out of 30 Incontrol group 11(36.7%) belongs to the age group between 38–47 years, 21(70%) were male, 11(36.7%) had primary education, 13(43.3%) were having less than 1 year of duration of illness, 15(50%) undergoes 11–15 times dialysis per month. Inexperimental group, majority in pre test 16 (53.3%) reported severe pain, after intervention of Cryotherapyin post test 20 (66.7%) reported mild pain, in control group, majority in pre test 16(53.3%) reported moderate pain, without intervention of Cryotherapy in post test reported mild pain 15 (50%). reveals that in experimental group the pretest mean was 6.57 and posttest mean was 2.93. The pre test standard deviation was 1.63 and the posttest standard deviation was 1.23. The mean difference was 1.63 and the obtained t-value was 16.7 which is significant at 0.001 level. Hence, the stated hypothesis was accepted. In control group the pretest mean was 6.3 and posttest mean was 5.9. The pretest standard deviation was 1.58 and the posttest standard deviation was 1.52. The mean difference was 0.40 and the obtained t-value was 4.397 which is not significant. Hence the stated hypothesis was accepted. Conclusion: cryotherapy was effective in reducing the AVF puncture related pain among clients undergoing hemodialysis.
Effectiveness, cryotherapy, arterio venous fistula, hemodialysis.