Cold Compresses Reduce the Perception Level of Artery and Vena Insertion in Hemodialistic Patients

Authors

  • Dewi Purnamawati Poltekkes Kemenkes Mataram, Indonesia Author
  • Ridawati Sulaeman Poltekkes Kemenkes Mataram, Indonesia Author
  • Rusmini Poltekkes Kemenkes Mataram, Indonesia Author
  • Mas’adah Poltekkes Kemenkes Mataram, Indonesia Author
  • Sri Puja Warnis Wijayanti G.A. Poltekkes Kemenkes Mataram, Indonesia. Author
  • Ely Mawaddah Poltekkes Kemenkes Mataram, Indonesia. Author

DOI:

https://doi.org/10.61841/9sfr8h73

Keywords:

Cold Compresses, Reduce, Pain, Insertion, Hemodialysis

Abstract

Hemodialysis patients experience pain during cannulation (insertion of arteries and veins) due to the large cannula; therefore, an intervention modality that can control pain is cold compresses for 3 minutes in the insertion area. This study aims to examine the effect of cold compresses on the level of pain perception of arterial and venous insertion of hemodialysis patients. This study uses a randomized subjects post-test only control group method. The population in this study were all kidney failure patients undergoing hemodialysis in the Hemodialysis Room of NTB Provincial Hospital from January to November 2017 as many as 412 people. The total sample using the Slovin formula was obtained from as many as 80 respondents, consisting of 40 intervention groups and 40 control groups. Purposive sampling technique. Inclusion Criteria Cooperative respondents, not restless, no hypotension (arrhythmia), normal body temperature. Respondent's research was conducted with an information concern; the intervention group cold compress temperature of 13.5°C was given for 3 minutes in the insertion area using a rubber ice bag. Data collection of pain sensations by observation with the aid of the VAS scale (Visual Analog Scale).  Pain sensation felt after cold compresses was analyzed using a paired-sample t-test. The result of the study was ρ = 0.00, meaning that there was a significant difference in the perception of pain in the arteries and veins of hemodialysis patients who were given cold compresses and those who did not. Cold compresses in the area of venous insertion and arteries of hemodialysis patients reduce the sensation of pain due to puncture using a cannula, so this action is recommended in the hemodialysis chamber. 

Downloads

Download data is not yet available.

References

[1] Abra, G. and Tamura, M.K. (2012) ‘Timing of initiation of dialysis: Time for a new direction?’, Current

Opinion in Nephrology and Hypertension, 21(3), pp. 329–333.

[2] Algafly, A.A. and George, K.P. (2007) ‘The effect of cryotherapy on nerve conduction velocity, pain

threshold and pain tolerance’, British Journal of Sports Medicine, 41(6), pp. 365–369.

[3] Black, J.M. and Hawks, J.H. (2014) Keperawatan Medikal Bedah : Manajemen Klinis Untuk Hasil yang

Diharapkan. Edited by J. Mulyanto. Singapore: Elsevier Pte Ltd.

[4] Bleakley, C., McDonough, S. and MacAuley, D. (2004) ‘The Use of Ice in the Treatment of Acute SoftTissue Injury: A Systematic Review of Randomized Controlled Trials,’ American Journal of Sports

Medicine, 32(1), pp. 251–261.

[5] Carpenito, L. . (2007). Buku Saku Diagnosa Keperawatan. Jakarta: EGC.

[6] Chesterton, L.S., Foster, N.E. and Ross, L. (2002) ‘Skin temperature response to cryotherapy’, Archives of

Physical Medicine and Rehabilitation, 83(4), pp. 543–549.

[7] Costello, J.T. et al. (2012) ‘Muscle, skin and core temperature after -110°c cold air and 8°c water

treatment.’, PloS one. doi: 10.1371/journal.pone.0048190.

[8] Craig, A.D. (Bud) (2003) ‘PAIN MECHANISMS: Labeled Lines Versus

Convergence in Central Processing’, Annual Review of Neuroscience, 26(1), pp. 1–30.

[9] D’Arcy (2007) Pain Management; Evidence Based Tools and Techniques for Nursing Professional. United

States of America. HCPro Inc.

[10] Dharma, K. (2011). Metodologi penelitian Keperawatan. Jakarta: Trans Info Media.

[11] Gorji, H.M.A. et al. (2014) ‘Comparison of ice packs application and relaxation therapy in pain reduction

during chest tube removal following cardiac surgery’, North American Journal of Medical Sciences, 6(1),

pp. 19–24.

[12] Kasiske B, W.D.K. 2012 C.P.G. for the E. and M. of C. K. D. K. I. S. [Internet]. 2013; 3(1):136–50. A.

from: http://www. kdigo. org/clinical_practice_guidelines/pdf/CKD/KDIG. C.-M. G. K. S. (2013) ‘KDIGO

2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease’, Kidney

international supplements, 3(1), pp. 136–150.

[13] Kumar, S. P. and Saha, S. (2011) ‘Mechanism-based classification of pain for physical therapy

management in palliative care: A clinical commentary’, Indian Journal of Palliative Care, 17(1), p. 80. doi:

10.4103/0973-1075.78458.

[14] Mahajan, S. et al. (2008) ‘Effect of cryotherapy on arteriovenous fistula puncture-related pain in

hemodialysis patients’, Indian Journal of Nephrology, p. 155. doi: 10.4103/0971-4065.45290.

[15] Movahedi, A. F. et al. (2006) ‘Effect of Local Refrigeration Prior to Venipuncture on Pain Objective:

Design: Setting: Subjects: Results: Interventions: Conclusion: Introduction’, Australian Journal of

Advanced Nursing, 24(2), pp. 51–55.

[16] Nampiaparampil, D. E. et al. (2013) ‘Innovations in Access to Interventional Pain Management’, Military

Medicine, 178(4), pp. 362–364. doi: 10.7205/MILMED-D-12-00398.

[17] National Kidney Foundation (2015) Update of the KDOQI TM Clinical Practice Guideline for Hemodialysis

Adequacy, National Kidney Foundation. doi: http://dx.doi.org/10.1016/S0272-6386(01)70005-4.

[18] Nesrallah, G. E. et al. (2014) ‘Canadian Society of Nephrology 2014 clinical practice guideline for timing

the initiation of chronic dialysis’, Cmaj, 186(2), pp. 112–117. doi: 10.1503/cmaj.130363.

[19] Potter, P. A. and Perry, A. G. (2006) Fundamental Keperawatan. Jakarta: EGC.

[20] Pranowo, S., Prasetyo, A. and Handayani, N. (2016) ‘Pengaruh kompres dingin terhadap penurunan nyeri

pasien saat kanulasi ( inlet akses femoral) hemodialisis’, Ejurnal Keperawatan, IX(2), pp. 50–60.

[21] Suwanraj, M. (2010) ‘Current practice, perceived barriers, and perceived facilitators of Thai nurses on

using the evidence-based practice on pain assessment and pain management in older adults’, ProQuest

Dissertations and Theses, p. 221.

[22] Terry and Weaver (2013) Keperawatan Kritis. 1st edn. Yogyakarta: Rapha Publishing.

Downloads

Published

31.05.2020

How to Cite

Purnamawati, D., Sulaeman, R., Rusmini, Mas’adah, G.A., S. P. W. W., & Mawaddah, E. (2020). Cold Compresses Reduce the Perception Level of Artery and Vena Insertion in Hemodialistic Patients. International Journal of Psychosocial Rehabilitation, 24(3), 2608-2614. https://doi.org/10.61841/9sfr8h73