Optimal Time of Thermotherapy for Reducing Pain, Anxiety, and Side Effects in Arteriovenous Fistula Puncture Patients: A Randomized Controlled Trial

Back, Yangok; Lee, Yoonyoung

doi:10.3390/ijerph17197147

Cited by 7 publications

(5 citation statements)

References 19 publications

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“…Also, the post-intervention reduction in pain and anxiety was not significant. This is consistent with previous findings [16,17] and can be attributed to the different properties of anxiety across individuals. In addition, the participants of this study were healthy adults aged 20-75 years, the age range was too wide, and the baseline for pain and anxiety were relatively low, so it seems that the appropriate effect could not be confirmed.…”

Section: Discussionsupporting

confidence: 94%

“…Previous studies have included children vulnerable to pain [6e8], patients undergoing hemodialysis requiring punctures regularly [9e13], and patients with diabetes mellitus who undergo regular insulin therapy [14]. Nursing interventions that have been studied include heat and cold therapy [15,16], topical anesthetic cream [6,7,12], distraction therapy [8], aromatherapy [9], and vibration therapy [17,18], all of which have been reported to be effective in pain relief. However, topical anesthetics and aromatherapy are limited in terms of systemic absorption through the skin and the onset of action.…”

Section: Introductionmentioning

confidence: 99%

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Effects of a Thermoelectric Element Band on Venipuncture-associated Pain and Anxiety: A Randomized Controlled Trial

Hur¹,

Choi

2021

Asian Nursing Research

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Purpose: Venipuncture is an invasive procedure for diagnosis and treatment, which is often attributed to pain and anxiety. In this study, a thermoelectric element (TEE) band was developed to apply heat therapy (40~45 C), cold therapy (0~10 C), or thermal grill illusion (TGI) therapy (40~45 C, 0~10 C) to cause an illusion of pain by simultaneously applying heat and cold. This band was subsequently used to investigate its effect on patient pain, anxiety, and satisfaction. Methods: This was a randomized controlled study. Participants, who were to undergo venipuncture, were randomly assigned to the heat therapy, cold therapy, TGI therapy, or control groups. Each group had 30 participants. The interventions were employed for 10 seconds during venipuncture, and the pain, anxiety, and satisfaction were measured before and after the procedure. Results: Subjective pain, anxiety, and physiological responses after TEE band intervention were not significantly different between the four groups. However, there was a significant difference in satisfaction (F ¼ 4.21, p ¼ .007) between the four groups, and the cold therapy group showed the highest satisfaction. Conclusion: In this study, when heat, cold, and TGI therapy were applied with a TEE band, pain and anxiety relief effects were not confirmed, but satisfaction was high. TEE band is a newly developed product that can easily apply hot and cold treatments without using ice packs or hot water packs. Further studies with various individual characteristics of chronic pain or repeated venipuncture are warranted to evaluate the effect of TEE.

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Section: Discussionsupporting

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Effects of a Thermoelectric Element Band on Venipuncture-associated Pain and Anxiety: A Randomized Controlled Trial

Hur¹,

Choi

2021

Asian Nursing Research

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“… 39 Studies have shown that cognitive impairment due to neuropathy could predict diabetic retinopathy progression. 40 Furthermore, arteriovenous fistula/catheterization pain was one of the most severe symptoms, 41 underscoring its significance in patients with chronic renal failure and diabetes, especially those on hemodialysis. 41 Diarrhea was the most frequent symptom, corroborating findings from another study indicating a high prevalence of gastrointestinal symptoms among Chinese diabetes outpatients, with diabetes duration being a key contributing factor.…”

Section: Discussionmentioning

confidence: 99%

“… 40 Furthermore, arteriovenous fistula/catheterization pain was one of the most severe symptoms, 41 underscoring its significance in patients with chronic renal failure and diabetes, especially those on hemodialysis. 41 Diarrhea was the most frequent symptom, corroborating findings from another study indicating a high prevalence of gastrointestinal symptoms among Chinese diabetes outpatients, with diabetes duration being a key contributing factor. 42 Overall, the above-mentioned evidence suggested that healthcare providers need to pay attention to the conscious state and routine vision testing in DKD patients in the future, as well as to the possible important role of pain management in alleviating discomfort and pain.…”

Section: Discussionmentioning

confidence: 99%

Exploring Symptom Clusters in Chinese Patients with Diabetic Kidney Disease: A Network Analysis

Duan,

Liu,

et al. 2024

IJGM

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The research on symptom management in patients with diabetic kidney disease (DKD) has shifted from separate symptoms to symptom clusters and networks recently. This study aimed to evaluate the unpleasant symptoms of DKD patients, and to investigate how these symptom clusters could affect patients. Methods: 408 DKD patients were recruited in this cross-sectional study. The symptoms of DKD patients were measured using the modified Dialysis Symptom Index. Network analysis was employed to evaluate the symptom network and the characteristics of individual nodes, while factor analysis was utilized to identify symptom clusters. Results: Blurred vision was the most prevalent symptom among DKD patients. The symptoms identified as the most distressing, severe, and frequent were light headache or dizziness, arteriovenous fistula/catheterization pain, and diarrhea, respectively. Five symptom clusters were obtained from factor analysis, and the most central symptom cluster in the entire symptom network was sexual dysfunction. Conclusion:This study identified five symptom clusters in Chinese DKD patients, with sexual dysfunction emerging as the most central cluster. These findings carry significant clinical implications, underscoring the necessity of assessing symptom clusters and their associations to enhance symptom management in DKD patients. Further research is essential to elucidate the underlying mechanisms of symptoms and to clarify the associations among symptoms in DKD patients across different disease trajectories or treatment modalities.

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“…This appeared to be due to the relaxation effect in the soft tissues after local warming. One study reported that soft tissue relaxation after heating the arteriovenous fistula site for hemodialysis in patients with chronic kidney disease reduced the pain during thick-needle insertion ( 15 ).…”

Section: Discussionmentioning

confidence: 99%

Effect of local warming for arterial catheterization in adult cardiac surgery: a randomized controlled trial

Park,

Kim,

Heo

et al. 2023

J Thorac Dis

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Background The increase in internal diameter (ID) and cross-sectional area (CSA) may facilitate better arterial catheterization. Since an increase in body temperature can cause peripheral vasodilation, we aimed to determine if local warming of the radial artery (RA) catheterization site could improve the success rate of catheterization. Methods This randomized, controlled study enrolled 160 patients aged >18 years who were scheduled for heart surgery. They were randomized into non-warming palpation (NP), non-warming ultrasonography-guided (NU), warming palpation (WP), and warming ultrasonography-guided (WU) groups. After induction, the baseline RA ultrasonography images were collected. In the warming groups (WP, WU), local warming was applied on the catheterization site. Before catheterization, the RA ultrasonography images were collected. The primary outcome was the first-attempt success rate. The secondary outcomes included the ID and CSA of the RA and overall complications. Results Totally 152 adults were included in the analysis. The first-attempt success rates in each of the four groups were not significantly different (P=0.985). The rates in the non-warming (NP + NU) and warming (WP + WU) groups were also not different (P=0.827). Unlike non-warming group, the warming group had increased ID (3.34±0.78 vs. 3.02±0.73 mm; P<0.001) and CSA (6.9±2.8 vs. 5.8±2.4 mm 2 ; P<0.001) compared with baseline. Conclusions Local warming for peripheral artery catheterization does not increase the first-attempt success rate in adults undergoing cardiac surgery; however, it can increase the ID and CSA of the RA and prevent vasospasm. Trial Registration ClinicalTrials.gov NCT04969692.

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Optimal Time of Thermotherapy for Reducing Pain, Anxiety, and Side Effects in Arteriovenous Fistula Puncture Patients: A Randomized Controlled Trial

Cited by 7 publications

References 19 publications

Effects of a Thermoelectric Element Band on Venipuncture-associated Pain and Anxiety: A Randomized Controlled Trial

Effects of a Thermoelectric Element Band on Venipuncture-associated Pain and Anxiety: A Randomized Controlled Trial

Exploring Symptom Clusters in Chinese Patients with Diabetic Kidney Disease: A Network Analysis

Effect of local warming for arterial catheterization in adult cardiac surgery: a randomized controlled trial

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