Introduction: There is a paucity of information on the
effects of Hegu point ice massage and 2% lidocaine gel on fistula puncture-related pain in
hemodialysis patients. The aim of the present research was compare the two methods in
terms of their effectiveness.
Methods: This study is a randomized controlled trial.
Seventy hemodialysis patients were divided into two groups. The fistula puncture-related
pain in the two groups was measured in the first session of hemodialysis without any
intervention. During a hemodialysis session, 2% lidocaine gel was applied on the patient’s
arteriovenous fistula site in one group. Also, for the other group, an ice cube was used
to massage on the Hegu point in the hand without fistula in the other hemodialysis
session. The pain score was recorded, using the Visual Analogue Scale. The data were
analyzed using SPSS ver.13.
Results: No significant differences were observed in the
mean pain scores of the two groups in the preintervention phase. The comparison of the
pain score before and after interventions of the lidocaine gel and ice massage groups was
found to bear significant differences. Moreover, the comparison of the mean changes of the
pain score before and after the intervention of the Hegu point ice massage groups revealed
a further reduction for Hegu point than of lidocaine gel groups.
Conclusion: Lidocaine gel and Hegu point ice massage affect
the intensity of fistula puncture related pain in hemodialysis patients. Given the higher
effectiveness of Hegu point ice massage, this method is recommended to be used for fast
and safe pain reduction in hemodialysis patients.