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Research Paper | Nursing | India | Volume 12 Issue 12, December 2023

A Study to Assess the Atrioventricular Fistula Puncturing Pain among Adult Hemodialysis Patients after Providing Cryotherapy in the Selected Hospitals of Pune City

Komal Bhoite | Dr. Shital Pimpalekar

Abstract: A renal failure is one of the most difficult health conditions a person has to deal with physically, mentally and financially. When a patients try to seek medical help they are already at the final stage where renal transplant is required, till then patient has to survive with the help hemodialysis which is main line of treatment for renal failure patient. Hemodialysis is done to regulate the kidney functions. It is done through the Atrioventricular Fistula which the vascular access for the hemodialysis. It is a painful procedure a patient needs to undergo minimum twice a week. The pain can be reduced with the help of using cryotherapy (ice application) prior to the atrioventricular fistula puncture. So, this study aims to assess the level of atrioventricular fistula puncture pain pre and post the cryotherapy. A pre - experimental pre - test post - test design of study is used on 10 patients undergoing hemodialysis through atrioventricular fistula from chosen hospital in Pune, India. A non - probability purposive sampling technique was used and data for both demographic and clinical variables are collected by the tool prepared by the researcher. A pain is measured by using the numerical pain rating scale. Result: A pre - experimental, pre - test post - test design was used on 10 renal failure patients to assess the effectiveness of cryotherapy on A. V. fistula puncturing pain and found that 60% of them were having moderate pain and 40% of them were having severe pain before giving cryotherapy. and later in post - test it is been observed that 70 % of them were not having any pain and 30% of them were having mild pain. Conclusion: This study conclude that hemodialysis patients were experiencing moderate to severe pain during AV fistula puncture and after providing Cryotherapy the pain has been reduced to mild to no pain. Thus, it indicates that cryotherapy has significant effect in reducing AV Fistula puncture pain among the patient's undergoing hemodialysis.

Keywords: atrioventricular fistula, pain, adult, cryotherapy

Edition: Volume 12 Issue 12, December 2023,

Pages: 799 - 803