Volume : 8, Issue : 10, OCT 2022

A STUDY TO ASSESS THE EFFECTIVENESS OF ACUPRESSURE ON PAIN REDUCTION DURING NEEDLE INSERTION IN ARTERIOVENOUS FISTULA AMONG HEMODIALYSIS PATIENTS IN SELECTED HOSPITAL AT DELHI NCR

ANAMIKA DEWAN, LAVANYA NANDAN, SIBI SAMUEL

Abstract

Background

Hemodialysis (HD) is the most frequently used renal replacement therapy with the Arteriovenous Fistula (AVF) being the “Gold Standard” for vascular access in hemodialysis (HD) patients. Chronic Kidney disease involves progressive, irreversible loss of kidney function. It is defined as either the presence of kidney damage or Glomerular filtration rate (GFR) <60 ml/min for 3 months or longer dialysis or a kidney transplant is required to survive.

Aim- The objectives of the study is to assess the effectiveness of acupressure on reducing pain during needle insertion in arteriovenous fistula among hemodialysis patients in experimental group.

Materials and methods: A quantitative research approach, quasi experimental with post-test only control group design and non-probability purposive sampling technique was adopted with 60 samples. The sample consist of 60 dialysis patients with AV fistula (Experimental group 30 hemodialysis patients with AV fistula and Control group 30 hemodialysis patients with AV fistula). In the experimental group acupressure was given 2 mins before the insertion of the needle and during the insertion and post-test was done by using Numerical Rating Pain Scale.

In the control group no acupressure was given and post test was done by using Numerical Rating Pain Scale. The assessment tool was Numerical Rating Pain Scale. The statistical analysis was done by ‘t’ test and fisher’s exact test.

Result: Data obtained was analyses and result showed that in experimental group, the post-test majority of patient’s 21(70%) were having mild pain and 9(30%) were having moderate pain. Whereas in control group the post-test majority of patient’s 22(73.33%) were having severe pain and 8(26.66%) were having moderate pain. The mean pain score of experimental group 2.6. Whereas the mean pain score of control group 7.3. The mean difference of needle insertion in AV fistula pain score of experimental group and control group was 4.7. This indicates that the mean pain score of experimental group is lower than the mean pain score of control group. The obtained mean difference was found to be statistically significant. The calculated “t” value is 16.78 which is greater than the table value at 0.05 level of significance for df (58).

Conclusion: The study concluded that acupressure is effective in reducing pain during needle insertion in arteriovenous fistula among hemodialysis patients.

Keywords

ACUPRESSURE, ARTERIOVENOUS FISTULA, HEMODIALYSIS PATIENTS.

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