The evaluation of Valsalva maneuver on pain intensity within the needle insertion to the arteriovenous fistula for patients undergoing hemodialysis in the selected hospitals in Isfahan in 2015

Background: Pain and stress of hemodialysis are experienced by more than 50% of patients who are suffering from renal disease; hence decreasing a part of these adverse effects can be effective on individual’s long term coping with hemodialysis. The current study was done to determine the effect of warm footbath with vibration on arteriovenous fistula puncture-related pain in hemodialysis patients.Methods: This clinical trial was conducted on 31 hemodialysis patients in 2014. The patients were selected by simple random sampling method and placed in one group. First, the pain intensity of all patients was measured in the six frequent hemodialysis sessions without any intervention (control method). After two weeks, the intervention of warm footbath with vibration was done on all patients and the pain intensity was measured for six frequent hemodialysis sessions (intervention method). The patients were received 40±2 °C footbath with vibration by foot massage spa machine for ten minutes; then, fistula needles were placed and the pain intensity was assessed by using a numerical rating scale. Data were analyzed by ANOVA and T test.Results: The study group had contained 20 males (64.5%), 11 females (35.5%), with an average age of 44.16±14.85 and a range of 18 to 65 years old, which shows that the pain intensity of the warm footbath with vibration method was lower than the control method (P< 0.05).Conclusions: Warm footbath with vibration can be used as an effective palliative method to reduce pain of hemodialysis patients.

Download Full-text

The Effect of Valsalva Maneuver on Pain Intensity and Hemodynamic Changes during Intravenous (IV) Cannulation

Iran Journal of Nursing ◽

10.29252/ijn.30.108.52 ◽

2017 ◽

Vol 30 (108) ◽

pp. 52-59

Author(s):

M Babaei ◽

R Jalali ◽

A Jalali ◽

M Rezaaei ◽

◽

...

Keyword(s):

Pain Intensity ◽

Valsalva Maneuver ◽

Hemodynamic Changes

Download Full-text

Investigation into the Effects of Using Two Or Four Acupuncture Needles with Bidirectional Rotation on Experimentally-Induced Contact Heat Pain in Healthy Subjects

Acupuncture in Medicine ◽

10.1136/acupmed-2014-010617 ◽

2015 ◽

Vol 33 (1) ◽

pp. 23-29 ◽

Cited By ~ 1

Author(s):

Carole A Paley ◽

Mark I Johnson

Keyword(s):

Pain Intensity ◽

Experimental Studies ◽

Rapid Onset ◽

Needle Insertion ◽

Acupuncture Group ◽

Heat Pain ◽

Contact Heat ◽

Heat Pain Threshold ◽

Tentative Evidence ◽

Experimentally Induced

Objectives There is growing evidence from experimental studies that the acupuncture dose or technique influences the speed of onset of hypoalgesia. The aim of this study was to investigate the effects of acupuncture using two or four needles on experimental contact thermal pain in healthy volunteers. Methods Forty two participants were randomised into three groups: four-needle group (LI4, LI11, LI10, TE5), two-needle group (verum at LI4, LI11 and mock at LI10, TE5) and mock acupuncture group (LI4, LI11, LI10, TE5). Each participant rated pain intensity (visual analogue scale, VAS) to a series of noxious stimuli administered to the forearm 2°C above the heat pain threshold during needling and immediately after removal of the needles. Results Experimentally-induced heat pain intensity (VAS) during and after the intervention was lower than pre-intervention but there were no statistically significant differences in this change between groups. There were no statistically significant differences between groups in the time taken for pain intensity to decrease by 33% from pre-intervention. However, a 33% decrease in pain intensity within 3 min of needle insertion was observed for 13 participants (92.9%) in the four-needle group compared with 66.7% of participants in the two-needle group and 57.1% in the mock acupuncture group. There was less variance in VAS in the four-needle group, suggesting more consistency in hypoalgesic response when using more needles. Conclusions There is tentative evidence that four needles may be superior to two needles in generating rapid onset hypoalgesia. The findings suggest that further investigation is warranted.

Download Full-text

A Comparative Study of Valsalva Maneuver, Lidocaine, and Valsalva Maneuvers with Administration of Lidocaine to Reduce the Pain Associated with Administration of Etomidate During General Anesthesia

Anesthesiology and Pain Medicine ◽

10.5812/aapm.113408 ◽

2021 ◽

Vol In Press (In Press) ◽

Author(s):

Behzad Nazemroaya ◽

Omid Aghadavodi ◽

Azim Honarmand ◽

Sarina Ahmadian

Keyword(s):

Clinical Trial ◽

Pain Intensity ◽

Significant Relationship ◽

Valsalva Maneuver ◽

Statistical Tests ◽

Study Groups ◽

Demographic Variables ◽

Lidocaine Group ◽

Significant Difference ◽

Group 1

Objectives: The purpose of this study is a comparison of Valsalva, lidocaine, and Valsalva with administration of lidocaine to reduce the pain associated with administration of etomidate. Methods: The present study is a clinical trial study. The number of samples in each group was 30 and a total of 90 people were selected. This study was a clinical trial and the subjects were randomly divided into three groups: Group 1: Valsalva, 2: Lidocaine, 3: Valsalva and Lidocaine. Pain due to etomidate was rated on a VAS from 1 (painless) to 3 (worst imaginable pain) and their information was recorded. The collected information was entered into SPSS 22 and analyzed with appropriate statistical tests. Results: A total of 90 subjects participated in the present study and were divided into 3 groups: Valsalva, lidocaine, and Valsalva with lidocaine. No significant difference was observed between demographic variables in the study groups. There was a significant relationship between severity of pain in the three groups. According to the results, the highest pain intensity was in the Valsalva group and the lowest pain intensity was in the Valsalva with lidocaine group. Conclusions: Valsalva with lidocaine reduces the severity of pain caused by etomidate to a greater extent than other groups.

Download Full-text

Effect of Cryotherapy on Pain Intensity At Puncture Sites of Arteriovenous Fistula Among Adult Patients Undergoing Hemodialysis at Tanta University Hospital

Tanta Scientific Nursing Journal ◽

10.21608/tsnj.2013.74467 ◽

2013 ◽

Vol 5 (2) ◽

pp. 27-42

Author(s):

Afaf Basal ◽

Kamal Okasha

Keyword(s):

Pain Intensity ◽

Arteriovenous Fistula ◽

Adult Patients ◽

University Hospital

Download Full-text

Pemberian Teknik Valsava Manuver Terhadap Intensitas Nyeri Penusukan Arteriovenous Fistula (AVF) Pasien Hemodialisa

Jurnal Smart Keperawatan ◽

10.34310/jskp.v8i2.482 ◽

2021 ◽

Vol 8 (2) ◽

pp. 92

Author(s):

Mahruri Saputra ◽

Sabahul Badri

Keyword(s):

Arteriovenous Fistula ◽

Valsalva Maneuver ◽

Sampling Technique ◽

Nursing Intervention ◽

Pain Scale ◽

Hemodialysis Patients ◽

T Test ◽

P Value ◽

Consecutive Sampling ◽

Paired T Test

Arteriovenous fistula (AVF) merupakan akses vaskuler eksternal sebagai tempat penusukan berulang pada pasien hemodialisa yang menyebabkan nyeri berulang. Pemberian teknik valsava manuver salah satu terapi nonfarmakologi yang dapat digunakan untuk menurunkan nyeri berulang penusukan AVF. Penelitian ini bertujuan mengidentifikasi pemberian teknik valsava manuver terhadap intensitas nyeri penusukan AVF pasien hemodialisa. Penelitian kuantitatif ini dengan desain quasi experiment pre and post one sampel test. Pengambilan sampel dengan teknik consecutive sampling pada 33 orang. Analisis data menggunakan paired t-test. Hasil menunjukkan sebelum dilakukan teknik valsava manuver skala nyeri penusukan AVF adalah 4,82 (SD=1,402) dan sesudah dilakukan teknik valsava manuver skala nyeri penusukan AVF adalah 3,45 (SD=1,301). Ada perbedaan skala nyeri penusukan AVF sebelum dan sesudah pemberian teknik valsava manuver pasien hemodialisa dengan p value 0,000. Diharapkan pemberian teknik valsava manuver dapat menjadi intervensi mandiri keperawatan dalam menurunkan nyeri penusukan sehingga kenyamanan pasien hemodialis meningkat.Kata kunci: arteriovenous fistula; hemodialisa; nyeri penusukan, valsava manuverValsava Manuver Techniques To Pain Intensity Arteriovenous Fistula (AVF) Pain In Hemodialized PatientsAbstractArteriovenous fistula (AVF) is an external vascular access as a site for repeated punctures in hemodialysis patients which causes recurrent pain. The Valsalva maneuver is one of the non-pharmacological therapies that can be used to reduce repeated AVF stabbing pain. This study was purposed to identify the effectiveness of the Valsalva maneuver technique in reducing the intensity of AVF stabbing pain in hemodialysis patients. This quantitative research was a quasi-experimental pre and post one sample test design. Sampling technique used consecutive sampling technique on 33 people. Data analysis using paired t-test. The results showed that before the Valsalva maneuver the AVF stabbing pain scale was 4.82 (SD=1.402) and after the Valsalva maneuver the AVF stabbing pain scale was 3.45 (SD=1.301). There is a difference in the AVF stabbing pain scale before and after the Valsalva maneuver technique for hemodialysis patients with a p value of 0.000. It is hoped that the Valsalva maneuver technique can be an independent nursing intervention in reducing stabbing pain so that the comfort of hemodialysis patients increases. Keywords: Arteriovenous fistula, hemodialysis, stabbing pain, valsalva maneuver

Download Full-text