The effect of transcutaneous electrical nerve stimulation on the pain intensity during insertion of vascular needles in hemodialysis patients
Journal of Critical Care Nursing : May 24, 2006, 5 (3); e7058
July 30, 2012
Article Type: Correction
August 24, 2016
April 23, 2012
M R, Hoshmand Motlagh
M. The effect of transcutaneous electrical nerve stimulation on the pain intensity during insertion of vascular needles in hemodialysis patients,
Crit Care Nurs J.
Aims: Although hemodialysis has an important role in prolonging the life
expectancy of patients with chronic renal failure, the patients are facing further
complications. Pain during insertion of vascular needles is the most high stress
part of a hemodialysis treatment, so it is important to find ways to reduce pain
in these patients. This study was conducted to determine the effect of
transcutaneous electrical nerve stimulation (TENS) on the pain intensity when
the needles are inserted into vascular access for hemodialysis.
Methods: A semi-experimental and double blind study was performed on 30
patients in hemodialysis ward of Semnan Fatemieh hospital. In this study, pain
intensity during insertion of hemodialysis vascular needles was measured by a
numerical pain scale in a one group by using TENS and TENS placebo. The
pair T test was used to determine pain intensity mean difference in two
Results: Overall, the results showed that the mean pain intensity was 3.3±2.13
and 3.56±2.16 in two conditions using TENS and TENS placebo, respectively.
However, no significant difference was found between the mean pain intensity
in two conditions statistically by using pair T test (p=0.55).
Conclusion: Results showed that it cannot say, TENS is effective in reducing
pain during insertion of vascular needles. The reason for this finding may be
related to neuropathy and skin changes present at the insertion site of
hemodialysis needles. It is recommended that nurses investigate the other
methods for reducing pain in these patients.
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