EFFECTIVENESS OF ICE APPLICATION ON PAIN INTENSITY DURING ARTERIOVENOUS FISTULA (AVF) PUNCTURE AMONG PATIENTS UNDERGOING HEMODIALYSIS.

Author Name: Ms. Janki Rathva, Dr. Swapnil Rahane, Dr. Hitesh Rathva, Mr. Mayur Patel

Volume: 04/01

Country: India

DOI NO.: 11.2023-61555522 DOI Link: https://doi-ds.org/doilink/04.2026-15529883/GIJNR

Affiliation:

1. Assistant Professor, Department of Medical Surgical Nursing, Parul Institute of Nursing, Parul University, Vadodara, Gujarat, India.
2. Assistant Professor, Department of Medical Surgical Nursing, Parul Institute of Nursing, Parul University, Vadodara, Gujarat, India.
3. B.B.S., M.S. General Surgeon, GMERS Hospital, Rajpipla.
4. Clinical Instructor, Dept. Medical-Surgical Nursing, Parul Institute of Nursing, Parul University, Limda, Vadodara, Gujarat.

ABSTRACT

Pain during arteriovenous fistula (AVF) puncture is a common issue affecting the comfort and quality of life of patients undergoing hemodialysis. This quasi-experimental study aimed to assess the effectiveness of ice application in reducing pain intensity during AVF puncture. A total of 60 hemodialysis patients were selected and divided into two groups: 30 patients in the experimental group received ice application before AVF puncture, while 30 patients in the control group received no intervention. Pain intensity was measured using a numerical rating scale, and data were analyzed using descriptive statistics and an independent t-test. The findings revealed that the experimental group experienced significantly lower pain intensity (mean = 1.2, SD = 0.75) compared to the control group (mean = 2.1, SD = 0.85), with a calculated t-value of 4.82, which was statistically significant at p = 0.05. The study concluded that ice application is an effective, simple, and cost-efficient non-pharmacological intervention for reducing pain during AVF puncture in hemodialysis patients.

Key words: Ice Application, Pain Intensity, Arteriovenous Fistula, AVF Puncture, Hemodialysis