The Effect of Lidocaine Gel on Needle Puncture Pain in Hemodialysis Patients: A Randomized Controlled Trial/Hemodiyaliz Hastalarında İğne Girişi Ağrısı Üzerine Lidokain Jelinin Etkisi: Randomize Kontrollü Bir Çalışma

Öz

Objective: This study was conducted to evaluate the effect of lidocaine gel on invasive pain during arteriovenous fistula cannulation in hemodialysis patients. Material and Method: Prior to the study, necessary approvals were obtained from the ethics committee, the institution, and the patients. The sample size was determined through power analysis, and patients who met the inclusion criteria were randomly assigned to the intervention (n=34), and placebo (n=34) groups. Data were collected using a questionnaire, and the Visual Analog Scale (VAS). The procedure was carried out over three consecutive hemodialysis sessions, during which patients were asked to indicate their level of pain on the VAS after each needle insertion. Results: In the intervention group, the mean pain score before the application of lidocaine gel was “4.50±3.30”. This score decreased to “3.52±2.67” after the first session, to “3.41±2.67” after the second session, and slightly increased to “3.55±2.31” after the third session (p>0.05). In the placebo group, the baseline pain score before the application of physiological saline was “4.47±3.30”, which decreased to “4.32±3.14” after the first session, “4.17±2.70” after the second session, and “3.88±2.79” after the third session (p>0.05). Conclusion: According to the results of the study, there was no statistically significant difference in pain scores across the four repeated measurements in either the lidocaine gel, or placebo groups (p>0.05).

Anahtar Kelimeler

• Arteriovenöz Fistül
• Hemodiyaliz
• Lidokain Jel
• Hemşirelik
• Ağrı

Hemodiyaliz Hastalarında İğne Girişi Ağrısı Üzerine Lidokain Jelinin Etkisi: Randomize Kontrollü Bir Çalışma/ The Effect of Lidocaine Gel on Needle Puncture Pain in Hemodialysis Patients: A Randomized Controlled Trial

Öz

Amaç: Bu çalışma, hemodiyaliz hastalarında arteriovenöz fistül enjeksiyonu sırasında uygulanan lidokain jelinin invaziv ağrı üzerindeki etkisini değerlendirmek amacıyla yürütülmüştür. Gereç ve Yöntem: Çalışma öncesinde etik kurul, kurum ve hastalardan gerekli izinler alınmıştır. Örneklem büyüklüğü güç analizi ile belirlenmiş, çalışma kriterlerini karşılayan hastalar müdahale (n=34) ve plasebo (n=34) gruplarına rastgele atanmıştır. Veriler, anket formu ve Görsel Analog Skala (VAS) kullanılarak toplanmıştır. Uygulamalar üç ardışık hemodiyaliz seansı boyunca gerçekleştirilmiş, her iğne girişimi sonrasında hastalardan VAS üzerinde hissettikleri ağrı düzeyini belirtmeleri istenmiştir. Bulgular: Müdahale grubunda, lidokain jel uygulaması öncesi ortalama ağrı skoru “4,50±3,30” iken; birinci seans sonrası “3,52±2,67”, ikinci seans sonrası “3,41±2,67”'ye düşmüş ve üçüncü seans sonrası “3,55±2,31”'e yükselmiştir (p>0,05). Plasebo grubunda ise fizyolojik tuzlu su uygulaması öncesi ortalama ağrı skoru “4,47±3,30” olup; birinci seans sonrası “4,32±3,14”, ikinci seans sonrası “4,17±2,70” ve üçüncü seans sonrası “3,88±2,79” olarak kaydedilmiştir (p>0,05). Sonuç: Elde edilen bulgular doğrultusunda, hem lidokain jel hem de plasebo grubunda dört tekrarlı ölçümler sonucunda ağrı skorlarında istatistiksel olarak anlamlı bir fark saptanmamıştır (p>0,05).

Anahtar Kelimeler

• Arteriovenous Fistula
• Hemodialysis
• Lidocaine Gel
• Nursing
• Pain

Kaynakça

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