A Study to Assess the Effectiveness of Cold Application on Arteriovenous Fistula Puncture Pain among Hemodialysis Patients at Selected Hospitals Bagalkot

Background of the Study: Chronic kidney disease (CKD) is one of the most devastating medical, social and economic problems for patients and their families in our country. Patients undergoing haemodialysis are repeatedly exposed to pain from approximately 300 punctures per year. Therefore, pain assessment and management are considered as the nursing priority and one of the important aspects of clinical nursing and one of the therapies to reduce pain is Cold Application. Aim: The aim of study was to assess the effectiveness of cold application on arteriovenous fistula puncture pain among haemodialysis patients. Methodology: The research design selected for this study was True experimental pre-test post–test control group design. The sample size comprises of 60 haemodialysis patients attending the Dialysis unit of HSK Hospital and Research centre, Bagalkot. The samples Selected through simple random sampling technique and divided into two groups, 30 haemodialysis patients to experimental group and 30 haemodialysis patients control group. In the present study the data will be collected by Abbey pain Scale to assess the AV Fistula puncture pain. Cold application Technique was administered for 10 minutes before the haemodialysis to the experimental group. Data analysis done by using descriptive and inferential statistics in terms of frequency, percentage, mean, standard deviation, paired “t test, Un paired t test. Results: Findings related to significance of difference between post-test AV fistula puncture and perceived pain scores of experimental group and control group subjects revealed that, a statistically significant difference was found. The t-value is 40.11544. The p-value is < .00001. The result is significant at p < .05. Conclusion: The study proved that administration of Cold application Technique is helps to reduction of AV Fistula pain and Perceived pain from cannulation, Among Haemodialysis patients. Cold application technique was effective ...