Effect of cognitive behavior intervention on arteriovenous fistula puncture-related pain in hemodialysis patients

Abstract

Objective To explore the effect of cognitive behavior intervention on arteriovenous fistula puncture-related pain in hemodialysis patients, and provide evidence for effective pain management. Methods Totals of 96 patients undergoing regular hemodialysis in He'nan Province Hospital of TCM from September 2015 to January 2016 were selected by convenient sampling and randomly divided into observation group and control group, with 48 cases in each group. The final effective cases were 45 cases in each. Patients in the control group received routine pain nursing, while patients in the observation group received cognitive behavior intervention based on the control group. Visual analogue scale, state-trait anxiety inventory and pain self-efficacy questionnaire were used to evaluate patients in two groups before and after intervention. Results There was a significant difference between the two groups on the degree of puncture pain, the scores of anxiety and pain self-efficacy (P<0.05) . Conclusions Cognitive behavior intervention can relieve pain, reduce anxiety emotions, and improve pain self-efficacy in hemodialysis patients undergoing different degree of arteriovenous fistula puncture-related pain . Key words: Pain; Hemodialysis; Cognitive behavior intervention; Arteriovenous fistula