부산대학교 도서관

Vascular access plays an important role for long-term hemodialysis patients. Patients under hemodialysis expose to approximately 300 arteriovenous fistula punctures per year, causing frequent stress and pain. This recurrent pain can lead to depression and reduce quality of life. The purpose of this literature review was to elucidate the effects of non-invasive strategies to reduce puncture pain for hemodialysis patients. Search from January 2000 to December 2017, in the database including Airiti Library, Guide to periodicals published in Taiwan, Cochrane Library, Pub Med, Medline, Web of Science, CINAHL, ProQuest, and Science Direct, by the keyword search hemodialysis patient, arterio-venous fistula, needle puncture and pain, total six randomized controlled studies were included in this review. The therapies used in these studies included: one for music therapy, two for lavender aromatherapy, two using anesthesia and one for cryotherapy. The results showed each intervention has varying degrees on reducing puncture pain. Therefore, we expect to provide clinical nurses and hemodialysis patients methods for reducing pain in this article.