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Comparison of the Effects of Visual and Auditory Distractions on Fistula Cannulation Pain among Older Patients Undergoing Hemodialysis: A Randomized Controlled Clinical Trial

Mina Ghadimi Aghbolagh, Tahereh Bahrami, Nahid Rejeh, Majideh Heravi-Karimooi, Seyed Davood Tadrisi, Mojtaba Vaismoradi

Geriatrics, Volume: 5, Issue: 3, Start page: 53

Swansea University Author: Mojtaba Vaismoradi

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DOI (Published version): 10.3390/geriatrics5030053

Abstract

Pain associated with fistula cannulation is a challenge for nurses who provide care to older patients undergoing hemodialysis. Several non-pharmacological methods have been suggested for relieving fistula cannulation pain, but the benefits of visual and auditory distraction methods among older patie...

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Published in: Geriatrics
ISSN: 2308-3417
Published: MDPI AG 2020
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URI: https://cronfa.swan.ac.uk/Record/cronfa55187
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spelling 2020-11-05T15:22:40.4758554 v2 55187 2020-09-16 Comparison of the Effects of Visual and Auditory Distractions on Fistula Cannulation Pain among Older Patients Undergoing Hemodialysis: A Randomized Controlled Clinical Trial b865b33654e99f5cbccdb11350f7b069 Mojtaba Vaismoradi Mojtaba Vaismoradi true false 2020-09-16 FGMHL Pain associated with fistula cannulation is a challenge for nurses who provide care to older patients undergoing hemodialysis. Several non-pharmacological methods have been suggested for relieving fistula cannulation pain, but the benefits of visual and auditory distraction methods among older patients undergoing hemodialysis have not been investigated yet. Therefore, this study aimed to compare the effects of visual and auditory distractions on fistula cannulation pain among older patients undergoing hemodialysis. This randomized controlled clinical trial was conducted on 120 older patients undergoing hemodialysis. They were randomly assigned to three groups of visual distraction, auditory distraction, and the control (n = 40 in each group) using a simple random assignment method. The distraction interventions continued for three consecutive sessions and the numeric rating scale of pain severity was used for data collection. Descriptive and inferential statistics were used for data analysis using SPSS. It was found that pain severity significantly reduced after the distraction interventions in either the auditory or visual distraction groups and also after all three distraction sessions (p = 0.001). However, visual distraction had a better effect on the reduction of pain severity. Therefore, while both visual and auditory distractions reduced pain severity in older patients undergoing hemodialysis, visual distraction was more effective. Nurses are encouraged to incorporate visual distraction as a safe and non-pharmacologic technique into routine nursing care for reducing older patients’ suffering and improving their wellbeing when fistula cannulation is performed. Journal Article Geriatrics 5 3 53 MDPI AG 2308-3417 arteriovenous fistula; auditory distraction; cannulation; hemodialysis; nursing; pain; safe care; visual distraction 16 9 2020 2020-09-16 10.3390/geriatrics5030053 COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University Nord University 2020-11-05T15:22:40.4758554 2020-09-16T15:08:19.4078781 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Mina Ghadimi Aghbolagh 1 Tahereh Bahrami 2 Nahid Rejeh 3 Majideh Heravi-Karimooi 4 Seyed Davood Tadrisi 5 Mojtaba Vaismoradi 6 55187__18177__5ffdd5885af744d8b6d55f7a065189fb.pdf geriatrics-05-00053.pdf 2020-09-16T15:09:56.9526822 Output 399933 application/pdf Version of Record true © 2020 Author(s). All article content, except where otherwise noted, is licensed under a Creative Commons Attribution 4.0 (CC BY) License true English https://creativecommons.org/licenses/by/4.0/
title Comparison of the Effects of Visual and Auditory Distractions on Fistula Cannulation Pain among Older Patients Undergoing Hemodialysis: A Randomized Controlled Clinical Trial
spellingShingle Comparison of the Effects of Visual and Auditory Distractions on Fistula Cannulation Pain among Older Patients Undergoing Hemodialysis: A Randomized Controlled Clinical Trial
Mojtaba Vaismoradi
title_short Comparison of the Effects of Visual and Auditory Distractions on Fistula Cannulation Pain among Older Patients Undergoing Hemodialysis: A Randomized Controlled Clinical Trial
title_full Comparison of the Effects of Visual and Auditory Distractions on Fistula Cannulation Pain among Older Patients Undergoing Hemodialysis: A Randomized Controlled Clinical Trial
title_fullStr Comparison of the Effects of Visual and Auditory Distractions on Fistula Cannulation Pain among Older Patients Undergoing Hemodialysis: A Randomized Controlled Clinical Trial
title_full_unstemmed Comparison of the Effects of Visual and Auditory Distractions on Fistula Cannulation Pain among Older Patients Undergoing Hemodialysis: A Randomized Controlled Clinical Trial
title_sort Comparison of the Effects of Visual and Auditory Distractions on Fistula Cannulation Pain among Older Patients Undergoing Hemodialysis: A Randomized Controlled Clinical Trial
author_id_str_mv b865b33654e99f5cbccdb11350f7b069
author_id_fullname_str_mv b865b33654e99f5cbccdb11350f7b069_***_Mojtaba Vaismoradi
author Mojtaba Vaismoradi
author2 Mina Ghadimi Aghbolagh
Tahereh Bahrami
Nahid Rejeh
Majideh Heravi-Karimooi
Seyed Davood Tadrisi
Mojtaba Vaismoradi
format Journal article
container_title Geriatrics
container_volume 5
container_issue 3
container_start_page 53
publishDate 2020
institution Swansea University
issn 2308-3417
doi_str_mv 10.3390/geriatrics5030053
publisher MDPI AG
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
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description Pain associated with fistula cannulation is a challenge for nurses who provide care to older patients undergoing hemodialysis. Several non-pharmacological methods have been suggested for relieving fistula cannulation pain, but the benefits of visual and auditory distraction methods among older patients undergoing hemodialysis have not been investigated yet. Therefore, this study aimed to compare the effects of visual and auditory distractions on fistula cannulation pain among older patients undergoing hemodialysis. This randomized controlled clinical trial was conducted on 120 older patients undergoing hemodialysis. They were randomly assigned to three groups of visual distraction, auditory distraction, and the control (n = 40 in each group) using a simple random assignment method. The distraction interventions continued for three consecutive sessions and the numeric rating scale of pain severity was used for data collection. Descriptive and inferential statistics were used for data analysis using SPSS. It was found that pain severity significantly reduced after the distraction interventions in either the auditory or visual distraction groups and also after all three distraction sessions (p = 0.001). However, visual distraction had a better effect on the reduction of pain severity. Therefore, while both visual and auditory distractions reduced pain severity in older patients undergoing hemodialysis, visual distraction was more effective. Nurses are encouraged to incorporate visual distraction as a safe and non-pharmacologic technique into routine nursing care for reducing older patients’ suffering and improving their wellbeing when fistula cannulation is performed.
published_date 2020-09-16T04:09:13Z
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