혈액투석환자의 동정맥루천자 시 플라스틱캐뉼라 사용이 통증과 정맥압, 지혈시간에 미치는 효과

The Effect of Plastic Cannula Use on the Pain, Venous Pressure, and Hemostasis Time during Arteriovenous Fistula of Hemodialysis Patient

Purpose : To examine the effect of plastic cannula on pain, venous pressure, and hemostasis time in a sample of hemodialysis patients. Methods : A non-equivalent control pre-post qausi-experimental design was used. The study period was from October 3 to October 29, 2022, and the subjects were hemodialysis three times a week, and a total of 66 people who agreed to participate in the study were randomly assigned to 33 experimental groups and 33 control groups. In the experimental group, a plastic cannula was used for arteriovenous fistula puncture. The collected data were analyzed using the IBM SPSS WIN 22.0 statistical program, Shapiro-Wilk Test, skewness and kurtosis, and Q-Q chart, frequency and percentage, mean and standard deviation. Homogeneity between groups was tested using the χ 2 -test, and research hypotheses were tested using independent t-tests. Results : In the experimental group, the levels of pain(t＝-2.38, p＝.020), venous pressure(t＝ -6.87, p＜.001), and hemostasis time(t＝-3.97, p＜.001) were significantly decreased post-test compared to control group. Conclusion : These results suggest the need for continued research and discussion regarding flexible insurance coverage, system improvements, and legislative support for the use of plastic cannula in hemodialysis patients.