A Pilot Randomised Controlled Trial on the Effectiveness of an Anti-Stress Ball Technique for Pain Reduction during Vascular Access Cannulation in Haemodialysis Patients

Dinis, Magda; Sousa, Joana Pereira

Publication

A Pilot Randomised Controlled Trial on the Effectiveness of an Anti-Stress Ball Technique for Pain Reduction during Vascular Access Cannulation in Haemodialysis Patients

2023-04-17Journal article

dc.contributor.author	Dinis, Magda
dc.contributor.author	Sousa, Joana Pereira
dc.date.accessioned	2024-01-05T13:38:19Z
dc.date.available	2024-01-05T13:38:19Z
dc.date.issued	2023-04-17
dc.description	Funding: This research received no external funding.	pt_PT
dc.description.abstract	Background: Pain in patients under haemodialysis affects the quality of life of chronic renal patients. Distraction has been effective in controlling pain induced by the insertion of needles. Once applied adequately, distraction promotes endorphin release, with efficacy in acute pain management. This study evaluates pain perception while puncturing the haemodialysis device, using an anti-stress ball as a distraction strategy. Methods: This study is a retrospectively registered pilot randomised controlled trial of 47 chronic renal patients undergoing regular haemodialysis programs in a dialysis unit, in the central region of Portugal. Patients were randomly allocated into control and intervention groups. The intervention group received an anti-stress ball on the opposite limb of the vascular access, while the control group underwent pain evaluation without any intervention. Pain was monitored using a numeric pain scale. The study aimed to evaluate pain during vascular access cannulation and explore the potential benefits of using an anti-stress ball to reduce this pain. Results: Patients in the intervention group experienced significantly lower pain scores (−1.23; p < 0.05) during vascular access cannulation compared to the control group (−0.51). Conclusion: Distraction through an anti-stress ball reduces the perception of pain experienced by the chronic renal patients undergoing haemodialysis. However, the trial’s retrospective registration may introduce a risk of selective-outcome reporting. Further research with prospectively registered trials is recommended to validate the findings.	pt_PT
dc.description.version	info:eu-repo/semantics/publishedVersion	pt_PT
dc.identifier.citation	: Dinis, M.; Sousa, J.P. A Pilot Randomised Controlled Trial on the Effectiveness of an Anti-Stress Ball Technique for Pain Reduction during Vascular Access Cannulation in Haemodialysis Patients. Nurs. Rep. 2023, 13, 731–739. https://doi.org/ 10.3390/nursrep13020064	pt_PT
dc.identifier.doi	https://doi.org/10.3390/nursrep13020064	pt_PT
dc.identifier.eissn	2039-4403
dc.identifier.uri	http://hdl.handle.net/10400.8/9172
dc.language.iso	eng	pt_PT
dc.peerreviewed	yes	pt_PT
dc.publisher	MDPI	pt_PT
dc.relation.ispartofseries	2;
dc.relation.publisherversion	https://www.mdpi.com/2039-4403/13/2/64	pt_PT
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/	pt_PT
dc.subject	Renal dialysis	pt_PT
dc.subject	Arteriovenous fistula	pt_PT
dc.subject	Renal insufficiency chronic	pt_PT
dc.subject	Quality of life	pt_PT
dc.subject	Distraction	pt_PT
dc.title	A Pilot Randomised Controlled Trial on the Effectiveness of an Anti-Stress Ball Technique for Pain Reduction during Vascular Access Cannulation in Haemodialysis Patients	pt_PT
dc.type	journal article
dspace.entity.type	Publication
oaire.citation.endPage	739	pt_PT
oaire.citation.startPage	731	pt_PT
oaire.citation.title	Nursing Reports	pt_PT
oaire.citation.volume	13	pt_PT
person.familyName	Pereira de Sousa
person.givenName	Joana
person.identifier.ciencia-id	551F-033A-267C
person.identifier.orcid	0000-0001-5515-0696
person.identifier.rid	I-3020-2014
person.identifier.scopus-author-id	57210926095
rcaap.rights	openAccess	pt_PT
rcaap.type	article	pt_PT
relation.isAuthorOfPublication	9663f6c0-6002-449a-86ad-f94c78577e43
relation.isAuthorOfPublication.latestForDiscovery	9663f6c0-6002-449a-86ad-f94c78577e43