Abstract

GRANADOS NAVARRETE, Isabel et al. A nursing action: trying to alleviate pain in haemodialysis punctures. Rev Soc Esp Enferm Nefrol [online]. 2005, vol.8, n.3, pp.55-60. ISSN 1139-1375.

The gate control theory, originally proposed in 1965 (Melzack and Wall), suggests that cutaneous stimulation can alleviate Pain by activating large-diameter nociceptive nerve fibres. Our aim is to verify whether, in clinical practice, a brief-moderate pain can alleviate more intense pain in a nearby area, in this case the haemodialysis puncture. The technique consists of creating sensorial hyperstimulation by greater compression of the Esmarch used for the puncture, and then examining the evaluation of the level of pain by the patient. We can conclude that the extra compression of the member bearing the vascular access significantly reduces the level of pain in venous punctures. The extra compression in arterial punctures also reduces the level of pain, although we have not found significant differences

Keywords : Arteriovenous fistula; Pain; Gate control theory; Cutaneous hyperestimulation; Haemodialysis.

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