Effect of Valsalva Maneuver Application versus Cryotherapy on Pain Intensity during Vascular Needle Insertion Among Children Undergoing Hemodialysis

Document Type : Original Article

Authors

1 Demonstrator in Pediatric Nursing Department Faculty of Nursing - Mansoura University

2 pediatric Nursing Faculty of Nursing Mansoura University

3 Lecturer of Pediatric - Faculty of Medicin- Mansoura University

10.21608/mnj.2025.341633.1467

Abstract

Abstract
Background: Arteriovenous fistula puncture pain is a major stressful experience facing children undergoing hemodialysis. Complementary therapies such as cryotherapy and Valsalva maneuver are used to manage pain. Aim: Evaluate effect of Valsalva Maneuver application versus cryotherapy on pain intensity during vascular needle insertion among children undergoing hemodialysis. Method: A quasi-experimental design was utilized on a purposive sample of 80 school age children undergoing hemodialysis at Pediatric hemodialysis unit affiliated to Mansoura University Children's Hospital. Tools: three Tools were used to collect data: Tool I: Structured questionnaire sheet, Tool II: Wong–Baker faces pain rating scale, Tool III: Observational Scale for Behavioral Distress (OSBD). Results: revealed that the mean scores of Wong Baker faces pain and total behavioral distress scale was lower among children in Valsalva group than those in cryotherapy group. Conclusion: the study concluded that both Valsalva maneuver and cryotherapy had a positive effect on the reduction of arteriovenous fistula puncture pain for children undergoing hemodialysis but Valsalva maneuver was more effective in pain reduction than cryotherapy. Recommendation: the study recommended implementation of Valsalva maneuver should to be endorsed as a part of the routine care for hemodialysis children.
Keywords: Children, Cryotherapy, Hemodialysis, Pain, Vascular needle insertion, Valsalva maneuver

Keywords

Main Subjects

Files

Share

How to cite

Statistics