%0 Journal Article
%T La punci車n del acceso vascular en hemodi芍lisis es una necesidad, el m谷todo Buttonhole una opci車n
%A Grau Pueyo
%A Carmen
%A Granados Navarrete
%A Isabel
%A Moya Mej赤a
%A Carmen
%A Garc赤a Blanco
%A Miriam
%A Vinuesa Garc赤a-Ciaˋo
%A Xavi
%A Ram赤rez Vaca
%A Josefa
%A Picazo L車pez
%A Laura
%A Ibeas L車pez
%A Jos谷
%J Revista de la Sociedad Espaˋola de Enfermer赤a Nefrol車gica
%D 2011
%I Scientific Electronic Library Online
%R 10.4321/S1139-13752011000100005
%X introduction: the access puncture technique, as well as affecting survival, is a cause for anxiety and discomfort for the patient. there are three puncture techniques: rope-ladder, area and buttonhole. studies carried out on this last method associate it to a reduction in pain and the complications associated to puncture. aim: to introduce the buttonhole puncture method in our unit. methodology: observational descriptive study, carried out at our haemodialysis unit. all the patients on haemodialysis with a healthy and non-prosthetic arteriovenous fistula were included in this study. the sample will be 35 randomized patients with a monitoring period of 6 months. prior to commencing the study, nursing staff were trained in the technique and a specific puncture protocol was created. all the variables to be analysed are recorded at each haemodialysis session. descriptive statistics is applied for the student t variable for the difference between means and x2 and fisher's exact test for the proportions, where p<0.05 is considered significant. kaplan-meier survival analysis. spss 14.0. statistical package. results: the sensation of pain during puncture and bleeding time were reduced significantly in all patients. no complications occurred during the study period. conclusions: the buttonhole puncture technique reduces the pain perceived by the patient, giving greater satisfaction. the buttonhole puncture technique is a good alternative for accesses that are not well developed or have puncture problems, favouring self-puncture and home haemodialysis options.
%K vascular access
%K pain
%K puncture.
%U http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S1139-13752011000100005&lng=en&nrm=iso&tlng=en