Medical - Surgical Nursing Journal

Published by: Kowsar

Investigating the Effect of Arnica Ointment and Distraction on the Pain Caused by Fistula Needle Insertion in Hemodialysis Patients: A Clinical Trial

Ali Raghibi 1 , Alireza Salar 2 , * , Hassan Askari 2 and Roghaieh Keykha 2
Authors Information
1 Department of Nursing, Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran
2 Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
Article information
  • Medical - Surgical Nursing Journal: May 2018, 7 (2); e85338
  • Published Online: November 4, 2018
  • Article Type: Research Article
  • Received: October 14, 2018
  • Accepted: October 24, 2018
  • DOI: 10.5812/msnj.85338

To Cite: Raghibi A, Salar A, Askari H, Keykha R. Investigating the Effect of Arnica Ointment and Distraction on the Pain Caused by Fistula Needle Insertion in Hemodialysis Patients: A Clinical Trial, Med Surg Nurs J. 2018 ; 7(2):e85338. doi: 10.5812/msnj.85338.

Copyright © 2018, Medical - Surgical Nursing Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Methods
3. Results
4. Discussion
  • 1. Hinkle JL, Cheever KH. Brunner & Suddarth's textbook of medical-surgical nursing. Lippincott Williams & Wilkins; 2013.
  • 2. Beladi-Mousavi SS, Alemzadeh-Ansari MJ, Alemzadeh-Ansari MH, Beladi-Mousavi M. Long-term survival of patients with end-stage renal disease on maintenance hemodialysis: A multicenter study in Iran. Iran J Kidney Dis. 2012;6(6):452-6. [PubMed: 23146984].
  • 3. Kazemzadeh G, Modaghegh MH, Ravari H, Yazarlo O, Izadpanah Ahmad Saraee S. [Investigation of affecting factors on early artery-venous fistulas failure in patients with less than 20 years old]. Med J Mashhad Univ Med Sci. 2017;60(4):580-5. Persian.
  • 4. Bagheri-Nesami M, Espahbodi F, Nikkhah A, Shorofi SA, Charati JY. The effects of lavender aromatherapy on pain following needle insertion into a fistula in hemodialysis patients. Complement Ther Clin Pract. 2014;20(1):1-4. doi: 10.1016/j.ctcp.2013.11.005. [PubMed: 24439636].
  • 5. P BS, Khakha DC, Mahajan S, Gupta S, Agarwal M, Yadav SL. Effect of cryotherapy on arteriovenous fistula puncture-related pain in hemodialysis patients. Indian J Nephrol. 2008;18(4):155-8. doi: 10.4103/0971-4065.45290. [PubMed: 20142927]. [PubMed Central: PMC2813537].
  • 6. Alhani F. The effect of programmed distraction on the pain caused by venipuncture among adolescents on hemodialysis. Pain Manag Nurs. 2010;11(2):85-91. doi: 10.1016/j.pmn.2009.03.005. [PubMed: 20510838].
  • 7. Figueiredo AE, Viegas A, Monteiro M, Poli-de-Figueiredo CE. Research into pain perception with arteriovenous fistula (avf) cannulation. J Ren Care. 2008;34(4):169-72. doi: 10.1111/j.1755-6686.2008.00041.x. [PubMed: 19090894].
  • 8. Khalili Shomia S, Safavi M, Yahyavi SH, Farahani H. [Assessment of the effect of eMLA cream on vein puncture pain severity with vein catheter in the patients undergoing cesarean section: Randomized placebo controlled trial]. J Mazandaran Univ Med Sci. 2012;22(91):82-8. Persian.
  • 9. Kohl A, Rief W, Glombiewski JA. Acceptance, cognitive restructuring, and distraction as coping strategies for acute pain. J Pain. 2013;14(3):305-15. doi: 10.1016/j.jpain.2012.12.005. [PubMed: 23352770].
  • 10. Borzou SR, Akbari S, Falahinia G-H, Mahjub H. [Effect of rhythmic breathing on pain intensity during insertion of vascular needles in hemodialysis patients]. Hayat. 2014;19(4):6-14. Persian.
  • 11. Borzou SR, Falegari G, Torkaman B. [The effect of rhythmic breathing on pain intensity of patients after orthopedic surgery]. J Kurdistan Univ Med Sci. 2002;23(6):6-10. Persian.
  • 12. Malloy KM, Milling LS. The effectiveness of virtual reality distraction for pain reduction: A systematic review. Clin Psychol Rev. 2010;30(8):1011-8. doi: 10.1016/j.cpr.2010.07.001. [PubMed: 20691523].
  • 13. Preheim GJ, Armstrong GE, Barton AJ. The new fundamentals in nursing: introducing beginning quality and safety education for nurses' competencies. J Nurs Educ. 2009;48(12):694-7. doi: 10.3928/01484834-20091113-10. [PubMed: 20000251].
  • 14. Pumpa KL, Fallon KE, Bensoussan A, Papalia S. The effects of topical Arnica on performance, pain and muscle damage after intense eccentric exercise. Eur J Sport Sci. 2014;14(3):294-300. doi: 10.1080/17461391.2013.829126. [PubMed: 23947690].
  • 15. Iannitti T, Morales-Medina JC, Bellavite P, Rottigni V, Palmieri B. Effectiveness and safety of Arnica montana in post-surgical setting, pain and inflammation. Am J Ther. 2016;23(1):e184-97. doi: 10.1097/MJT.0000000000000036. [PubMed: 25171757].
  • 16. Oberbaum M, Galoyan N, Lerner-Geva L, Singer SR, Grisaru S, Shashar D, et al. The effect of the homeopathic remedies Arnica montana and Bellis perennis on mild postpartum bleeding--a randomized, double-blind, placebo-controlled study--preliminary results. Complement Ther Med. 2005;13(2):87-90. doi: 10.1016/j.ctim.2005.03.006. [PubMed: 16036165].
  • 17. Chaiet SR, Marcus BC. Perioperative Arnica montana for reduction of ecchymosis in rhinoplasty surgery. Ann Plast Surg. 2016;76(5):477-82. doi: 10.1097/SAP.0000000000000312. [PubMed: 25954844].
  • 18. Knuesel O, Weber M, Suter A. Arnica montana gel in osteoarthritis of the knee: An open, multicenter clinical trial. Adv Ther. 2002;19(5):209-18. doi: 10.1007/BF02850361. [PubMed: 12539881].
  • 19. Spacek A. Modern concepts of acute and chronic pain management. Biomed Pharmacother. 2006;60(7):329-35. doi: 10.1016/j.biopha.2006.06.011. [PubMed: 16814978].
  • 20. McCarthy AM, Kleiber C. A conceptual model of factors influencing children's responses to a painful procedure when parents are distraction coaches. J Pediatr Nurs. 2006;21(2):88-98. doi: 10.1016/j.pedn.2005.06.007. [PubMed: 16545669].
  • 21. Robertson A, Suryanarayanan R, Banerjee A. Homeopathic Arnica montana for post-tonsillectomy analgesia: A randomised placebo control trial. Homeopathy. 2007;96(1):17-21. doi: 10.1016/j.homp.2006.10.005. [PubMed: 17227743].
  • 22. Widrig R, Suter A, Saller R, Melzer J. Choosing between NSAID and arnica for topical treatment of hand osteoarthritis in a randomised, double-blind study. Rheumatol Int. 2007;27(6):585-91. doi: 10.1007/s00296-007-0304-y. [PubMed: 17318618].
  • 23. Mollahosseini S, Sahbaei F, Ebrahimi E, Sadighi Z. [Efficacy of thought aversion technique on pain severity of patients with acute abdomen]. Med Sci J Islamic Azad Univ. 2007;17(4):223-6. Persian.
  • 24. Aydin D, Sahiner NC. Effects of music therapy and distraction cards on pain relief during phlebotomy in children. Appl Nurs Res. 2017;33:164-8. doi: 10.1016/j.apnr.2016.11.011. [PubMed: 28096012].

Featured Image:

Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments