2024, Vol. 6, Issue 1, Part A

Introduction: Chronic kidney disease (CKD) is a long term condition where the kidneys do not work as well as normal. CKD does not usually cause any symptoms until it has reached an advanced stage. It is usually detected at earlier stages by blood and urine tests. This is usually happens over many years. Hemodialysis is the type of dialysis that most people are aware of it. It involves inserting a needle, which is attached by a tube to a dialysis machine, into a blood vessel. Blood is transferred from body and into the machine, which filters out waste products and excess fluids. The filtered blood is then passed back into the body. Most people require three sessions of hemodialysis in a week, with each session lasting for four hours. Pain is the one of the common unpleasant sensation experienced by patients during their time in hospital, who is undergoing hemodialysis procedure. The aim of the study is to assess the level of A.V fistula pain among Chronic Kidney Disease patients with AV fistula undergoing hemodialysis

Methodology: A cross-sectional study was conducted on 100 Participants who are admitted in dialysis unit in Narayana Medical College Hospital Who fulfilling the inclusion criteria. The tool of the study consists of Socio demographic data and pain scale- Modified MC Gill Pain Assessment Scale. It consists of 20 items (Subjective Data) Visual Analogue Scale (Standard scale-Objective data).

Results: The result shows that Modified MC Gill Pain Assessment score was 40 (40%) of them having Distressing level of pain score, 31 (21%) of them having horrible level of pain score and 29 (18%) of them are having excruciating level of pain Score and VAS pain scale shows that 43 (55%) were having moderate pain level, 27 (25%) were having severe level of pain 30 (28%) were having worst level of pain.

Conclusion: Most of the CKD patients are having distressing level of pain with A.V fistula. However, need to conduct like interventional studies to reduce the AV Fistula pain. A study can be conducted to assess the attitude and practice among nurses posted in hemodialysis unit.