Abstract: Objective  To investigate the effectiveness of kinesiology tape in the treatment of hematoma after arteriovenous fistula (AVF) puncture in hemodialysis patients.  Methods  A total of 34 patients with hematoma after AVF puncture admitted to the Blood Purification Center of Department of Nephrology, Beijing Jishuitan Hospital, Capital Medical University from January 2022 to March 2024 were included in this study. They were divided into control group and experiment group according to the random number table method. Mucopolysaccharide polysulfate cream combine with hot compress were used in control group, and kinesiology tape was used in experiment group. Visual analog scale (VAS), hardness of the hematoma, fading time of the skin ecchymosis, and the therapeutic effect were compared between two groups.  Results  VAS gradually decreased after 3, 6 and 9 days of the treatment in both groups. VAS was significantly lower in experiment group than in control group after 3 days of the treatment  (t=3.084, P=0.004) and 6 days of the treatment  (Z=  -3.536, P＜0.001). Hardness of the hematoma decreased gradually after 3, 6 and 9 days of the treatment in both groups. Hardness of the hematoma was lower in experiment group than in control group after 3 days of treatment (χ2=6.769, P=0.035). Fading time of the skin ecchymosis was significantly shorter in experiment group than in control group (t=8.161, P＜0.001). After 3 days of treatment, the therapeutic effect was better in experiment group (100%, 16/16) than in control group (72.22%, 13/18; χ2=5.211, P=0.046).  Conclusion  The application of kinesiology tape for the treatment of hematoma after AVF puncture in hemodialysis patients can reduce pain degree and hardness of the hematoma, shorten subsiding time of the skin ecchymosis and hematoma, and improve the therapeutic effect.

Key words: Kinesiology tape, Hemodialysis, Arteriovenous fistula, Hematoma, Nursing care