Demystifying Needle Phobia: Facilitating Home Hemodialysis Through Self-Cannulation: A Literature Review and Case Series.
Maria C Bermudez, Osama El Shamy
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Case in brief
This literature review and case series addresses needle phobia, a significant barrier to home hemodialysis (HD) affecting a substantial percentage of patients. It highlights the origins and mechanisms of this phobia, including genetic factors and traumatic experiences. The review emphasizes the importance of mastering self-cannulation to overcome this fear, proposing a holistic approach that combines pharmacological and non-pharmacological strategies to improve patient outcomes.
Diagnostic / clinical pearl
Clinicians should recognize needle phobia as a common issue in dialysis patients and consider systematic screening and tailored interventions to enhance self-cannulation success.
Why it matters
Addressing needle phobia can significantly improve patient adherence to home hemodialysis, ultimately enhancing their quality of life and treatment outcomes.