<![CDATA[Pain during arteriovenous fistula (Cimino) puncture in chronic kidney failure patients undergoing regular hemodialysis can cause discomfort, anxiety, depression, and low self-esteem. This study aims to determine the effectiveness of using ice cold pack therapy and slow deep breathing on pain during puncture in patients with arteriovenous fistula (Cimino). The research design used was a quasi-experimental research design with two groups pre-post test conducted at Efarina Etaham Berastagi Hospital. One group was given experimental treatment, namely ice cold pack therapy and slow deep breathing, while the other group as the control group was only given slow deep breathing treatment. Data analysis was carried out to see the relationship between the independent and dependent variables using the independent samples t-test at a significance level of α = 0.05. The independent samples t-test results obtained a p value> 0.05, namely 0.104, meaning that statistically there was no significant difference in the average pain scale between patients given ice cold pack therapy and slow deep breathing with patients only given slow deep breathing. Nurses are advised to continue to carry out slow deep breathing therapy and ice cold packs to overcome pain during puncture in patients with arteriovenous fistula (Cimino).]]>
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