Cannulation-Related Pain in Dialysis Patients With Arteriovenous Fistula (AVF)

Sülayman YAMAN

Status: Completed

Conditions: Hemodialysis Access

Treatments: Other: Ice Application Group; Other: KaleidoscopeGroup; Other: Control Group

Study type: Interventional

Funder types: Other

Identifiers

NCT06236867

AU-SBE-SY-01

Details and patient eligibility

About

It was conducted to investigate the effect of ice application to the kaleidoscope and hoku point on the management of cannulization-related pain in patients receiving hemodialysis treatment.

Full description

After obtaining the necessary permissions for the research, the patients who were followed up in the hemodialysis unit of X,Y, Z Hospitals were randomly divided into three groups (Kaleidoscope application, ice application and control group).

Patients were made to sign written voluntary consent forms by the researchers.After the patients were transferred to the randomized program for the arrival days and TC numbers for the dialysis session, they were assigned to the experimental and control groups.

The patients' pain levels were evaluated during 3 dialysis sessions.

Enrollment: 102 patients

Sex: All

Ages: 18 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Comfortable reception of trill and murmur sound from arteriovenous fistula,

• over the age of 18 and no communication problems,

• Having a place and time orientation,
• No dizziness,

Exclusion criteria

• Hemodialysis of the patient with arteriovenous graft and/or central venous catheter

• Pharmacological application was made to relieve pain 30 minutes before AVF cannulation,

  • The patient has a COVID - 19 infection
  • Having visual, auditory and intellectual disabilities,
  • Having a communication problem,
  • Not willing and willing to participate in the study, as well as wanting to withdraw from the study at any stage of the study

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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102 participants in 3 patient groups

Kaleidoscope Group

Experimental group

Description:

In order for the patients in the kaleidoscope group to recognize the device and increase their compliance during the procedure, a practice was performed using the device before the AVF cannulation procedure. Kaleidoscope application was performed during cannulation.

Treatment:

Other: KaleidoscopeGroup

Ice Application Group

Experimental group

Description:

Ice application application was made with non-melting ice molds to the area where the index finger and thumb of the hand with fistula are joined (HOKU point).

Treatment:

Other: Ice Application Group

Control Group

Experimental group

Description:

In the control group, the vital signs of the patients before AVF cannulation will be recorded. Before, during and after AVF cannulation, VAS pain scores will be evaluated after cannulation without any intervention.

Treatment:

Other: Control Group