Determination of the Effect of Cold Needle on Invasive Pain Cannulation

Istanbul Demiroglu Bilim University

Status: Active, not recruiting

Conditions: Hemodialysis Complication; Pain

Treatments: Procedure: Cold needle application

Study type: Interventional

Funder types: Other

Identifiers

NCT06418009

2024/50

Details and patient eligibility

About

In studies evaluating the methods used to reduce invasive pain associated with cannulation, it is seen that pharmacological and non-pharmacological methods are used. Pharmacological treatment is considered risky as it may cause drug addiction in the patient and may cause side effects and complications. On the other hand, the use of non-pharmacological methods is preferred because they are cheaper and cause fewer side effects and complications.

Full description

Cold application, one of the non-pharmacological methods used, is effective in relieving pain by slowing down or blocking the conduction of peripheral nerves. Apart from this effect, it stimulates touch receptors by activating the Door-Control mechanism; It increases the release of endogenous opioids and stops pain by ensuring the nerve impulses caused by cold are transmitted to Delta fibers. Although studies conducted on hemodialysis patients have shown that cold application is effective in reducing pain; Due to the small number of sample groups and deficiencies in the methodology, it was suggested that further studies be conducted. In these studies, cold application; It was applied to the area one cm above the fistula or between the thumb and index finger of the opposite arm, using an ice pack and an ice-filled glove for 2-10 minutes.

Enrollment: 35 patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients aged 18 years and older
• had been treated with HD for at least 3 months, thrice a week, and for 4 hours per session
• did not have a psychiatric disorder that would prevent communication
• volunteered to participate in the study

Exclusion criteria

• Patients who were known to present difficulties when entering the fistula (requiring multiple cannulations)
• had a history of hematoma or stenosis in the AVF
• had an infection at the fistula site
• took painkillers within 3 hours of treatment
• did not want to participate in the study

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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35 participants in 2 patient groups

Not cold needle application

No Intervention group

Description:

Fistül girişimi için kullanılan iğne kendi torbasında durdurulur ve hastalığın takılacağı zaman Resmi tarafından deponun içinden çıkarılarak kullanılacaktır

Cold needle application

Experimental group

Description:

Before use, the needle will be removed from the refrigerator and kept on the nurse's table. When the temperature of the needle reaches 0-2 °C, the patient will be cannulated.

Treatment:

Procedure: Cold needle application