Hot and Cold Applications on PVC Insertion

TC Erciyes University

Status: Completed

Conditions: Peripheral Venous Catheterization

Treatments: Other: Hot application; Other: Cold application

Study type: Interventional

Funder types: Other

Identifiers

NCT04177745

444

Details and patient eligibility

About

Background: This study was conducted to examine the effect of local hot and cold applications on pain, anxiety level, length of application, and vein evaluation prior to inserting PVC.

Methods: This randomised controlled trial was conducted with patients who were hospitalised in the cardiology department of a university hospital. PVC was inserted, the researcher applied a hot or cold application to the catheter insertion site for one minute.

Full description

Background: This study was conducted to examine the effect of local hot and cold applications on pain, anxiety level, length of application, and vein evaluation prior to inserting PVC.

Methods: This randomised controlled trial was conducted with patients who were hospitalised in the cardiology department of a university hospital. The sample was comprised of 90 individuals, including 30 in the cold application group, 30 in the hot application group, and 30 in the control group receiving treatment in the Cardiology Clinic between November and December 2018.

Enrollment: 90 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• being able to speak and understand Turkish,
• being over 18 years of age,
• having unimpaired sense of time or place orientation,
• having no psychiatric disorders,
• having no visual or hearing problem,
• having indication of IV catheter application,
• having no administration of analgesic or anaesthetic agents prior to IV catheter insertion,
• having catheter inserted in one attempt,
• having no allergy to hot and cold applications,
• being voluntary to participate in the study.

Exclusion criteria

• infection
• previous history of surgery,
• scarring in the catheter insertion site,
• psoriasis in the catheter insertion site,
• active dermatitis in the catheter insertion site,
• peripheral nerve disease,
• diabetes,
• peripheral neuropathy in the catheter insertion site

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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90 participants in 3 patient groups

Hot Application

Experimental group

Description:

Before PVC was inserted, the researcher applied a hot application to the catheter insertion site (inner surface of the forearm) using a hot pack for one minute. Then, the researcher made the second vein assessment and inserted a 20-G peripheral catheter into the inner surface of the forearm.

Treatment:

Other: Hot application

Cold Application

Experimental group

Description:

Before PVC was inserted, the researcher applied a cold application to the catheter insertion site (inner surface of the forearm) using a cold pack for one minute. Then, the researcher made the second vein assessment and inserted a 20-G peripheral catheter into the inner surface of the forearm.

Treatment:

Other: Cold application

Standard Practice

No Intervention group

Description:

The standard practice of the clinic was made. Accordingly, the researcher performed the vein assessment after the participants filled out the questionnaire, and then inserted the 20-G catheter into the inner surface of their forearm without any application. Afterwards, she assessed the pain and anxiety levels of the patients twice before and after the catheter insertion procedure.