The Effect of Ice Massage on Pain, Ecchymosis, Hematoma and Patient Satisfaction

Hemodialysis Complication Clinical Trial

Official title:

The Effect of Ice Massage Applied Before Arteriovenous Fistula Cannulation Procedure on Pain, Ecchymosis, Hematoma and Patient Satisfaction in Hemodialysis Patients

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06332118
• Other study ID #: avf ice massage
• Status: Not yet recruiting
• Phase: N/A
• Start date: April 15, 2024
• Est. completion date: May 30, 2024

Study information

• Verified date: April 2024
• Source: Erzurum Technical University
• Contact: Ercan Bakir, PhD
• Phone: 05444252111
• Email: ercan.bakir[@]erzurum.edu.tr
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The research was planned to measure pain, ecchymosis, hematoma and patient satisfaction with ice massage applied to the fistula before the arteriovenous fistula procedure in hemodialysis patients. Patients who agree to participate in the study will be given ice massage before the procedure and the relevant parameters will be measured.

Description:

Chronic renal failure is a condition that causes irreversible damage to kidney functions and prevents the excretion of metabolic wastes through urine. In the treatment of the disease; renal replacement therapies and kidney transplant options are available. The most commonly used treatment in end-stage renal failure patients is hemodialysis. Hemodialysis is performed through catheters and fistula channels. Patients receiving hemodialysis treatment through fistula are connected to the dialysis device. For this procedure, an injection occurs 2 or 3 times a week. It is a distressing situation for patients that needle insertion is painful during the procedure and that conditions such as ecchymosis and hematoma frequently occur afterwards. In this study, cold application was planned in a pre-test post-test design to evaluate pain, ecchymosis, hematoma and patient satisfaction. Volunteer participants who receive hemodialysis treatment through fistula will receive an ice massage for an average of 3-5 minutes on the fistula area where the needle will be inserted before the procedure.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 35
• Est. completion date: May 30, 2024
• Est. primary completion date: May 15, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 90 Years

Eligibility

Inclusion Criteria:

• Conscious and oriented
• Communicable,
• Those who are 18 years or older,
• Hemodialysis treatment is applied via arteriovenous fistula,
• There are no signs of infection such as redness, swelling, or open wound in the area where the procedure will be performed,
• Patient: International Normalized Ratio: 2-3, Activated Partial Thromboplastin Time:

27-45 sec. Prothrombin Time: 11-16 sec. Thrombocyte: 125-350 m3

• Can tolerate the application,
• 10 minutes before starting Hemodialysis treatment. vissual analog scale pain score was evaluated beforehand and vissual analog scale was =4.
• Patients who agree to participate in the study verbally and in writing will be included in the research.

Exclusion Criteria:

• Unconscious,
• Unable to communicate,
• Those who are under 18 years of age,
• Hemodialysis treatment is not applied via arteriovenous fistula,
• If there is any sign of infection such as redness, swelling, open wound in the area where cannulation will be performed,
• 10 minutes before starting hemodialysis treatment. vissual analog scale pain score was evaluated beforehand and vissual analog scale = 4
• Using any painkillers before the procedure on the same day,
• Patient: International Normalized Ratio: 2-3, Activated Partial Thromboplastin Time:

27-45 sec. Prothrombin Time: 11-16 sec. Thrombocyte: above 125-350 m3, prone to bleeding,

• Patients who cannot tolerate the application or do not want to participate in the study voluntarily will not be included in the research. Exclusion Criteria: Patients who cannot tolerate ice massage during the procedure will not be included in the study.

Related Conditions & MeSH terms

• Ecchymosis
• Hematoma
• Hemodialysis Complication

Intervention

Other:
• ice massage group
Measurement surveys will be applied to obtain pre-test data from hemodialysis patients who meet the research criteria. After the preliminary test data are obtained, ice cubes prepared by the researchers before the needle insertion into the arteriovenous fistula for the hemodialysis procedure will be wrapped in a thin sponge and an ice massage will be applied to the needle insertion area of the patient in a direction that will not disrupt the circulation. This process will take approximately 3-5 minutes or the massage will be terminated when the patient feels drowsiness. In the next stage, the patient will undergo needle intervention for hemodialysis. At the end of this stage, the patient's pain will be evaluated. Patients will be re-evaluated at 24, 48 and 72 hours for ecchymosis and hematoma and relevant measurements will be provided.

Locations

Country	Name	City	State
Turkey	Ercan Bakir	Erzurum	Yakutiye
Turkey	Ercan Bakir	Erzurum	Yakutiye

Sponsors (1)

Lead Sponsor	Collaborator
Erzurum Technical University

Country where clinical trial is conducted

Turkey, 

References & Publications (5)

Al Amer HS, Dator WL, Abunab HY, Mari M. Cryotherapy intervention in relieving arteriovenous fistula cannulation-related pain among hemodialysis patients at the King Khalid Hospital, Tabuk, Kingdom of Saudi Arabia. Saudi J Kidney Dis Transpl. 2017 Sep-Oct;28(5):1050-1056. doi: 10.4103/1319-2442.215141. — View Citation

Dehghan M, Hosseini SJ, Shahrbabaki PM, Forouzi MA, Roy C. The Effect of Acupressure and Cryotherapy on the Pain of Patients on Hemodialysis During Arteriovenous Fistula Cannulation: A Randomized Crossover Clinical Trial. Nephrol Nurs J. 2023 Mar-Apr;50(2):131-139. — View Citation

Ghoreyshi Z, Amerian M, Amanpour F, Ebrahimi H. Evaluation and comparison of the effects of Xyla-P cream and cold compress on the pain caused by the cannulation of arteriovenous fistula in hemodialysis patients. Saudi J Kidney Dis Transpl. 2018 Mar-Apr;29(2):369-375. doi: 10.4103/1319-2442.229265. — View Citation

Kesik G, Ozdemir L, Yildirim T, Jabrayilov J, Celiksoz G. Effects of warm or cold compresses applied to the legs during hemodialysis on cramps, fatigue, and patient comfort: A placebo-controlled randomized trial. Hemodial Int. 2023 Apr;27(2):117-125. doi: 10.1111/hdi.13070. Epub 2023 Feb 14. — View Citation

Koushki B, Khajeh M, Bagheri H, Talebi SS, Ebrahimi H. Comparing the Effect of Local Application of Peppermint and Cold Compresses on the Severity of Pain from Venipuncture in Dialysis Patients: A Parallel Randomized Clinical Trial Study. Saudi J Kidney Dis Transpl. 2023 Jul 1;34(4):288-296. doi: 10.4103/1319-2442.395444. Epub 2024 Feb 12. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain score	Vissual analog scale: The scale is rated between 0 points and 10 points. 0 indicates that the patient has no pain, and 10 indicates that the patient has unbearable pain. Patients report their pain status on a scale of 0 to 10 points.	3 days
Secondary	Ecchymosis degree	The area of the ecchymosis will be calculated in square millimeters with polyethylene millimetric plastic film (opsite flexigrid).	3 days
Secondary	Hematoma degree	The area of the hematoma will be calculated in square millimeters with polyethylene millimetric plastic film (opsite flexigrid).	3 days
Secondary	Patient satisfaction score	Numerical Satisfaction Scale: The scale is rated between 0 points and 10 points. 0 indicates that the patient is very dissatisfied, and 10 indicates that the patient is very satisfied. Patients report their satisfaction between 0 and 10 points.	3 days