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Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT06332118
Other study ID # avf ice massage
Secondary ID
Status Not yet recruiting
Phase N/A
First received
Last updated
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
Health authority
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.

Study Design


Related Conditions & MeSH terms


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
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