Hemodialysis patient. End stage kidney disease
Conditions
Interventions
Intervention 1: "control group: After disinfection of the arteriovenous fistula, without performing any action, inserting needle in to av fistula in contralateral hand with av fistula, was done.". In
"control group: After disinfection of the arteriovenous fistula, without performing any action, inserting needle in to av fistula in contralateral hand with av fistula, was done."
" intervention group: Using an ice ball with a diameter of 1.5-2 cm, was wrapped in a plastic glove, the space between the thumb and forefinger of cotralateral hand with fistula, 10 minutes before an
"intervention group: The patients were asked to blow in the hole of disposable syringe that is placed in one side plastic tube manometer and the other end of tube, was connected to the sphygnomanom
Sponsors
Vice Chancellor for Reaserch of Islamic Azad University Isfahan
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Inclusion criteria: patients in the study are hemodialysis; dialysis performed from arteriovenous fistula; be willing to participate in the study; older than 18 years; fully conscious and able to answer their questions; verbal and visual communication can be achieved; no sever pain in the body area before inserting the needle into the fistula ; history of drug abuse not mentioned; during the 6 hours before hemodialysis is not used analgesics or sedatives;avf cannulation is possible to one try of cannulation; history of diseases such as Alzheimer's, dementia, peripheral vascular disease, diabetic neuropathy disorders not mentioned; heart disease, glaucoma, increased pressure in the brain, the eyes do not have a recent surgery ; have not inflammation and damage, redness, pain and bruise on the skin av fistula; does not mention sensitivity to ice massage;be able to perform the Valsalva maneuver and keeping the mercury column manometer to the pressure of 20 mmHg for 20 seconds . Exclusion criteria:the patient's unwillingness to continue participating in the study; Death and absence in the second session to continue treatment; the lack of proper venipuncture every effort in the second session of hemodialysis; the use of a sedative before the start of the second session of hemodialysis;inability to perform the Valsalva maneuver correctly.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Objective pain. Timepoint: Before and immediately after the intervention. Method of measurement: Abbey pain scale.;Subjective pain. Timepoint: Before and immediately after the intervention. Method of measurement: Numerical Rating Scale 0-10. | — |
Secondary
| Measure | Time frame |
|---|---|
| Bloold pressure and pulse rate. Timepoint: 10 minute prior of cannulation and 5 minute after the cannulation. Method of measurement: Heart and blood pressure monitoring device. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactElham Davtalab
Islamic Azad University Isfahan (Khorasgan) Branch
Outcome results
None listed