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The effect of simultaneous Valsalva maneuver and use of an anti-stress ball on pain reduction and changes in vital signs during venipuncture in emergency patients

Investigating the effect of a combined intervention of Valsalva maneuver and anti-stress ball on pain intensity and physiological indicators during peripheral venous catheterization in patients referred to the emergency department

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
IRCT
Registry ID
IRCT20260505069273N1
Enrollment
224
Registered
2026-05-17
Start date
2026-06-22
Completion date
Unknown
Last updated
2026-06-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pain associated with peripheral venipuncture in emergency patients.

Interventions

Intervention 1: Intervention group: In the Valsalva maneuver intervention group, patients will be asked to perform a forced exhalation for 16 to 20 seconds, and the angiocatheter will be inserted in t

Sponsors

Rafsanjan University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 70 Years

Inclusion criteria

Inclusion criteria: Age range 18 to 70 years Providing written informed consent to participate in the study First venipuncture Patient's consciousness and awareness of place, time, and people No use of sedatives, painkillers, or alcohol No obvious peripheral neuropathy No pulmonary disorders No abnormal skin conditions (infection, scar, psoriasis, or eczema) at the venipuncture site No acute coronary artery disease No history of mental disorders Vein puncture site on the back of the hand, inner and outer forearm

Exclusion criteria

Exclusion criteria:

Design outcomes

Primary

MeasureTime frame
Pain intensity from venipuncture based on the numerical pain scale (NRS) one minute after needle insertion. Timepoint: After venipuncture, pain intensity in all 4 study groups will be assessed by a pain assessor. Method of measurement: Numerical pain scale.

Secondary

MeasureTime frame
Systolic and diastolic blood pressure Arterial blood oxygen Heart rate. Timepoint: Physiological indicators (blood pressure, arterial blood oxygen, and heart rate) will be measured 5 minutes before and after venipuncture. Method of measurement: Emergency department monitoring devices.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactMohammad Amin Haji Dehabadi

Rafsanjan University of Medical Sciences

hajidehabadi79@yahoo.com+98 25 3242 7327

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Jun 11, 2026