Hemodialysis Complication
Conditions
Brief summary
Effects of Virtual Reality Glasses and Stress Ball on Distress and Pain During Arteriovenous Fistula Cannulation. The research was conducted as a randomized experimental study with a pre-test - post-test control group.
Detailed description
Beginning 1-2 minute before the start of the procedure, the patients will be watched (5 minutes) with an android mobile phone inserted into the Cardboard Super Flex Binoculars Glasses. A stress ball will be applied to the patient 1-2 minutes before the start of the procedure.
Interventions
Virtual reality glasses Beginning 2-3 minute before the start of the procedure, the patients will be watched (5 minutes) with an android mobile phone inserted into the Cardboard Super Flex Binoculars Glasses, with a music background, licensed product.
Patients will be instructed to continue squeezing and relaxing the stress ball (squeezing and relaxing once, counting from one to three) for 5 minutes before and throughout the AVF cannulation procedure. Patients will be instructed to focus their attention on the stress ball and focus on squeezing the stress ball.
Sponsors
Study design
Eligibility
Inclusion criteria
* Be over 18 years old, * Be able to speak and understand Turkish, * Have the cognitive ability to answer the data collection tools, * Be willing to participate in the study, * Participate in a hemodialysis program three days a week,
Exclusion criteria
* Having a communication problem (hearing, language, understanding, etc.), * Having a psychiatric diagnosis (To be checked from medical records), * Having failed AVF cannulation at the first attempt, * Having any signs of infection such as redness, swelling, open wound in the area where the procedure will be performed, * Having used a sedative within the last 8 hours, * Having used any painkillers before the procedure on the same day,
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale | Baseline, pre-intervention (Before AVF cannulation procedure) | The patients were asked to mark their level of pain during relaxation or activities on a 10 cm vertical or horizontal line. In addition, there were forms which were numbered from 1-10 or from 1-100. The number 0 is found at the beginning of the line, and the number 10 is located at the end of the line. A value of 0 shows that there is no pain, and the value 10 expresses unendurable pain. VAS is a common scale in the assessment of pain level. A patient is asked to mark the perceived pain on this line, and the marked point is measured in cm. |
| The Distress Thermometer (DT | Baseline, pre-intervention (Before AVF cannulation procedure) | The Distress Thermometer is a scale developed by Roth et al. (1998) for determining psychological distress in cancer patients. The thermometer is a Likert-type scale with scores from 0 (no stress) to 10 (excessive stress). In a short and easy-tounderstand scale, patients can easily mark their distress levels in ranges indicated on the thermometer. The Turkish validity-reliability study of the Distress Thermometer for cancer patients was performed by Özalp et al. and the recommended cut-off score for the thermometer in this study was set at four and above. |
Countries
Turkey (Türkiye)