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IRCT20191218045773N3 IRCT 2020-05-04 Esfarayen University of Medical Sciences Comparing the effects of massage and tapping on success of catheter insertion Comparing the effects of massage and tapping on the duration and first success rate of peripheral intravenous catheter insertion in aged patients 2020-02-20 anticipated 160 Complete https://irct.ir/trial/44514 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Other, Randomization description: The randomization method is simple. Random units are each of elderly patients that admitted to the emergency department. Also, The randomization tool is a random number table. The researcher select one of the numbers in the random numbers table and moves to the right and down. Record the numbers and assign them to different study groups whose numbers are already specified. N/A Patients reffered to Emergency ward. Intervention 1: In the massage group, the blood pressure cuff is wrapped around the patient's arm and inflated till 60 mm Hg. Expert nurse will rub patient hand (catheter insertion site) for 30 sec till change the color of the skin. Each hand movement (upping or downing on the skin) is performed within one second. Then, site of catheter insertion will be disinfected with alcohol 70%. The catheter N.20 will be inserted in the site of determined. Intervention 2: In the Tapping group, the blood pressure cuff is wrapped around the patient's arm and inflated till 60 mm Hg. Nurse will tap soft kicks from 5 c.m distance of patient hand (catheter insertion site) for 30 sec. Each tapping movement will be done within 1 second. Then, site of catheter insertion will be disinfected with 70% alcohol. The catheter N.20 will be inserted in the site of determined. Intervention 3: In mixed group (massage and tapping) the blood pressure cuff is wrapped around the patient's arm and inflated till 60 mm Hg. Expert nurse will rub patient hand (catheter insertion site) for 30 sec till change the color of the skin. Each hand movement (upping or downing on the skin) is performed within one second. Then, Nurse will tap soft kicks from 5 c.m distance of patient hand (catheter insertion site) for one minute. Each tapping movement will be done within 1 second. Then, site of catheter insertion will be disinfected with 70% alcohol. The catheter N.20 will be inserted in the site of determined. Intervention 4: In the control group, the blood pressure cuff is wrapped around the patient's arm and inflated till 60 mm Hg for 30 sec. Expert nurse without any other intervention will determine site of catheter insertion and disinfected with 70% alcohol. The catheter N.20 will be inserted in the site of determined. Yes - There is a plan to make this available What will be shared: Document will be registered "Pajouhan" system after completion of the study . Also, participants general information and the effectiveness of interventions will be recorded in the article. When: Accessibility after publish of article To whom: People interested in nursing scope Conditions: People looking for ways to facilitate catheter insertion in pediatric who can access the data Where to obtain: Esfarāyen Faculty of Medical Sciences, Imama Reza S.t, Esfarāyen, North Khorasan How to obtain: They can access to data through below email as soon as possible s.j.hoseini2016@gmail.com Comments:
public Seyed Javad Hosseini
Esfarāyen Faculty of Medical Sciences , Imama Reza S.t, Esfarāyen, North Khorasan
Esfarayen Iran (Islamic Republic of) 9661777944 0098 5831550000- 602 s.j.hoseini2016@gmail.com Esfarayen University of Medical Sciences scientific Seyed Javad Hosseini
Esfarāyen Faculty of Medical Sciences , Imam Reza St, Esfarāyen, North Khorasan
Esfarayen Iran (Islamic Republic of) 96617-77944 +98 58 3155 0000-602 s.j.hoseini2016@gmail.com Esfarayen University of Medical Sciences Iran (Islamic Republic of) Participants have age over than 65 years old catheter insertion difficulty rate is between 2 to 5 with Difficult Intravenous Access (DIVA) instrument 65 years no limit Both The patient has emergency conditions Not willing to participate in the study catheter insertion Failure for first attempt Other Other Other Other In the massage group, the blood pressure cuff is wrapped around the patient's arm and inflated till 60 mm Hg. Expert nurse will rub patient hand (catheter insertion site) for 30 sec till change the color of the skin. Each hand movement (upping or downing on the skin) is performed within one second. Then, site of catheter insertion will be disinfected with alcohol 70%. The catheter N.20 will be inserted in the site of determined. In the Tapping group, the blood pressure cuff is wrapped around the patient's arm and inflated till 60 mm Hg. Nurse will tap soft kicks from 5 c.m distance of patient hand (catheter insertion site) for 30 sec. Each tapping movement will be done within 1 second. Then, site of catheter insertion will be disinfected with 70% alcohol. The catheter N.20 will be inserted in the site of determined. In mixed group (massage and tapping) the blood pressure cuff is wrapped around the patient's arm and inflated till 60 mm Hg. Expert nurse will rub patient hand (catheter insertion site) for 30 sec till change the color of the skin. Each hand movement (upping or downing on the skin) is performed within one second. Then, Nurse will tap soft kicks from 5 c.m distance of patient hand (catheter insertion site) for one minute. Each tapping movement will be done within 1 second. Then, site of catheter insertion will be disinfected with 70% alcohol. The catheter N.20 will be inserted in the site of determined. In the control group, the blood pressure cuff is wrapped around the patient's arm and inflated till 60 mm Hg for 30 sec. Expert nurse without any other intervention will determine site of catheter insertion and disinfected with 70% alcohol. The catheter N.20 will be inserted in the site of determined. First attempt success rate for inserting of peripheral venous catheter. Timepoint: Immediately after fixation of catheter on the skin. Method of measurement: Possible to injection of "water for injection" from top of the catheter without causing swelling at the top of catheter insertion. Inserting of peripheral venous catheter duration. Timepoint: Since initiation catheter insertion until it is fixed in place. Method of measurement: Using the stopwatch. The time spent to find a peripheral venous. Timepoint: Since the fasten of tourniquet to start inserting of peripheral venous catheter. Method of measurement: Using the stopwatch. Patient satisfaction from each of protocols. Timepoint: After completion of catheter insertion. Method of measurement: Using the questionnaire. Esfarayen University of Medical Sciences Approved 2019-12-09 Ethics committee of Esfarayen faculity of Medical Sciences Faculity of Medical Sciences, Imam Reza St, Esfarayen, North Khorasan Esfarayen North Khorasan Iran (Islamic Republic of)