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IRCT201709047529N14 IRCT 2017-09-19 Shahed University Vice Chancellor For Research The effect distraction on patients undergoing hemodialysis Compare auditory distraction and visual distraction on pain, stress and vital sign changes from due to needles insertion into arteriovenous fistula in elderly patients undergoing hemodialysis 2017-07-23 anticipated 120 Complete https://irct.ir/trial/8023 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. N/A Arteriovenous fistula puncture-related complication in hemodialysis patients. Intervention 1: Interventions 1: For the auditory distraction intervention group at three intermittent hemodialysis sessions, nature based sounds at three time films about nature will be done for 20 minutes. Skin will be disinfected for vein puncture. Fistula is then punctured. In each intervention, the intensity of stress before injection and the intensity pain after injection will be evaluated and recorded. Intervention 2: For the visual distraction intervention group at three intermittent hemodialysis sessions, films about nature will be done for 20 minutes. Skin will be disinfected for vein puncture. Fistula is then punctured. In each intervention, the intensity of stress before injection and the intensity pain after injection will be evaluated and recorded. Intervention 3: Skin will be disinfected for vein puncture. Fistula is then punctured. at three intermittent hemodialysis sessions, the intensity of stress before injection and the intensity pain after injection will be evaluated and recorded.
public Dr. Nahid Rejeh
Shahed University, Opposite to Holy Shrine of Imam Khomeini, Tehran-Qom Express way, Tehran.
Tehran Iran (Islamic Republic of) +98 21 5121 3071 nrejeh@yahoo.com Shahed University scientific Dr. Nahid Rejeh
Shahed University, Opposite to Holy Shrine of Imam Khomeini, Tehran-Qom Express way, Tehran
Tehran Iran (Islamic Republic of) +98 21 5121 3071 nrejeh@yahoo.com Shahed University Iran (Islamic Republic of) inclusion criteria: the desire to participate in the study; over 60 years old; hemodialysis patients who have at least three session of dialysis at week; patients who have at least three months past of their fistula embedding; without alcohol and drugs consumption; the absence of cognitive impairment; not having vision or hearing problems; no history of mental illness with doctor approval. Exclusion criteria: patient dissatisfaction to continue participation in the study; lack of turn later; candidate for a transplant; using analgesic or non-pharmacological to reduce pain in the past 24 hours; in need of a second needle insertion into arteriovenous fistula in case of failure in the first of the fistulas needles; pain existence in the other parts of body. 60 years 139 years Both T82.4 Mechanical complication of vascular dialysis catheter Other Other Other Interventions 1: For the auditory distraction intervention group at three intermittent hemodialysis sessions, nature based sounds at three time films about nature will be done for 20 minutes. Skin will be disinfected for vein puncture. Fistula is then punctured. In each intervention, the intensity of stress before injection and the intensity pain after injection will be evaluated and recorded. For the visual distraction intervention group at three intermittent hemodialysis sessions, films about nature will be done for 20 minutes. Skin will be disinfected for vein puncture. Fistula is then punctured. In each intervention, the intensity of stress before injection and the intensity pain after injection will be evaluated and recorded Skin will be disinfected for vein puncture. Fistula is then punctured. at three intermittent hemodialysis sessions, the intensity of stress before injection and the intensity pain after injection will be evaluated and recorded Intensity of pain. Timepoint: After every intervention and immediately after the fistula needle. Method of measurement: Visual Pain Scale. Quality of pain. Timepoint: After every intervention and immediately after the fistula needle. Method of measurement: short-form McGill pain questionnaire. Blood pressure. Timepoint: After every intervention and immediately after the fistula needle. Method of measurement: Checklist. Respiratory rate. Timepoint: After every intervention and immediately after the fistula needle. Method of measurement: Checklist. Heart rate. Timepoint: After every intervention and immediately after the fistula needle. Method of measurement: Checklist. Stress. Timepoint: After every intervention and before the fistula needle. Method of measurement: Stress visual analogue scale. Shahed University Vice Chancellor For Research Approved 2017-09-23 Ethics committee of Shahed University Shahed University, Opposite to Holy Shrine of Imam Khomeini, Tehran-Qom Freeway, Tehran. Tehran Iran (Islamic Republic of)