IRCT2015051122210N1 IRCT 2015-08-23 Kashan University of Medical Sciences Comparing the effect of cold and heat massage of the Hoku point on pain of needling arteriovenous fistulas in elderly patients undergoing hemodialysis Comparing the effect of cold and heat stimulation of the Hoku point on pain of needling arteriovenous fistulas in elderly patients undergoing hemodialysis 2014-08-19 anticipated 24 Complete https://irct.ir/trial/19210 interventional Randomization: N/A, Blinding: Single blinded, Placebo: Not used, Assignment: Single, Purpose: Supportive. N/A pain. In the first type of intervention, a 50 mL plastic bottle made of polyethylene with a child-proof lock, containing ice was placed on the Huko point of the hand without an AVF and moved slowly on a rotating basis for ten minutes before needling of the AVF and continued during needle insertion till the nurse fixed the needles. The level of pain using the Visual Analogue Scale was recorded by the patient. The second intervention was the same as the first on except that the bottle contained 50 mili Literof warm water with a temperature of 43-45 degree centigrade. The third intervention was also the same except that the bottle contained 50 mL of 37 degree centigrade water. The last time without interference and to control the amount of pain was measured..