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IRCT2016050427744N1 IRCT 2016-06-11 Vice Chancellor for research; Shahroud University of Medical Sciences Compare Zayla-Cream and ice compress on the level of stress, pain and cardiovascular response from due to needles insertion into arteriovenous fistula in hemodialysis. Compare Zayla-Cream and ice compress on the level of stress, pain and cardiovascular response from due to needles insertion into arteriovenous fistula in hemodialysis. 2016-05-21 anticipated 150 Complete https://irct.ir/trial/22666 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Used, Assignment: Single, Purpose: Supportive. 2 Arteriovenous fistula puncture-related complication in hemodialysis patients. Intervention 1: Interventions 1: At first, the patients complete a demographic questionnaire, based on it, the qualified patients will be enrolled in the study. At First week, the intensity of stress before injection and the intensity of pain after injection with putting of placebo will be evaluated and recorded by visual stress analogue scale and visual pain analogue Scale, respectively. Also heart and cardiovascular changes in arterial venous fistula will be measured before and after injection. Intervention 2: Interventions 2: After one week, the intervention with Zaylapy cream will be done in which, in all patients, 10 minutes before inserting the needle in fistula, cream with the area of 5 cm2 will be applied to the area. Do not put a cover over the area, then the cream will be cleared and skin will be disinfected for Vncopanccher. Then, the intensity of stress before injection and the intensity of pain after injection with putting of placebo will be evaluated and recorded by visual stress analogue scale and visual pain analogue Scale, respectively. This intervention will be done at two intermittent Hemodialysis sessions. Intervention 3: Interventions 3: In this group, 10 minutes before inserting the needle in fistula, ice will be placed around the fistula. Then the skin will be dried and disinfected and needle inserted in fistula. The intensity of stress and vital signs before injection and the intensity of pain and vital signs after injection will be evaluated and recorded.
public Ziba Ghoreishi
Shahroud university of Medical Sciences and Health Services, Hafte-Tir Square, Shahroud
Shahroud Iran (Islamic Republic of) 3614773955 +98 23 3239 3811 ghoreyshi@shmu.ac.ir Shahroud university of medical sciences scientific Hossin Ebrahimi
Central building ofShahroud University of Medical Sciences,Hafte Tir Square, Shahroud
Shahroud Iran (Islamic Republic of) 3614773955 +98 23 3239 3811 h_ebrahimi43@yahoo.com Shahroud university of medical sciences Iran (Islamic Republic of) Inclusion criteria: age over 18 years; being vigilant to time, place and persons at the time collecting the information; Hemodialysis patients who have at least two session of dialysis at week; patients who have at least three months past of their fistula embedding; absence of damaged skin in the desired positions; no known allergy to local anesthetics; without alcohol and drugs consumption; the minimum level of literacy; no history of mental illness with doctor approval. Exclusion criteria: Analgesic use in the past 24 hours; the patient's unwillingness to continue the study; the patient died. 18 years 80 years Both T82.4 Mechanical complication of vascular dialysis catheter Placebo Treatment - Drugs Other Interventions 1: At first, the patients complete a demographic questionnaire, based on it, the qualified patients will be enrolled in the study. At First week, the intensity of stress before injection and the intensity of pain after injection with putting of placebo will be evaluated and recorded by visual stress analogue scale and visual pain analogue Scale, respectively. Also heart and cardiovascular changes in arterial venous fistula will be measured before and after injection. Interventions 2: After one week, the intervention with Zaylapy cream will be done in which, in all patients, 10 minutes before inserting the needle in fistula, cream with the area of 5 cm2 will be applied to the area. Do not put a cover over the area, then the cream will be cleared and skin will be disinfected for Vncopanccher. Then, the intensity of stress before injection and the intensity of pain after injection with putting of placebo will be evaluated and recorded by visual stress analogue scale and visual pain analogue Scale, respectively. This intervention will be done at two intermittent Hemodialysis sessions. Interventions 3: In this group, 10 minutes before inserting the needle in fistula, ice will be placed around the fistula. Then the skin will be dried and disinfected and needle inserted in fistula. The intensity of stress and vital signs before injection and the intensity of pain and vital signs after injection will be evaluated and recorded. Stress. Timepoint: After every intervention and before the fistula needle. Method of measurement: Stress visual analogue scale. Pain. Timepoint: After every intervention and mmediately after the fistula needle. Method of measurement: Visual analoug scale. Blood pressure. Timepoint: After every intervention and before and after the fistula needle. Method of measurement: Stigno monometer. Pulse. Timepoint: After every intervention before and after the fistula. Method of measurement: Analog clock with seconds. Vice Chancellor for research; Shahroud University of Medical Sciences Approved 2016-04-12 Ethics committee of Shahroud University of Medical Sciences Central building of Shahroud university of medical sciences ,Hafte Tir Square, Shahroud Shahroud Iran (Islamic Republic of)