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IRCT20160110025929N37 IRCT 2021-11-15 Hamedan University of Medical Sciences Comparison of rope ladder and regional cannulation methods on severity and fear of pain Comparison of rope ladder and regional cannulation methods on severity and fear of pain of patients undergoing hemodialysis 2021-11-22 anticipated 70 Complete https://irct.ir/trial/59604 interventional Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research. N/A chronic kidney disease. Intervention 1: Intervention group A: In this group(rope ladder),using a 16G needle at an angle of 20 to 45 degrees, at least 5 cm away from the anastomosis area and insert the arterial needle and insert the venous needle (16G) at a distance of at least 5 cm from the arterial needle into the appropriate vein. Immediately after cannulation, the pain intensity is measured and in the second hemodialysis session, using a ruler, 0.5 to 1 cm away from both the arterial needle and the venous needle using the ruler in the first session, and the cannulation is performed as before. The same process will be repeated in the third session. And in the second week of cannulation, the fourth session returns to the needle position of the first session, and also the fifth session to the second needle position and the sixth session to the third needle position until the cannulation is done six times. Intervention 2: Intervention group B: In this group(regional) Using a 16G needle with an angle of 20 to 45 degrees with a distance of at least 5 cm from the arterial needle anastomosis and a venous needle (16 G), a distance of five to eight cm is placed from the arterial needle and immediately after cannulation by providing The ruler is measured to the patient, which is scaled from zero to ten, the severity of the pain is measured and then the arterial and venous needle is fixed near the site of the first cannula in the fistula area. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Paria.moradi810@gmail.com
public Seyed Reza Borzou
Hamadan University of Medical Sciences, Shahid Fahmideh Street
Hamadan Iran (Islamic Republic of) 38698-65178 +98 81 3838 0535 borzou@umsha.ac.ir Hamedan University of Medical Sciences scientific Seyed Reza Borzou
Hamadan University of Medical Sciences, Shahid Fahmideh Street
Hamadan Iran (Islamic Republic of) 38698-65178 +98 81 3838 0535 borzou@umsha.ac.ir Hamedan University of Medical Sciences Iran (Islamic Republic of) Having a venous arterial fistula suitable for regional cannulation and rope ladder Age between 18 and 65 years Have a history of at least 3 months of fistula hemodialysis 18 years 65 years Both Reluctance of the patient to continue attending the study Kidney transplantation I13.2 Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease N/A N/A Intervention group A: In this group(rope ladder),using a 16G needle at an angle of 20 to 45 degrees, at least 5 cm away from the anastomosis area and insert the arterial needle and insert the venous needle (16G) at a distance of at least 5 cm from the arterial needle into the appropriate vein. Immediately after cannulation, the pain intensity is measured and in the second hemodialysis session, using a ruler, 0.5 to 1 cm away from both the arterial needle and the venous needle using the ruler in the first session, and the cannulation is performed as before. The same process will be repeated in the third session. And in the second week of cannulation, the fourth session returns to the needle position of the first session, and also the fifth session to the second needle position and the sixth session to the third needle position until the cannulation is done six times. Intervention group B: In this group(regional) Using a 16G needle with an angle of 20 to 45 degrees with a distance of at least 5 cm from the arterial needle anastomosis and a venous needle (16 G), a distance of five to eight cm is placed from the arterial needle and immediately after cannulation by providing The ruler is measured to the patient, which is scaled from zero to ten, the severity of the pain is measured and then the arterial and venous needle is fixed near the site of the first cannula in the fistula area. Intensity of pain. Timepoint: Immediately after the intervention. Method of measurement: Visual analog scale. Deputy of research and technology Approved 2021-09-25 Ethics Committee of Hamadan University of Medical Sciences Hamadan University of Medical Sciences, Shahid Fahmideh Street Hamadan Hamadan Iran (Islamic Republic of)