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IRCT20241103063578N1 IRCT 2024-11-23 College of Nursing, University of Baghdad Rhythmic Breathing Integrated with Hugo Point Acupressure V.S. Vapocoolant Spray on Pain Intensity During Needle Insertion into Arteriovenous Fistula in Hemodialysis Patients Rhythmic Breathing Integrated with Hugo Point Acupressure V.S. Vapocoolant Spray on Pain Intensity During Needle Insertion into Arteriovenous Fistula in Hemodialysis Patients:A Randomized Controlled Trial 2024-12-01 anticipated 120 Complete https://irct.ir/trial/80153 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: The sampling methodology encompasses a dual-phase procedure designed to procure representative constituents of the target population, specifically male patients undergoing hemodialysis who are subjected to needle insertion into arteriovenous fistulas. In the initial phase, researcher will disseminate two distinct categories of cards: one denoting the patient's eligibility for participation in the study (orange), and the other signifying ineligibility (gray). Patients who are in possession of the eligible card will subsequently select from one of five colored cards , each representing a different study condition: White = Control group Yellow = Rhythmic breathing only Green = Hugo point acupressure only Blue = Vapocoolant spray only red = Rhythmic breathing integrated with Hugo point acupressure. N/A Hemodialysis. Intervention 1: Intervention group: Rhythmic Breathing: Participants will practice deep breathing for 2 minutes before needle insertion, inhaling, holding, and exhaling for 3 seconds each. The exercise continues during needle insertion.Hugo Point Acupressure: The non-inserted hand will receive circular massage on the Hugo point for 2 minutes before and during needle insertion, with pressure applied for 10 seconds followed by 2 seconds of rest.Rhythmic Breathing + Hugo Point Acupressure: Participants will combine both interventions, engaging in rhythmic breathing while receiving Hugo point acupressure for 2 minutes before and during needle insertion.Vapocoolant Spray: The spray will be applied to the skin for 3-4 seconds, followed by a 10-second evaporation period before needle insertion.Pain intensity will be evaluated immediately after needle insertion in all interventions. Intervention 2: Control group: Control For the control group, no interventions will be done, and the pain will assess immediately after needle insertion in arteriovenus fistula. Yes - There is a plan to make this available What will be shared: The researcher is acknowledging the scientific community to have verifiable findings of the study. sharing plan includes making all the related data available through publishing the study report in peer-reviewed reputable journals. When: God willing, once finishing the process of data collection, analysis and successfully publishing the manuscript, all the related files will become available for 6 months after publications To whom: All the related files will be shared with any scientific interested parties. Conditions: It may be used after seeking the author's permission and acknowledging his contribution. Where to obtain: The author's professional e-mail that will be available with the published manuscript can be used to contact the author. e-Mail: Hasan.band2302m@conursing.uobaghdad.edu.iq How to obtain: N/A Comments: Profound appreciations are due to the IRCT members for their genuine efforts in helping researchers fulfilling their academic endeavors.
public Hassan Raysan Mohammad
Souq Al-Shuyukh
Al-Nasiriyah Iraq 64016 +964 1 521 1494 Hasan.band2302m@conursing.uobaghdad.edu.iq University of Baghdad, College of Nursing scientific Hassan Raysan Mohammad
Souq Al-Shuyukh
Al-Nasiriyah Iraq 64016 +964 1 521 1494 Hasan.band2302m@conursing.uobaghdad.edu.iq University of Baghdad, College of Nursing Iraq Iraq Iraq Iraq The participants must be male individuals who are receiving regular hemodialysis treatment Alertness The individuals participating in this study are required to be a minimum of 18 years old or older Ability to speak The participants are required to possess an arteriovenous fistula that serves as the access point for dialysis. Participants who do not take analgesics Not having diabetes for over 10 years 18 years no limit Male Patients who are experiencing severe pain or discomfort that is not associated with the needle insertion procedure are to be excluded Patients who have documented allergies or hypersensitivity reactions to vapocoolant spray Patients who have undergone recent surgical procedures or have experienced trauma in proximity to the arteriovenous fistula are disqualified Patients exhibiting cognitive impairment or mental health disorders that may hinder their ability to comprehend instructions or provide informed consent Patients presenting with active infections or complications at the site of the arteriovenous fistula Inflammation or injury at the Hugo point . R52 Pain, unspecified Other Other Intervention group: Rhythmic Breathing: Participants will practice deep breathing for 2 minutes before needle insertion, inhaling, holding, and exhaling for 3 seconds each. The exercise continues during needle insertion.Hugo Point Acupressure: The non-inserted hand will receive circular massage on the Hugo point for 2 minutes before and during needle insertion, with pressure applied for 10 seconds followed by 2 seconds of rest.Rhythmic Breathing + Hugo Point Acupressure: Participants will combine both interventions, engaging in rhythmic breathing while receiving Hugo point acupressure for 2 minutes before and during needle insertion.Vapocoolant Spray: The spray will be applied to the skin for 3-4 seconds, followed by a 10-second evaporation period before needle insertion.Pain intensity will be evaluated immediately after needle insertion in all interventions. Control group: Control For the control group, no interventions will be done, and the pain will assess immediately after needle insertion in arteriovenus fistula Primary outcome variable is the level of pain, which can be altered based on the Hugo point acupressure, Rhythmic breathing, and vapocoolant spray. Timepoint: Two minute before needle insertion and during insertion. Method of measurement: Visual analog scale (VAS) will be use to assess intensity of pain. The author of the trial is the funding source Approved 2024-10-28 Ethics committee in college of nursing at University of Baghdad Bab-ALMuadham Baghdad Baghdad Iraq