RecruitingNot ApplicableNCT06520631

Response Of Arteriovenous Fistula Puncture-related Pain To Cryotherapy Application In Haemodialysis Patients


Sponsor

Cairo University

Enrollment

90 participants

Start Date

May 4, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

Kidney disease occurs when kidney reduces its normal function, less than 30% of normal activity is related to a long-term condition. Therefore, people need to participate in a haemodialysis (HD) programme. In HD, blood is filtered by an external machine, done about three times a week and the access is gained through intermittent vascular cannulation. The patients experience considerable pain due to the frequent insertion of AVF catheters. Hemodialysis patients experience anxiety before needle insertion due to repeated punctures, and over 90% of patients experience acute pain during the process. Puncture-related pain during arteriovenous fistula (AVF) cannulation in particular is a crucial influential factor in quality of life. Cryotherapy is one of the interventions used in several studies to alleviate the arteriovenous fistula puncture-related pain. It can be conduct by using ice packs and the results of the previous studies have also shown its positive effects on the relief of the fistula puncture-related pain in these patients.


Eligibility

Min Age: 30 YearsMax Age: 50 Years

Inclusion Criteria3

  • The study includes patients with ages from 30 to 50 years.
  • Patients able to report pain adequately.
  • Patients with end-stage kidney failure undergoing regular hemodialysis who have been treated for more than 3 months, at least twice per week, with arteriovenous fistula in use for more than 1 month are included in the study.

Exclusion Criteria11

  • Patients with conditions such as
  • advanced age,
  • advanced diabetes,
  • cardiovascular insufficiency,
  • cold allergy,
  • Reynaud's phenomenon,
  • nerve and tissue damage,
  • fractures,
  • heart failure,
  • uncooperative patients,
  • cognitive impairment preventing a proper assessment of pain.

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

OTHERIce packs (cryotherapy)

One group of patients receives ice pack applied on the site of the cannulation, for 20 sessions (3 sessions per week) it introduced for 5-10 minutes before the beginning of the dialysis. The second group of patients receives ice pack applied on contralateral to the site of the cannulation, for 20 sessions (3 sessions per week) it introduced for 5-10 minutes before the beginning of the dialysis.


Locations(1)

Cairo university

Cairo, Egypt

View Full Details on ClinicalTrials.gov

For the most up-to-date information, visit the official listing.

Visit

NCT06520631


Related Trials