Virtual Reality Distraction During Arteriovenous Fistula Puncture

Not Applicable

Completed

• Conditions: Pain Management; Virtual Reality; Hemodialysis
• Interventions: Procedure: virtual reality distraction

• Registration Number: NCT05399199
• Lead Sponsor: Mansoura University

Brief Summary

The cannulation of arteriovenous fistula is a painful procedure in hemodialysis patients. Previous studies have shown the effectiveness of virtual reality in reducing pain during needle-related procedures

Detailed Description

Patients undergoing hemodialysis experience anxiety and pain related to the insertion of hemodialysis needles, estimated 320 times in total per year. The pain experienced is mostly caused by needle insertion into a fistula. Pain control is one of the main nursing tasks. Pain relief leads to the acceptance of the procedure and ultimately enhances the patients' quality of life. The use of virtual reality to reduce pain and anxiety during the arteriovenous fistula cannulation procedure is based on the concept that the perception of pain can be controlled because an individual is able to process only a limited amount of information at once. As such, the use of virtual reality during painful procedures may serve as a distraction.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2022-05-22
• Study First Submitted QC: 2022-05-26
• Study First Posted: 2022-06-01
• Study Start: 2022-06-05
• Status Verified: 2022-10
• Primary Completion: 2022-11-30
• Study Completion: 2023-02-15
• Last Update Submitted: 2023-02-17
• Last Update Posted: 2023-02-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 93

Inclusion Criteria

• patients who are under- going conventional hemodialysis three times a week
• hemodialysis period of one month or more
• having a healthy AVF access with good function
• welling to participate in study

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Exclusion Criteria

• patients who have psychiatric diseases
• panic disorder, anxiety disorder
• dysfunctional fistula
• vertigo, issues with sight, hearing, or perception
• or use painkillers within three hours before hemodialysis

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
study group	virtual reality distraction	-

Primary Outcome Measures

Name	Time	Method
change in patients pain scores	will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction)	visual analogue scale which consists of a vertical line 100 mm long, one end of the line reads "No pain" and at the other is "Unbearable pain
change in patients anxiety scores	will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction)	STAI includes two subscales with 20 items each that assess state and trait anxiety .The State Anxiety Scale requires individuals to describe their feelings at a specific moment under specific circumstances, while the Trait Anxiety Scale requires them to describe the way they feel in general.

Secondary Outcome Measures

Name	Time	Method
change in patients satisfaction score	will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction)	. The patients will be asked to rate procedure satisfaction placing a mark on a 100-mm vertical visual analogue scale
change in patients heart rate	will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction)	checklist will be used to assess heart rate after puncture
change in patients respiratory rate	will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction)	checklist will be used to assess respiratory rate after puncture
change in patients systolic blood pressure	will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction)	checklist will be used to assess systolic blood pressure after puncture
change in patients diastolic blood pressure	will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction)	checklist will be used to assess diastolic blood pressure after puncture
change in patients Oxygen saturation (SpO2)	will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction)	checklist will be used to assess Oxygen saturation after puncture

Trial Locations

Locations (1)

Faculty of Nursing Mansoura University; 🇪🇬 Mansoura, Egypt