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Comparison of the effects of ice massage and Valsalva maneuver on pai

Not Applicable
Conditions
Hemodialysis patient.
End stage kidney disease
Registration Number
IRCT2015081423615N1
Lead Sponsor
Vice Chancellor for Reaserch of Islamic Azad University Isfahan
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
70
Inclusion Criteria

patients in the study are hemodialysis; dialysis performed from arteriovenous fistula; be willing to participate in the study; older than 18 years; fully conscious and able to answer their questions; verbal and visual communication can be achieved; no sever pain in the body area before inserting the needle into the fistula ; history of drug abuse not mentioned; during the 6 hours before hemodialysis is not used analgesics or sedatives;avf cannulation is possible to one try of cannulation; history of diseases such as Alzheimer's, dementia, peripheral vascular disease, diabetic neuropathy disorders not mentioned; heart disease, glaucoma, increased pressure in the brain, the eyes do not have a recent surgery ; have not inflammation and damage, redness, pain and bruise on the skin av fistula; does not mention sensitivity to ice massage;be able to perform the Valsalva maneuver and keeping the mercury column manometer to the pressure of 20 mmHg for 20 seconds .
Exclusion criteria:the patient's unwillingness to continue participating in the study;
Death and absence in the second session to continue treatment; the lack of proper venipuncture every effort in the second session of hemodialysis; the use of a sedative before the start of the second session of hemodialysis;inability to perform the Valsalva maneuver correctly.

Exclusion Criteria

Not provided

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Objective pain. Timepoint: Before and immediately after the intervention. Method of measurement: Abbey pain scale.;Subjective pain. Timepoint: Before and immediately after the intervention. Method of measurement: Numerical Rating Scale 0-10.
Secondary Outcome Measures
NameTimeMethod
Bloold pressure and pulse rate. Timepoint: 10 minute prior of cannulation and 5 minute after the cannulation. Method of measurement: Heart and blood pressure monitoring device.
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