The Effect of Using Simple Psychological Interventions and Cryoanalgesia for Reducing Arterial Puncture Pain and Anxiety in Critically Ill Patients
Overview
- Phase
- Not Applicable
- Intervention
- Cryoanalgesia
- Conditions
- Not specified
- Sponsor
- Damanhour University
- Enrollment
- 120
- Locations
- 2
- Primary Endpoint
- Severity of pain using numerical pain scale
- Status
- Completed
- Last Updated
- 2 months ago
Overview
Brief Summary
This study aims to explore the effect of using simple psychological interventions and cryoanalgesia for reducing arterial punctures pain and anxiety in critically ill patients
Detailed Description
The present study will be carried out in two interventions Patients who received cryoanalgesia: patients subjects underwent arterial puncture. patients in the intervention group had a small plastic bag filled with 12 oz of crushed ice applied to the radial artery puncture site for 3 min (timed with a stopwatch) without external compression or massage. Psychological interventions using verbal signals of the impending procedure, music distraction, visual distraction, and breathing interventions be used during arterial puncture in adults
Investigators
Eligibility Criteria
Inclusion Criteria
- •Adult patients of both genders.
- •Consciousness patient required arterial puncture
Exclusion Criteria
- •Unconsciousness patients Patients with complicated site from arterial puncture
Arms & Interventions
Cryoanalgesia
Patients who received cryoanalgesia: patients subjects underwent arterial puncture. patients in the intervention group had a small plastic bag filled with 12 oz of crushed ice applied to the radial artery puncture site for 3 min (timed with a stopwatch) without external compression or massage.
Intervention: Cryoanalgesia
Psychological instructions
Psychological interventions using verbal signals of the impending procedure, music distraction, visual distraction, and breathing interventions be used during arterial puncture injections in adults
Intervention: Psychological instructions
control group
Patients received routine care
Intervention: Routine care
Mixed group
received both interventions
Intervention: Cryoanalgesia
Mixed group
received both interventions
Intervention: Psychological instructions
Outcomes
Primary Outcomes
Severity of pain using numerical pain scale
Time Frame: Three observations after the end arterial puncture procedure
The patient is asked to rate their pain on a 0-10 scale, where: 0 = No pain 1-3 = Mild pain (nagging, annoying, but doesn't interfere much with daily activities) 4-6 = Moderate pain (noticeable, bothersome, may interfere with concentration or some activities) 7-10 = Severe pain (very intense, disabling, interferes with most activities or rest)
Level of anxiety using the Hamilton Anxiety Rating Scale
Time Frame: Two observations before and after arterial puncture procedure
Hamilton Anxiety Rating Scale consisted of 14 items measuring psychic anxiety (mental agitation) and somatic anxiety (physical complaints) Each item scored from 0 (not present) to 4 (severe) Total score ranges from 0-56, with higher scores indicating more severe