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Hot and Cold Applications on PVC Insertion

Not Applicable
Completed
Conditions
Peripheral Venous Catheterization
Interventions
Other: Hot application
Other: Cold application
Registration Number
NCT04177745
Lead Sponsor
TC Erciyes University
Brief Summary

Background: This study was conducted to examine the effect of local hot and cold applications on pain, anxiety level, length of application, and vein evaluation prior to inserting PVC.

Methods: This randomised controlled trial was conducted with patients who were hospitalised in the cardiology department of a university hospital. PVC was inserted, the researcher applied a hot or cold application to the catheter insertion site for one minute.

Detailed Description

Background: This study was conducted to examine the effect of local hot and cold applications on pain, anxiety level, length of application, and vein evaluation prior to inserting PVC.

Methods: This randomised controlled trial was conducted with patients who were hospitalised in the cardiology department of a university hospital. The sample was comprised of 90 individuals, including 30 in the cold application group, 30 in the hot application group, and 30 in the control group receiving treatment in the Cardiology Clinic between November and December 2018.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
90
Inclusion Criteria
  • being able to speak and understand Turkish,
  • being over 18 years of age,
  • having unimpaired sense of time or place orientation,
  • having no psychiatric disorders,
  • having no visual or hearing problem,
  • having indication of IV catheter application,
  • having no administration of analgesic or anaesthetic agents prior to IV catheter insertion,
  • having catheter inserted in one attempt,
  • having no allergy to hot and cold applications,
  • being voluntary to participate in the study.
Exclusion Criteria
  • infection
  • previous history of surgery,
  • scarring in the catheter insertion site,
  • psoriasis in the catheter insertion site,
  • active dermatitis in the catheter insertion site,
  • peripheral nerve disease,
  • diabetes,
  • peripheral neuropathy in the catheter insertion site

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Hot ApplicationHot applicationBefore PVC was inserted, the researcher applied a hot application to the catheter insertion site (inner surface of the forearm) using a hot pack for one minute. Then, the researcher made the second vein assessment and inserted a 20-G peripheral catheter into the inner surface of the forearm.
Cold ApplicationCold applicationBefore PVC was inserted, the researcher applied a cold application to the catheter insertion site (inner surface of the forearm) using a cold pack for one minute. Then, the researcher made the second vein assessment and inserted a 20-G peripheral catheter into the inner surface of the forearm.
Primary Outcome Measures
NameTimeMethod
Numeric Rating Scale for pain and anxietyBefore catheter insertion

The number "0" on the scale means that they do not feel any pain / anxiety and the number "10" refers to the worst pain and the highest level of anxiety.

Vein Assessment ScaleBefore hot/cold application

There are 5 assessment steps: (1) veins are neither visible nor palpable, (2) veins are visible but not palpable, (3) veins are barely visible and palpable, (4) veins are visible and palpable, and (5) veins are clearly visible and easily palpable

Secondary Outcome Measures
NameTimeMethod
Numeric Rating Scale for pain and anxietyDuring catheter insertion

The number "0" on the scale means that they do not feel any pain / anxiety and the number "10" refers to the worst pain and the highest level of anxiety.

Vein Assessment ScaleImmediately before insertion of the catheter

There are 5 assessment steps: (1) veins are neither visible nor palpable, (2) veins are visible but not palpable, (3) veins are barely visible and palpable, (4) veins are visible and palpable, and (5) veins are clearly visible and easily palpable

Trial Locations

Locations (1)

Erciyes University

🇹🇷

Kayseri, Turkey

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