Effects of Dıfferent Tournıques and Posıtıons on Paın, Anxıety Levels and Applıcatıon Success in Perıpheral Intravenous Catheter Applıcatıon: a Randomızed Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 110
- 试验地点
- 1
- 主要终点
- Visual Infusion Phlebitis Diagnostic Scale
研究概览
简要总结
Aim:
The aim of this study was to investigate the effect of different tourniquet and position on pain, anxiety level and success of peripheral intravenous catheter (PIC) application.
Design:
Randomized controlled experimental design.
详细描述
Aim:
The aim of this study was to investigate the effect of different tourniquet and position on pain, anxiety level and success of peripheral intravenous catheter (PIC) application.
Primary purpose:investigate the effect of different tourniquet and position on pain, Secondary purpose:investigate the effect of different tourniquet and position on anxiety level and success of peripheral intravenous catheter (PIC) application.
Design:
Randomized controlled experimental design.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Weeks 至 64 Weeks（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Volunteering to participate in the research
- •Be between the ages of 18-64,
- •The planned length of hospitalization is not less than 96 hours.
排除标准
- •In the patient
- •Coagulation, hematologic and hydration problems
- •Oncological, allergic diseases, any incision or scar tissue in the antecubital area, presence of complications due to a previously opened catheter, presence of pain, hematoma, ecchymosis in the application area, or presence of any other injection in the antecubital area on treatment days,
- •The presence of an obstacle (such as mastectomy) in the arm to be treated.
- •Expulsion criteria from the study:
- •Dislodgement of the peripheral intravenous catheter for any reason.
- •Failure of peripheral intravenous catheter placement more than twice.
- •Discharge of the patient from the hospital.
研究组 & 干预措施
Experimental Group 1
standard tourniquet in the supine position
干预措施: Control (Other)
Experimental Group 2
sphygmomanometer at 60 mmHg pressure in the fawler position
干预措施: Control (Other)
Experimental Group 3
sphygmomanometer at 60 mmHg pressure in the supine position
干预措施: Control (Other)
结局指标
主要结局
Visual Infusion Phlebitis Diagnostic Scale
时间窗: 3 month
This scale developed by Schultze and Gallant (2006) was published by the Infusion Nurses Society (2006) and is a widely used scale in the clinical evaluation of infusion phlebitis. Phlebitis assessment was evaluated by the investigator using the VIFFS once every eight hours until the PIC was removed and recorded on the patient follow-up form.
Infiltration Scale (IS)
时间窗: 3 month
Infiltration Scale (IS): This scale was published by the Intravenous Nurses Association (2006) and its psychometric properties were evaluated by Groll et al. Infiltration assessment was evaluated by the investigator using the IS once every eight hours until the PIC was removed and recorded on the patient follow-up form
Visual Pain Scale (VAS):
时间窗: 3 month
Visual Pain Scale (VAS): This scale was developed by Hayes and Patterson in 1921 and is used to assess pain intensity. Pain intensity is measured using a 10 cm visual scale; mean pain scores ranging from 0 to 10 are given. zero indicates the absence of pain, ten indicates the presence of severe pain. A VAS value of one to four indicates mild pain, five to six indicates moderate pain, and seven to ten indicates severe pain. The researcher asked the patient to indicate the severity of pain according to VAS before and after PIC placement and recorded the value on the patient follow-up form.
Facial Anxiety Scale (FAS)
时间窗: 3 month
Facial Anxiety Scale (FAS): The Turkish validity and reliability of the scale developed by McKinley, Coote, and Stein-Parbury (2003) was performed by İyigün, Pazar, and Taştan (2016). The Face Anxiety Scale is 11 × 42 cm in size. It consists of five different facial expressions, the leftmost facial expression indicates the absence of anxiety, while the level of anxiety increases from left to right. The FAS is scored from zero to five from left to right, respectively. A score of three on this scale indicates moderate anxiety, while a score of four and above indicates high anxiety. In this scale, the patient evaluates his/her own anxiety (McKinley 2004). The researcher showed the scale to the patient before and after PIC placement and asked the patient to evaluate which facial expression corresponded to his/her anxiety level and recorded the result on the patient follow-up form.Application of research
次要结局
未报告次要终点
研究者
Şerife Kelle Dikbaş
MSC
Istanbul University - Cerrahpasa