The Effectiveness of Local Hot and Cold Applications on Peripheral Intravenous Catheters: A Randomised Control Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- Numeric Rating Scale for pain and anxiety
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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
研究组 & 干预措施
Hot Application
Before 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.
干预措施: Hot application (Other)
Cold Application
Before 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.
干预措施: Cold application (Other)
Standard Practice
The standard practice of the clinic was made. Accordingly, the researcher performed the vein assessment after the participants filled out the questionnaire, and then inserted the 20-G catheter into the inner surface of their forearm without any application. Afterwards, she assessed the pain and anxiety levels of the patients twice before and after the catheter insertion procedure.
结局指标
主要结局
Numeric Rating Scale for pain and anxiety
时间窗: Before 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 Scale
时间窗: Before 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
次要结局
- Numeric Rating Scale for pain and anxiety(During catheter insertion)
- Vein Assessment Scale(Immediately before insertion of the catheter)
研究者
Sevda Korkut
Principal İnvestigator
TC Erciyes University