Breathing Exercise and Invasive Pain at Hemodialysis Patients

NCT05252377 | Completed

• 1 other identifier: 2021-20-02
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Non-pharmacological approaches applied in the prevention of invasive pain due to cannulation in patients treated with arteriovenous fistula and hemodialysis; It is also a cost-effective method that prevents the patient from feeling pain from the application. Breathing exercises are a method that can be easily applied before the cannulation procedure. Although it is seen that there are limited number of studies on the subject in the literature, it was observed that the duration of breathing exercise application was short (two weeks) in one study and the duration was not specified in the other.

Conditions

Pain; Arteriovenous Fistula; Breathing Exercise

Outcome Measures

Primary Outcomes (1)

• Change From Baseline Invasive Pain at 12 Dialysis Session

  It will be assessed total 12 times at the end of the dialysis session with Visual Analogue. Pain intensity measured on a Visual Analog Scale with scores ranging from 0 - 10. Pain increases as the score increases. The high point describes bad outcome.

  At the end of the every dialysis session during one month (3 hemodialysis sessions are done every week)]

Study Arms (2)

Breathing Exercise Group

EXPERIMENTAL

Breathing exercise program; It was prepared by the researchers in accordance with the literature and based on the studies in which breathing exercise was applied to reduce invasive pain experienced during cannulation, blood collection and postoperative pain. Patients will be given an exercise based on rhythmic breathing. The exercise will be started before the cannulation application, the patient will be told to perform the breathing exercise twice, and he will be asked to continue doing the breathing exercise until the cannulation process is completed. The patient will wait by taking five normal breaths between each breathing exercise. The patient will be told that he can count by using his fingers in the steps he is asked to count up to three.

Other: Breathing Exercise

Control Group

NO INTERVENTION

No intervention will be made by the researcher on the patients in this group, and a pain assessment will be made by the nurse in charge of dialysis immediately after the cannulation procedure by the dialysis nurse working in the unit.

Interventions

Breathing Exercise OTHER

1. The patient will be asked to close their eyes 2. He will be asked to relax his head and neck in a semi-sitting position in bed 3. The patient will be asked to breathe through the nose for 3 seconds by counting 4. Then he will be told to hold his breath for 3 seconds 5. As the last step, he will be asked to breathe out again in 3 seconds.

Breathing Exercise Group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Hemodialysis treatment with arteriovenous for at least 3 months
• Hemodialysis treatment is applied for 3 days and 4 hours a week.
• Between the ages of 18-65
• Pain score ≥ 2 as assessed by Visual Analogue Scale during cannulation of the arteriovenous fistula
• Absence of advanced heart failure, asthma and chronic obstructive pulmonary disease
• Able to communicate in Turkish
• Not having any psychiatric disorder that prevents communication
• Agreeing to participate in the research

You may not qualify if:

• Inability to do breathing exercises properly
• Presence of infection, edema and scar tissue in the area where the arteriovenous fistula is located
• Using pain medication before hemodialysis treatment
• Two or more cannulation attempts for arteriovenous fistula in the same session
• Presence of neuropathy and peripheral vascular disease
• Pregnancy
• Withdrawal from the study at any stage of the research

Sponsors & Collaborators

• Istanbul Demiroglu Bilim University: lead

Study Sites (1)

Demiroglu Bilim University

Istanbul, 34384, Turkey (Türkiye)

Location

Related Publications (3)

• Alzaatreh MY, Abdalrahim MS. Management Strategies for Pain Associated with Arteriovenous Fistula Cannulation: An Integrative Literature Review. Hemodial Int. 2020 Jan;24(1):3-11. doi: 10.1111/hdi.12803. Epub 2019 Dec 3.

  PMID: 31797508 BACKGROUND

• Aitken E, McLellan A, Glen J, Serpell M, Mactier R, Clancy M. Pain resulting from arteriovenous fistulae: prevalence and impact. Clin Nephrol. 2013 Nov;80(5):328-33. doi: 10.5414/CN107917.

  PMID: 23743153 BACKGROUND

• Crespo Montero R, Rivero Arellano F, Contreras Abad MD, Martinez Gomez A, Fuentes Galan MI. Pain degree and skin damage during arterio-venous fistula puncture. EDTNA ERCA J. 2004 Oct-Dec;30(4):208-12. doi: 10.1111/j.1755-6686.2004.tb00369.x.

  PMID: 15835412 BACKGROUND

MeSH Terms

Conditions

Pain; Arteriovenous Fistula

Interventions

Breathing Exercises

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Arteriovenous Malformations; Vascular Malformations; Cardiovascular Abnormalities; Cardiovascular Diseases; Vascular Fistula; Vascular Diseases; Congenital Abnormalities; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Fistula; Pathological Conditions, Anatomical

Intervention Hierarchy (Ancestors)

Mind-Body Therapies; Complementary Therapies; Therapeutics; Exercise Movement Techniques; Physical Therapy Modalities

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: February 14, 2022
• First Posted: February 23, 2022
• Study Start: January 5, 2022
• Primary Completion: April 1, 2022
• Study Completion: May 1, 2022
• Last Updated: September 9, 2022

Record last verified: 2022-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)