NCT06862687

Arteriovenous Fistula Pain and Cold Application

The Effect of Cold Application Using Two Different Methods on Arteriovenous Fistula Pain

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 48 (actual)
• Sponsor: Ataturk University · Academic / Other
• Sex: All
• Age: 18 Years – 65 Years
• Healthy volunteers: Not accepted

Summary

TThis study was designed as a single-group comparative prospective intervention study. The aim of the study was to assess the effectiveness of different pain management interventions during AVF cannulation. The effects of pain management methods such as cooling spray, aloe vera gel, and the standard procedure on pain levels, and which intervention was more effective in reducing pain compared to the standard procedure, were investigated. The study included patients over 18 and under 65 years old, undergoing hemodialysis, having an AVF, literate, without an aloe vera allergy, and without communication barriers or psychiatric disorders. The main research questions were defined as follows: Did different pain management methods (cooling spray, aloe vera gel, and standard procedure) affect pain levels during AVF cannulation? Which intervention was more effective in reducing pain levels? The primary hypotheses were defined as The application of cooling spray and aloe vera gel would reduce pain levels more than the standard procedure. The researchers compared pain levels after each intervention to determine which one was more effective. Three different interventions (cooling spray, aloe vera gel, and standard procedure) were applied to participants in sequence, and pain levels were assessed after each intervention using the Visual Analog Scale (VAS). Additionally, feedback from participants regarding each intervention was collected.

Conditions

• Arteriovenous Fistula Pain

Interventions

Type	Name	Description
OTHER	Cooling Spray	A cooling spray containing propan-butane-pentane was applied 25 cm from the cannulation site until mild whitening/frosting appeared. The standard AVF cannulation procedure was performed. Pain levels were measured immediately after the procedure using VAS.
OTHER	Cold Aloe Vera Gel Application	1 ml of cold aloe vera gel was applied to a 5x5 cm area over the fistula site. The standard AVF cannulation procedure was conducted. Pain levels were assessed post-procedure using VAS.
OTHER	Standard Procedure (Control Condition)	No additional pain-relief intervention was applied. The nurse performed the standard AVF cannulation procedure, including hand hygiene, thrill assessment, and site disinfection. Pain levels were assessed immediately after cannulation using the Visual Analog Scale (VAS).

Timeline

• Start date: 2024-05-01
• Primary completion: 2024-07-15
• Completion: 2024-12-01
• First posted: 2025-03-06
• Last updated: 2025-03-11

Locations

1 site across 1 country: Turkey (Türkiye)