Breathing Exercise and Invasive Pain at Hemodialysis Patients
Pain, Arteriovenous Fistula, Breathing Exercise
About this trial
This is an interventional prevention trial for Pain
Eligibility Criteria
Inclusion Criteria:
- 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
Exclusion Criteria:
- 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
Sites / Locations
- Demiroglu Bilim University
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Breathing Exercise Group
Control Group
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.
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.