Effect of Virtual Reality Glasses in The Arteriovenous Fistule Cannulation Processon Paın and Patient Satisfaction
Arteriovenous Fistula
About this trial
This is an interventional supportive care trial for Arteriovenous Fistula focused on measuring Virtual Reality Glasses, Nursing, Pain, Patient Satisfaction
Eligibility Criteria
Inclusion Criteria:
- Receiving HD treatment
- Open to communication
- Fully oriented
- Without vision, hearing and perception problems
- Without any psychiatric illness
- Without a history of seizures such as epilepsy
- HD treatment administered via AVF
- İn the last day, no injection was made into any artery or vein from the place where the intervention will be performed
- Without any signs of infection such as redness, swelling, open wound in the area where the intervention will be performed
- Standardized Mini Mental Test value is 24 points and above
- One-time needle attempt from AV
Exclusion Criteria:
- Refusing to participate in the study
- under the age of 18
- Can't speak Turkish
- Closed to communication and not fully oriented
- Visual, hearing and perception problems
- Any psychiatric illness
- Having a history of seizures such as epilepsy
- HD treatment not administered via AVF
- Injection into any artery or vein from the place where the intervention will be performed in the last day,
- Any signs of infection such as redness, swelling, open wound in the area to be operated
- Using any pain medication before the procedure on the same day
- SMMT value below 24 in patients over 65 years of age
- Cannulation procedure not performed with a 16 G AVF needle
- Patients with multiple injections from the AVF
Sites / Locations
- Mersin University
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Virtual Reality Glasses Group
Control group
The patients in the intervention group were shown a video with virtual reality glasses for an average of 5 minutes, 2 minutes before the start of the AVF cannulation procedure and 3 minutes throughout the procedure. After the AVF cannulation procedure was completed and 10 minutes later, the VAS and Hemodynamic Variables Follow-up Form were reapplied, and the 2nd and 3rd measurements were obtained. Patients' satisfaction was measured with VAS 10 minutes after the procedure. During the application of virtual reality glasses, a screen was pulled between the patients in the intervention and control groups so that there would be no interaction.
Without any application to the patients in the control group, the AVF cannulation procedure before HD was performed with the constant site-area puncture technique used by the clinic (after the patient was placed in the fowler position, the arterial needle was 3 cm away from the anastomosis at an angle of 20°-45° towards the distal, and the venous needle was from the arterial needle. 3-5 cm more proximal, again at an angle of 20°-45°) was performed by the HD nurse. The 1st, 2nd and 3rd measurements were obtained as in the intervention group.