Inclusion Criteria:  who are over 18 years old, without any psychiatric diseases, without vision or hearing problems, hospitalized in the internal medicine clinic, with platelet counts of 200 000 / mm³ and above, 8 cc of blood is ordered for lab test and individuals who volunteered to participate in the study  Exclusion Criteria:  having a local or systemic infection, having vascular disease, having an immunopathological problem, scarring, psoriasis, active dermatitis in the phlebotomy site, having peripheral nerve disease, having peripheral neuropathy, patients with coagulation disorder, individuals who don't volunteered to participate in the study