The Effect of Virtual Reality Application on Pain Due to Fistula Puncture in Hemodialysis Patients

Study Overview
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Brief Summary
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The aim of this study is to examine the effect of virtual reality application on fistula puncture-related pain (FPi-A) in hemodialysis patients. Hypotheses of the Research: H0-1: Virtual reality application has an effect on fistula puncture-related pain in HD patients. H1-2: Virtual reality application has no effect on fistula puncture-related pain in HD patients. In the study, virtual reality will be applied in the fistula puncture procedure in patients receiving hemodialysis treatment.

Detailed Description
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Demographic/medical data will initially be recorded prior to fistula puncture. The patient will be prepared for the virtual reality application and fistula puncture and will be given a comfortable sitting position. Virtual reality glasses will be put on the patient 6 minutes before the fistula puncture and the application will be started. The patient will continue to monitor the virtual reality application during the fistula puncture procedure. It will be ensured that no communication with the patient is made until the application is finished. The application will be ended with the fixation of the needle on the fistula after the fistula puncture procedure.

Official Title
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The Effect of Virtual Reality Application on Fistula Puncture Associated Pain in Hemodialysis Patients

Conditions
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Chronic Kidney Diseases

Intervention / Treatment
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* Other: virtual reality application


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: No diagnosis of neuropathic pain No sedatives, analgesics and sedatives are applied 3 hours before the application. Not taking recently taken antipsychotic drugs and tranquilizers, Deaf and visually impaired (to mark VAS pain) Without cognitive and psychiatric diagnosis Open to communication and cooperation Patients who agreed to participate in the study Exclusion Criteria: Kidney transplant Discomfort due to virtual reality glasses Suspected/diagnosed COVID-19 Patients who want to leave the study voluntarily Death Multiple fistula puncture attempts

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention Group<br>virtual reality will be applied in the fistula puncture procedure in patients receiving hemodialysis treatment. | Other: virtual reality application<br>* The patient will continue to monitor the virtual reality application during the fistula puncture procedure.<br>|
| No Intervention: Control Group<br>Routine nursing care and diet compliance narration | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain-VAS Scale | VAS Scale is scored from 1 to 10. As the score increases, the severity of pain increases. | Assessing change of pain scores baseline, after each application for three weeks. Between third and fifth weeks any intervention will not be implemented and pain scale score will measure fifth week. |