Training of Arms to Reduce Pain With Peripheral Venous Catheter

Study Overview
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Brief Summary
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Female patients undergoing chemotherapy for breast cancer often experience pain and discomfort when a peripheral venous catheter is inserted. This randomized, controlled trial investigates whether there is a difference in the degree of pain during PVC insertion in patients who exercise their arms, and whether exercise improves vein status. Participation involves: Everyone must have had their peripheral venous catheter (PVC) inserted at least five times in the DROP-IN, which is an outpatient clinic staffed by anesthesia nurses who are specialists in applying PVCs. Everyone will three times be asked to answer some questions in the DROP-IN, have their grip strength measured in both hands, and have the course of the veins in their arms clarified. The training group must do arm training exercises daily for at least eight weeks (training equipment is provided) Ten participants will at the end of the project period be invited to participate in a telephone interview about experiences of vein status during a cancer treatment course.

Official Title
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Can Training of the Armsy Reduce Pain When Inserting a Peripheral Venous Catheter, and How is it Experienced That There Can be Challenges With Vein Status for Patients in Cytostatic Treatment?

Conditions
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Pain, Cancer, Veins

Intervention / Treatment
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* Other: Arm training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Planned neoadjuvant or adjuvant chemotherapy via intravenous peripheral venous cannula placed under ultrasound guidance PVC insertion is performed in the DROP-IN outpatient clinic, Department of Anesthesiology, Vejle Hospital, at least four times The patient has provided written and orally informed consent The patient must be cognitively well preserved and able to understand information Exclusion Criteria: Patients who cannot read and understand Danish Patients <18 years

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: One group is randomly assigned to an 8-week daily arm training program. The other group receives normal care
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Training group<br> | Other: Arm training<br>* Daily arm training program<br>|
| No Intervention: Normal care<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Level of pain as measure by the Numeric Rating Scale (score 1-10 where a low value defines low level of pain) | Pain level after insertion of periphral venous catheter and at general activity measured with Numeric Rating Scale | Measured at baseline | 
| Level of pain as measure by the Numeric Rating Scale (score 1-10 where a low value defines low level of pain) | Pain level after insertion of periphral venous catheter and at general activity measured with Numeric Rating Scale | Measured after five weeks of training/control | 
| Level of pain as measure by the Numeric Rating Scale (score 1-10 where a low value defines low level of pain) | Pain level after insertion of periphral venous catheter and at general activity measured with Numeric Rating Scale | Measured after eight weeks of training/control | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Vein status | Number of useable veins (assessed via ultrasound) | Measured at baseline | 
| Vein status | Number of useable veins (assessed via ultrasound) | Measured after five weeks of training/controll | 
| Vein status | Number of useable veins (assessed via ultrasound) | Measured after eight weeks of training/control |