About this trial
1. Assess pain and anxiety levels in hemodialysis patients during arteriovenous fistula needle insertion. 2. Determine the effect of the distraction technique using virtual reality on pain and anxiety levels during arteriovenous fistula needle insertion in hemodialysis patients. 3. Find out the differences in the level of pain and anxiety after using virtual reality with regard to the demographic and clinical data of the sample.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult patients with End-Stage Renal Disease (ESRD) on hemodialysis.
Patients using a functioning arteriovenous fistula (AVF).
Conscious, oriented, and able to communicate.
Normal or corrected vision and hearing suitable for VR use.
Disqualifiers
History of motion sickness, seizures, or epilepsy.
Use of Central Venous Catheter (CVC) or Arteriovenous Graft (AVG).
Use of analgesics or sedatives within 4 hours before the procedure.
Facial wounds or eye infections preventing VR use.
Trial design
Parallel
Treatments tested in this trial
Virtual Reality
DeviceThe intervention involves using VR glasses to provide audiovisual distraction. Participants will watch a 360-degree underwater video with calming music. The VR session starts 2 minutes before the procedure and continues for 3 minutes during the insertion
standard of care
Other interventionRoutine nursing care for AVF insertion, including skin disinfection and needle insertion according to the hospital's standard protocols, without any additional distraction techniques.
Treatment groups
Trial outcomes
Primary outcomes
pain intensity
Pain intensity will be assessed using the Visual Analog Scale (VAS). This scale consists of a 10-cm horizontal line where 0 represents "no pain" and 10 represents "worst possible pain." Participants will mark their perceived pain level on the line immediately after the needle insertion and removal of the VR glasses.
Anxiety Level
The anxiety level will be assessed using the Visual Analog Scale (VAS) for Anxiety. This scale consists of a 10-cm horizontal line, where 0 indicates "no anxiety" and 10 indicates "worst possible anxiety." Participants will be asked to place a mark on the line corresponding to their perceived anxiety level immediately after the needle insertion and removal of the VR glasses.
Sponsors and contacts
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Karbala University
Lead sponsor
Ministry of Health, Iraq
Sponsor institution
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