Breathing Exercises for Pain and Anxiety During Arteriovenous Fistula Cannulation (NCT07427875) | Clinical Trial Compass
CompletedNot Applicable
Breathing Exercises for Pain and Anxiety During Arteriovenous Fistula Cannulation
Turkey (Türkiye)90 participantsStarted 2026-02-10
Plain-language summary
This study aims to evaluate the effects of guided 4-7-8 and diaphragmatic breathing exercises performed during arteriovenous fistula cannulation on pain, anxiety, and comfort levels in patients undergoing hemodialysis treatment. Hemodialysis patients often experience pain and anxiety during fistula cannulation, which can negatively affect the treatment process and patient comfort.
The study will be conducted as a three-arm randomized controlled trial. Participants will be randomly assigned to the 4-7-8 breathing exercise group, the diaphragmatic breathing exercise group, or the control group receiving usual care. In the intervention groups, breathing exercises will be performed with guidance before and during cannulation.
The study anticipates that breathing exercises will reduce pain and anxiety, increase comfort levels, and contribute as an easily applicable, side-effect-free method to nursing care. The findings are expected to support the use of non-pharmacological interventions in hemodialysis patients.
Who can participate
Age range
18 Years – 80 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion criteria
* Be 18 years of age or older
* Have been receiving regular hemodialysis treatment for at least 6 months
* Undergo hemodialysis via an AV fistula
* Have the physical and cognitive ability to perform breathing exercises during cannulation
* Have a cognitive level sufficient to communicate
* Volunteer to participate in the study and sign the written informed consent form Exclusion criteria
* Those with pain level 4 or higher
* Those using painkillers and antidepressants
* Those with a history of acute complications
* Patients using a vascular access route other than an AV fistula
* Those with severe cognitive impairment or a neurological disease that impairs communication
* Those with severe cardiopulmonary disease that may contraindicate breathing exercises Patients with an infection requiring contact isolation
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Anxiety level during arteriovenous fistula cannulation
Timeframe: During arteriovenous fistula cannulation