Music-Assisted Acupressure for Pain During AVF Cannulation in Hemodialysis Patients (NCT07657923) | Clinical Trial Compass
CompletedNot Applicable
Music-Assisted Acupressure for Pain During AVF Cannulation in Hemodialysis Patients
Turkey (Türkiye)72 participantsStarted 2024-02-01
Plain-language summary
This randomized controlled trial was conducted to evaluate the effect of music-assisted acupressure on pain experienced during arteriovenous fistula (AVF) cannulation in hemodialysis patients. The study was carried out with 72 patients receiving hemodialysis treatment three times per week via AVF in a state hospital in Gaziantep, Türkiye.
Participants were randomly assigned to one of four groups: music-assisted acupressure, acupressure alone, music alone, and control group (routine care). The acupressure intervention was applied to the Hegu (LI4) point for approximately 3 minutes prior to needle insertion, while the music intervention consisted of listening to instrumental Classical Turkish Music in the Acemaşiran mode through headphones starting 5 minutes before cannulation and continuing until the end of the procedure.
Pain intensity during AVF cannulation was measured using the Visual Analog Scale (VAS) during three consecutive dialysis sessions. The primary outcome was pain severity during needle insertion. The study aimed to determine whether combining music therapy and acupressure would provide greater pain relief compared to single interventions or routine care.
Findings suggest that music-assisted acupressure may be an effective non-pharmacological nursing intervention for reducing procedural pain in hemodialysis patients.
Who can participate
Age range
18 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:
* Age ≥ 18 years
* Receiving hemodialysis treatment three times per week
* Presence of an arteriovenous fistula (AVF) for vascular access
* Ability to communicate in Turkish
* No use of analgesic medication prior to AVF cannulation
* No pain or pathology in the upper extremities that could affect intervention application or pain assessment
* Willingness to participate in the study and provide informed consent
Exclusion Criteria:
* Diagnosis of neuropathy
* History of upper extremity surgery or soft tissue injury
* Presence of bleeding disorders or coagulation disorders
* Diagnosis of heart failure
* Presence of a pacemaker
* Inability to comply with study procedures or complete data collection
* Any condition that could interfere with pain perception or the application of acupressure or music intervention
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.
1This trial studied whether music-assisted acupressure could reduce pain during the needle insertion into the arteriovenous fistula — is that type of pain something I experience or am likely to experience with my dialysis, and would it be worth asking about the results of this study?
2Since this trial has already been completed, has my care team seen the findings, and do they think music or acupressure techniques could realistically be added to my dialysis sessions based on what was learned?
3The trial measured pain using something called a VAS score — can you explain what that scale means, and how significant a reduction in pain would need to be for it to actually make a difference in my comfort during cannulation?
4Are there any risks or downsides to trying acupressure during AVF cannulation that I should know about before asking for it, even if the trial results look promising?
5If this non-drug approach shows benefit, could it replace or reduce any pain medications I currently take around my dialysis sessions, and is that a conversation worth having with my team?
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
Pain Intensity During AVF Cannulation (VAS Score)
Timeframe: During each hemodialysis session over 3 consecutive sessions (March-November 2024)