Evidence map›Paper›PMID 40114094›Full record

Trial reportBMC nephrology2025

Effect of stress ball use on cannulation-related invasive pain in Hemodialysis patients: a randomized controlled, single-blind study.

Betül Tosun, Soner Berşe, Ezgi Dirgar, Nurten Özen

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06237738 (The Effect of Stress Ball Use on Invasive Pain Associated With Cannulation in Hemodialysis Patients), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06237738 nacompletednot on this map

The Effect of Stress Ball Use on Invasive Pain Associated With Cannulation in Hemodialysis Patients: A Randomized, Controlled, Single-Blind Study

TypeinterventionalSponsorHasan Kalyoncu UniversityRan2023 to 2023Enrolled64ConditionsPain, Cannula Site PainArmsStress Ball Use
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Enhancing Patient Outcomes: Stress Ball Use as a Non-Pharmacological Intervention in Port Catheterization.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Betül TosunFaculty of Nursing, Department of Fundamentals of Nursing, Hacettepe University, Ankara, Turkey.ORCID 0000-0002-4505-5887
Soner BerşeFaculty of Health Sciences, Department of Nursing, Gaziantep University, Gaziantep, Turkey. sonerberse@gmail.com.ORCID 0000-0001-9108-3216
Ezgi DirgarFaculty of Health Sciences, Department of Midwifery, Gaziantep University, Gaziantep, Turkey.ORCID 0000-0001-8214-7441
Nurten ÖzenFaculty of Nursing, Istanbul University, Istanbul, Turkey.ORCID 0000-0003-3988-0474

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStress ball usage is one of the non-pharmacological methods that help reduce pain and anxiety by diverting an individual's attention elsewhere. PURPOSE: This study evaluates the impact of stress ball use on pain levels during cannulation in hemodialysis patients.

methodsA single-blind, randomized, controlled design was used. Sixty-four participants were divided into experimental (n = 32) and control groups (n = 32). The experimental group used a stress ball for 3 min before and during cannulation, while the control group received routine care without additional intervention. Pain was assessed using the Visual Analog Scale (VAS) after cannulation across 12 sessions. Statistical significance was set at p < 0.05.

resultsThe median VAS score in the intervention group was significantly lower than in the control group. The intervention group showed a significant decrease in VAS scores over 12 sessions (p < 0.01). Stress ball usage had an increasing effect over time (p = 0.016). Overall, median VAS scores differed significantly between groups (p < 0.01).

conclusionUsing stress balls during cannulation reduces pain intensity in hemodialysis patients, with increased effectiveness over multiple sessions. Nurses can recommend stress balls as a simple and cost-effective pain management method.

trial registrationThis study was retrospectively registered at ClinicalTrials.gov (Registration No: NCT06237738) on 2024-01-12.

Indexed as

CatheterizationPainPain ManagementRenal DialysisAdultAgedFemaleHumansMaleMiddle AgedPain MeasurementSingle-Blind MethodArteriovenous fistulaCannulationHemodialysisPainStress ball

Identifiers

PMID40114094
PMCPMC11924694

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.