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The effect of listening to the sound of running water on pain and anxiety experienced during cannulation by hemodialysis patients: A randomized, controlled, open‐label study

Introduction This study was conducted to determine the effect of the sound of running water, which we had not previously encountered being used in dialysis patients, on invasive pain and anxiety experienced during cannulation. Methods The research was conducted as a randomized, controlled study. A d...

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Published in:Therapeutic apheresis and dialysis 2025-02, Vol.29 (1), p.42-51
Main Authors: Sayilan, Samet, Aydin Sayilan, Aylin, Temiz, Zeynep, Kandemir, Didem
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Aydin Sayilan, Aylin
Temiz, Zeynep
Kandemir, Didem
description Introduction This study was conducted to determine the effect of the sound of running water, which we had not previously encountered being used in dialysis patients, on invasive pain and anxiety experienced during cannulation. Methods The research was conducted as a randomized, controlled study. A descriptive form, a VAS pain scale, and state–trait anxiety scales were used as a data collection form. The data were analyzed on SPSS version 22.00 for Windows software. The independent groups t‐test was applied to compare descriptive statistics such as mean, standard deviation, number, and percentage in independent groups, while categorical data were compared using the chi‐square test. The effect of an independent variable on a dependent variable was tested using linear regression analysis. p values 
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Methods The research was conducted as a randomized, controlled study. A descriptive form, a VAS pain scale, and state–trait anxiety scales were used as a data collection form. The data were analyzed on SPSS version 22.00 for Windows software. The independent groups t‐test was applied to compare descriptive statistics such as mean, standard deviation, number, and percentage in independent groups, while categorical data were compared using the chi‐square test. The effect of an independent variable on a dependent variable was tested using linear regression analysis. p values &lt; 0.05 were considered statistically significant. Results The study was completed with 32 experimental and 33 control group patients. There was no significant difference in pre‐intervention pain and anxiety between the groups. The pain levels of the patients after the first and 12th cannulations were significantly lower in the experimental group (p &lt; 0.05). State and trait anxiety levels were also significantly lower in the experimental group at the 12th session (p &lt; 0.05). Conclusion We conclude that the sound of running water has a significant positive effect on pain and anxiety experienced during cannulation by dialysis patients. We recommend that clinicians apply such a simple method as listening to the sound of running water for reducing pain and anxiety during invasive procedures.</description><identifier>ISSN: 1744-9979</identifier><identifier>ISSN: 1744-9987</identifier><identifier>EISSN: 1744-9987</identifier><identifier>DOI: 10.1111/1744-9987.14200</identifier><identifier>PMID: 39215434</identifier><language>eng</language><publisher>Kyoto, Japan: John Wiley &amp; Sons Australia, Ltd</publisher><subject>Adult ; Aged ; anxiety ; Anxiety - etiology ; Anxiety - prevention &amp; control ; cannulation ; Catheterization - methods ; Female ; hemodialysis ; Humans ; Male ; Middle Aged ; pain ; Pain - etiology ; Pain Measurement - methods ; Renal Dialysis - adverse effects ; Renal Dialysis - methods ; Sound ; the sound of water ; Water</subject><ispartof>Therapeutic apheresis and dialysis, 2025-02, Vol.29 (1), p.42-51</ispartof><rights>2024 International Society for Apheresis and Japanese Society for Apheresis.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2680-d997212729b1954a9b03306dad74fcaad174a4ff844da5fbed52c127d1304abc3</cites><orcidid>0000-0001-7053-3046 ; 0000-0003-0576-8732 ; 0000-0003-2690-2179 ; 0000-0002-8959-8381</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39215434$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sayilan, Samet</creatorcontrib><creatorcontrib>Aydin Sayilan, Aylin</creatorcontrib><creatorcontrib>Temiz, Zeynep</creatorcontrib><creatorcontrib>Kandemir, Didem</creatorcontrib><title>The effect of listening to the sound of running water on pain and anxiety experienced during cannulation by hemodialysis patients: A randomized, controlled, open‐label study</title><title>Therapeutic apheresis and dialysis</title><addtitle>Ther Apher Dial</addtitle><description>Introduction This study was conducted to determine the effect of the sound of running water, which we had not previously encountered being used in dialysis patients, on invasive pain and anxiety experienced during cannulation. Methods The research was conducted as a randomized, controlled study. A descriptive form, a VAS pain scale, and state–trait anxiety scales were used as a data collection form. The data were analyzed on SPSS version 22.00 for Windows software. The independent groups t‐test was applied to compare descriptive statistics such as mean, standard deviation, number, and percentage in independent groups, while categorical data were compared using the chi‐square test. The effect of an independent variable on a dependent variable was tested using linear regression analysis. p values &lt; 0.05 were considered statistically significant. Results The study was completed with 32 experimental and 33 control group patients. There was no significant difference in pre‐intervention pain and anxiety between the groups. The pain levels of the patients after the first and 12th cannulations were significantly lower in the experimental group (p &lt; 0.05). State and trait anxiety levels were also significantly lower in the experimental group at the 12th session (p &lt; 0.05). Conclusion We conclude that the sound of running water has a significant positive effect on pain and anxiety experienced during cannulation by dialysis patients. We recommend that clinicians apply such a simple method as listening to the sound of running water for reducing pain and anxiety during invasive procedures.</description><subject>Adult</subject><subject>Aged</subject><subject>anxiety</subject><subject>Anxiety - etiology</subject><subject>Anxiety - prevention &amp; control</subject><subject>cannulation</subject><subject>Catheterization - methods</subject><subject>Female</subject><subject>hemodialysis</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>pain</subject><subject>Pain - etiology</subject><subject>Pain Measurement - methods</subject><subject>Renal Dialysis - adverse effects</subject><subject>Renal Dialysis - methods</subject><subject>Sound</subject><subject>the sound of water</subject><subject>Water</subject><issn>1744-9979</issn><issn>1744-9987</issn><issn>1744-9987</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><recordid>eNqFkU1uFDEQhS1EREJgzQ55yYJJ_NfT0-xGEX9SpLAY1pbbLhMjt93YbiWdFUfgJtyJk-DOJLONNy7V--pJVQ-hN5Sc0frOaSvEqus27RkVjJBn6OTQeX6o2-4Yvcz5JyGMCc5foGPeMdoILk7Q3901YLAWdMHRYu9ygeDCD1wiLlXKcQpmUdIU7vs3qkDCMeBRuYBVFVW4dVBmDLcjJAdBg8FmSgusVQiTV8VVvp_xNQzROOXn7HKdLxUu-QPe4lR94uDuwLzHOoaSovdLHUcI_37_8aoHj3OZzPwKHVnlM7x--E_R908fdxdfVpdXn79ebC9Xmq03ZGXq1oyylnU97Rqhup5wTtZGmVZYrZSpp1HC2o0QRjW2B9MwXXlDORGq1_wUvdv7jin-miAXObiswXsVIE5ZclJvTNYtbyp6vkd1ijknsHJMblBplpTIJSW55CCXTOR9SnXi7YP51A9gDvxjLBVo9sCN8zA_5Sd322974__epqEc</recordid><startdate>202502</startdate><enddate>202502</enddate><creator>Sayilan, Samet</creator><creator>Aydin Sayilan, Aylin</creator><creator>Temiz, Zeynep</creator><creator>Kandemir, Didem</creator><general>John Wiley &amp; Sons Australia, Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7053-3046</orcidid><orcidid>https://orcid.org/0000-0003-0576-8732</orcidid><orcidid>https://orcid.org/0000-0003-2690-2179</orcidid><orcidid>https://orcid.org/0000-0002-8959-8381</orcidid></search><sort><creationdate>202502</creationdate><title>The effect of listening to the sound of running water on pain and anxiety experienced during cannulation by hemodialysis patients: A randomized, controlled, open‐label study</title><author>Sayilan, Samet ; Aydin Sayilan, Aylin ; Temiz, Zeynep ; Kandemir, Didem</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2680-d997212729b1954a9b03306dad74fcaad174a4ff844da5fbed52c127d1304abc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>Adult</topic><topic>Aged</topic><topic>anxiety</topic><topic>Anxiety - etiology</topic><topic>Anxiety - prevention &amp; control</topic><topic>cannulation</topic><topic>Catheterization - methods</topic><topic>Female</topic><topic>hemodialysis</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>pain</topic><topic>Pain - etiology</topic><topic>Pain Measurement - methods</topic><topic>Renal Dialysis - adverse effects</topic><topic>Renal Dialysis - methods</topic><topic>Sound</topic><topic>the sound of water</topic><topic>Water</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sayilan, Samet</creatorcontrib><creatorcontrib>Aydin Sayilan, Aylin</creatorcontrib><creatorcontrib>Temiz, Zeynep</creatorcontrib><creatorcontrib>Kandemir, Didem</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Therapeutic apheresis and dialysis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sayilan, Samet</au><au>Aydin Sayilan, Aylin</au><au>Temiz, Zeynep</au><au>Kandemir, Didem</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of listening to the sound of running water on pain and anxiety experienced during cannulation by hemodialysis patients: A randomized, controlled, open‐label study</atitle><jtitle>Therapeutic apheresis and dialysis</jtitle><addtitle>Ther Apher Dial</addtitle><date>2025-02</date><risdate>2025</risdate><volume>29</volume><issue>1</issue><spage>42</spage><epage>51</epage><pages>42-51</pages><issn>1744-9979</issn><issn>1744-9987</issn><eissn>1744-9987</eissn><abstract>Introduction This study was conducted to determine the effect of the sound of running water, which we had not previously encountered being used in dialysis patients, on invasive pain and anxiety experienced during cannulation. Methods The research was conducted as a randomized, controlled study. A descriptive form, a VAS pain scale, and state–trait anxiety scales were used as a data collection form. The data were analyzed on SPSS version 22.00 for Windows software. The independent groups t‐test was applied to compare descriptive statistics such as mean, standard deviation, number, and percentage in independent groups, while categorical data were compared using the chi‐square test. The effect of an independent variable on a dependent variable was tested using linear regression analysis. p values &lt; 0.05 were considered statistically significant. Results The study was completed with 32 experimental and 33 control group patients. There was no significant difference in pre‐intervention pain and anxiety between the groups. The pain levels of the patients after the first and 12th cannulations were significantly lower in the experimental group (p &lt; 0.05). State and trait anxiety levels were also significantly lower in the experimental group at the 12th session (p &lt; 0.05). Conclusion We conclude that the sound of running water has a significant positive effect on pain and anxiety experienced during cannulation by dialysis patients. We recommend that clinicians apply such a simple method as listening to the sound of running water for reducing pain and anxiety during invasive procedures.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley &amp; Sons Australia, Ltd</pub><pmid>39215434</pmid><doi>10.1111/1744-9987.14200</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-7053-3046</orcidid><orcidid>https://orcid.org/0000-0003-0576-8732</orcidid><orcidid>https://orcid.org/0000-0003-2690-2179</orcidid><orcidid>https://orcid.org/0000-0002-8959-8381</orcidid><oa>free_for_read</oa></addata></record>
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1744-9987
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source Wiley-Blackwell Read & Publish Collection
subjects Adult
Aged
anxiety
Anxiety - etiology
Anxiety - prevention & control
cannulation
Catheterization - methods
Female
hemodialysis
Humans
Male
Middle Aged
pain
Pain - etiology
Pain Measurement - methods
Renal Dialysis - adverse effects
Renal Dialysis - methods
Sound
the sound of water
Water
title The effect of listening to the sound of running water on pain and anxiety experienced during cannulation by hemodialysis patients: A randomized, controlled, open‐label study
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