The Effect of Ice Massage on Pain, Ecchymosis, Hematoma and Patient Satisfaction

Inclusion Criteria: * Conscious and oriented * Communicable, * Those who are 18 years or older, * Hemodialysis treatment is applied via arteriovenous fistula, * There are no signs of infection such as redness, swelling, or open wound in the area where the procedure will be performed, * Patient: International Normalized Ratio: 2-3, Activated Partial Thromboplastin Time: 27-45 sec. Prothrombin Time: 11-16 sec. Thrombocyte: 125-350 m3 * Can tolerate the application, * 10 minutes before starting Hemodialysis treatment. vissual analog scale pain score was evaluated beforehand and vissual analog scale was ≥4. * Patients who agree to participate in the study verbally and in writing will be included in the research. Exclusion Criteria: * Unconscious, * Unable to communicate, * Those who are under 18 years of age, * Hemodialysis treatment is not applied via arteriovenous fistula, * If there is any sign of infection such as redness, swelling, open wound in the area where cannulation will be performed, * 10 minutes before starting hemodialysis treatment. vissual analog scale pain score was evaluated beforehand and vissual analog scale ≤ 4 * Using any painkillers before the procedure on the same day, * Patient: International Normalized Ratio: 2-3, Activated Partial Thromboplastin Time: 27-45 sec. Prothrombin Time: 11-16 sec. Thrombocyte: above 125-350 m3, prone to bleeding, * Patients who cannot tolerate the application or do not want to participate in the study voluntarily will not be included in the research. Exclusion Criteria: Patients who cannot tolerate ice massage during the procedure will not be included in the study.