Effect of Hand Fist-Clenching Exercise Versus Topical Aloe Vera Gel in the Prevention of Peripheral Intravenous Catheter-Related Phlebitis Among Adult Patients

November 9, 2026 updated by: Fatima Hussein Ali Hamad

This study aims to evaluate and compare the effectiveness of hand fist-clenching exercises versus topical Aloe Vera gel in preventing peripheral intravenous catheter (PIVC)-related phlebitis among adult patients. Phlebitis is a common complication associated with IV therapy. The study will assess adult patients admitted to the internal medicine wards to determine which preventive intervention is more effective in reducing the incidence of phlebitis."

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Not yet recruiting

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

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Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Interventional

Enrollment (Estimated)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
60

Phase

Phase

The stage of a clinical trial studying a drug or biological product, based on definitions developed by the U.S. Food and Drug Administration (FDA). The phase is based on the study's objective, the number of participants, and other characteristics. There are five phases: Early Phase 1 (formerly listed as Phase 0), Phase 1, Phase 2, Phase 3, and Phase 4. Not Applicable is used to describe trials without FDA-defined phases, including trials of devices or behavioral interventions.
  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact

The name and contact information for the person who can answer enrollment questions for a clinical study. Each location where the study is being conducted may also have a specific contact, who may be better able to answer those questions.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

18 years to 65 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  1. Are adults aged 18 years and above.

  2. Require peripheral intravenous catheterization.

  3. Have no signs of phlebitis at the selected IV insertion site before catheterization.

  4. Have intact skin at the selected IV insertion site.

  5. Are conscious and able to cooperate with the study procedures.

  6. Are able to perform the hand fist-clenching exercise.

  7. Agree to participate in the study.

    -

Exclusion Criteria:Participants with:

  1. Patients with existing phlebitis at the selected IV insertion site.

  2. Patients with skin disorders or lesions at the selected IV insertion site.

  3. Patients with acute or chronic infections.

  4. Patients with peripheral vascular disease or vascular abnormalities affecting the selected limb.

  5. Patients with conditions that prevent or limit performing the hand fist-clenching exercise.

  6. Patients who are unconscious, confused, or unable to cooperate with the study procedures.

  7. Patients with a known allergy or hypersensitivity to Aloe Vera or any component of the topical gel.

  8. Patients requiring immediate removal of the peripheral intravenous catheter before completion of the observation period.

    -

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm

Participant Group / Arm

A group or subgroup of participants in a clinical trial that receives a specific intervention/treatment, or no intervention, according to the trial's protocol.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
No Intervention: control group
Experimental: hand fist -clenching exercise
Behavioral: Hand fist -clenching exercise

Initiation and Patient Education: Hand fist-clenching exercise will be initiated immediately after insertion of the peripheral intravenous catheter (PIVC). The exercise will be taught to the patient by the researcher, and the procedure will be demonstrated to ensure that the patient understands how to perform it.

Exercise Procedure: The patient will perform the exercise by making a fist with the hand in which the PIVC is inserted. The fist will be maintained for 30 seconds to 1 minute for each repetition.

Frequency and Duration: The exercise will be performed approximately 20 times during each session, with each session lasting 5-10 minutes. The exercise will be performed twice daily.

Supervision: The patient's performance of the exercise will be conducted under the supervision of the researcher.
Experimental: topical aloe vera gel
Other: topical Aloe vera gel

Catheter Insertion Site Preparation and Insertion

  • Within the aloe vera gel intervention group, the intended catheterinsertion site underwent initial disinfection using a 70% ethyl alcoholsolution.

  • Subsequent to the complete evaporation of the alcohol, the nurseintroduced the angiocatheter , and its position was stabilized throughthe application of an angiocatheter securement adhesive.

  • Finally, 0.5 cc of aloe vera gel was topically applied to the superioraspect of the aforementioned adhesive..

    2. Follow-up and Assessment

  • The insertion sites were monitored every 12 hours for a period following catheter placement to detect any indications of phlebitis,which were documented dichotomously (Yes/No).

    3. Standardization of Catheter Insertion

  • The angiocatheter insertions were executed by a registered nurse with a decade of professional experience within the internal medicine department.

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Measure Description
Time Frame
incidence of peripheral intravenous catheter -related Phlebitis
Time Frame: assessed twice daily for 48 hours

The incidence of phlebitis will be assessed using the Visual Infusion Phlebitis (VIP) scale. The VIP scale ranges from 0 (no signs of phlebitis) to 5 (advanced stage of thrombophlebitis). A score of 1 or greater indicates the occurrence of phlebitis
assessed twice daily for 48 hours

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
Fatima Hussein Ali Hamad

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
November 22, 2026

Primary Completion (Estimated)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
February 1, 2027

Study Completion (Estimated)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
February 1, 2027

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
November 9, 2026

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
November 9, 2026

First Posted (Actual)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
November 13, 2026

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
November 13, 2026

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
November 9, 2026

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
November 1, 2026

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • Aloe vera-fist PIVC phlebitis

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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