Devices and procedure
fits
COLD
The EnergyFlux Ellipse, an electric rechargeable device manufactured by Human Creations, a brand under KindMinds Innovations Inc. from Taiwan, served as the chosen EHW (Energy-Generating Hand Warmer) for this study. This device stood out due to its dual temperature settings: 42 °C (low) and 48 °C (high). The size of the device fits in a palmParticipants were instructed to hold a device in each hand throughout their time seated in the chemotherapy infusion chair. The cooling process began at the lower temperature, but participants had the option to escalate to the higher temperature with the assistance of a nurse. At the conclusion of the scalp cooling session, participants were prompted to report any discomfort or issues associated with the device. They were also asked to indicate if they had stopped using the device and, if so, the duration: less than 30 min, 30–60 min, or more than 60 min.Upon completion of each chemotherapy participants were asked to provide written feedback on both thermal and sensory comfort. Responses were collected using a 5-point Likert scale, encompassing: (a) Thermal Comfort: Very Warm, Warm, Neutral, Cold, and Very Cold (with Neutral or Warm indicating favorable thermal comfort); (b) Sensory Comfort: Very Comfortable, Comfortable, Neutral, Uncomfortable, and Very Uncomfortable (with Comfortable and Very Comfortable indicating favorable sensory comfort).Ultimately, positive outcomes in both thermal and sensory comfort categories determined an overall positive assessment of general comfort.