Effect of Cold Application Materials on Pain During Chest Tube Removal
Keywords
Abstract
Description
This study was aimed to determine which cold application material is more effective in pain control of patients during chest tube removal process.
The primary outcomes measures of this study were the effect of cold application materials on severity of pain.The secondary outcome measures of this study were duration of cold application and analgesic requirements of the patients.
Procedure Before removal of chest tube, nurse researcher (DS) who is working in the thoracic surgery clinic as a nurse, explained aim of study and take informed consent all patients. Data were collected with Patient Information Form and NRS.
Patient Information Form was filled out for each using the information obtained from patients/patients' relatives, patient files and health professionals of the clinic and the patients' pain severity was measured with NRS.
The patients were randomly assigned by a computer program to either intervention groups (ice pack or gel pad) or control group. Before the chest tube was removed, nurse researcher (DS) made cold application with ice pack the first experimental group and cold application with gel pad the second experimental group. The control group did not receive any intervention. Since the cold application temperature should be reduced to 13.6 °C in order to have local analgesic effect in both of the experimental groups the patient's skin temperature was measured at one-minute intervals by using an infrared non-contact thermometer (Microlife Non-Contact, Switzerland) with a wide measurement range (0-100 °C) and a measurement time of three seconds. This application was terminated when the temperature was 13.6 °C and the chest tube was removed by the physician.
Pain severity of all the patients was measured with NRS immediately after and 15 minutes after chest tube removal.
Dates
Last Verified: | 11/30/2019 |
First Submitted: | 12/09/2019 |
Estimated Enrollment Submitted: | 12/12/2019 |
First Posted: | 12/15/2019 |
Last Update Submitted: | 12/12/2019 |
Last Update Posted: | 12/15/2019 |
Actual Study Start Date: | 08/31/2016 |
Estimated Primary Completion Date: | 10/31/2017 |
Estimated Study Completion Date: | 10/31/2017 |
Condition or disease
Intervention/treatment
Other: Cold application
Phase
Arm Groups
Arm | Intervention/treatment |
---|---|
Experimental: Cold application with ice pack Before the chest tube was removed, two ice packs with a size of 15.5x9cm were inserted around the chest tube so as to make as much contact as possible | |
Experimental: Cold application with gel pad group Before the chest tube was removed, a gel pad with a radius of 15 cm was completely inserted around the chest tube | |
No Intervention: Control group Routine analgesic drugs are not administered to patients before removal of the chest tube in thoracic surgery clinic. However, analgesic is performed according to the severity of pain after the procedure. |
Eligibility Criteria
Ages Eligible for Study | 18 Years To 18 Years |
Sexes Eligible for Study | All |
Accepts Healthy Volunteers | Yes |
Criteria | Inclusion Criteria: - had chest tube - Must be conscious, orientated and cooperated - Must be able to speak and understand Turkish Exclusion Criteria: - Psychiatric disease - Language problems |
Outcome
Primary Outcome Measures
1. effect of cold application materials on severity of pain [Change from first NRS at 15 minutes]
Secondary Outcome Measures
1. effect of cold application materials on duration of cold application [30 minutes]
2. effect of cold application materials on analgesic requirements of the patients [up to 6 hours]