Volume 26, Issue 1 (4-2018)                   Sci J Hamadan Nurs Midwifery Fac 2018, 26(1): 57-62 | Back to browse issues page

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Hatami M M, Oshvandi K, Molavi Vardanajni M, Mohamadi Y, Shamas A. The Effect of Cold Compresses on the Comfort of the Patients During Chest Drainage Tube Removal After Cardiac Surgery: a Randomized Clinical Trial. Sci J Hamadan Nurs Midwifery Fac. 2018; 26 (1) :57-62
URL: http://nmj.umsha.ac.ir/article-1-1777-en.html
1- MSc Student, Student Research Committee, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
2- Associate professor Associate Professor, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran , oshvandi2005@yahoo.com
3- Instructor, Chronic Diseases Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
4- Assistant Professor, Modeling of Noncommunicable Disease Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
5- Assistant Professor, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
Abstract:   (1406 Views)
Introduction: The removal of the chest tube drainage is a painful experience for patients. Painless pain and patient's discomfort is associated with reduced chest dilatation, respiratory dysfunction with hypoxemia, increased sympathetic response to myocardial ischemia, and increased general response to tachycardia. The purpose of this study was to investigate the use of cold compresses before removing the chest drainage tube on the comfort of patients after cardiac surgery.
Method: This was a randomized clinical trial with 120 patients undergoing cardiac surgery in Farshchian Hospital in Hamadan in 1395. . The research units were randomly divided into three groups of interventional, placebo, and control groups of ICU patients undergoing cardiac surgery and had at least two duct drainage tubes. Cold compresses and placebo were placed around tubes for 20 minutes before removing the chest tubes. The patient's comfort level was measured using the visual analog scale (VAS) before, immediately after and 5 minutes after removal of the chest tube. Data analysis was done using SPSS16, Chi-square, and ANOVA.
Results: There was no significant difference between demographic data in the studied groups. However, the average comfort score before, immediately after and 5 minutes after removing chest tube was significantly different in the groups (P =0.000).
Conclusion: The results showed that the use of cold compresses around the chest tube before the removal of tubes in patients undergoing heart surgery increases the comfort of the patients.
Full-Text [PDF 273 kb]   (76 Downloads)    
Type of Study: Applicable | Subject: Nursing
Received: 2017/08/5 | Accepted: 2017/09/17 | Published: 2017/10/30

References
1. Lloyd-Jones D, Adams RJ, Brown TM, Carnethon M, Dai S, De Simone G, et al. Heart disease and stroke statistics—2010 update. Circulation. 2010;121(7):e46-e215. [DOI] [PubMed]
2. Mazloum SR, Abbasi Teshnizi M, Kianinejad A, Gandomkar F. Effect of applying Ice bag on pain intensity associated with chest tube removal after cardiac surgery. Quarterly of Horizon of Medical Sciences. 2012;18(3):109-14.
3. Puntillo K. Effects of interpleural bupivacaine on pleural chest tube removal pain: A randomized controlled trial. Am J Crit Care. 1996;5(2):102-8. [PubMed]
4. Varela G, Jiménez MF, Novoa NM, Aranda JL. Postoperative chest tube management: measuring air leak using an electronic device decreases variability in the clinical practice. Eur J Cardiothorac Surg. 2009;35(1):28-31. [DOI] [PubMed]
5. Mirmohammad-Sadeghi M, Etesampour A, Gharipour M, Shariat Z, Nilforoush P, Saeidi M, et al. Early chest tube removal after coronary artery bypass graft surgery. N Am J Med Sci. 2009;1(7):333-7. [PubMed]
6. MirmohammadSadeghi M, Etesampour A, Gharipour M, Shariat Z, Nilforoush P, Saeidi M, et al. Early chest tube removal after coronary artery bypass graft surgery. J Isfahan Med Sch. 2010;28(104):28-36.
7. Babajani S, Babatabar H, Ebadi A, Mahmoudi H, Nasiri E. The effect of foot reflexology massage on the level of pain during chest tube removal after open heart surgery. Iran J Crit Care Nurs. 2014;7(1):15-22.
8. Coelho A, Parola V, Escobar-Bravo M, Apóstolo J. Comfort experience in palliative care: a phenomenological study. BMC palliative care. 2016;15(1):71. [DOI] [PubMed]
9. Dave K. Effects of cold application on pain and anxiety during chest tube removal among post operative cardiac surgery adult patients. International Journal of Advances in Nursing Management. 2016;4(1):87-90. [DOI]
10. Shahriari M, Khalili A, Shamsizadeh M, Mardani D, Paymard A, Molavi Vardanjani M. Effects of Foot Reflexology on Pain in Patients after Lower Limb Amputation. J Mazandaran Univ Med Sci. 2016;26(139):18-26.
11. Borzou SR, Farghadani F, Oshvandi K, Gholyaf M, Mahjub H. Effect of cool dialysate on vital signs, comfort and adequacy. Journal of Holistic Nursing And Midwifery. 2015;25(3):9-16.
12. Sauls J. The use of ice for pain associated with chest tube removal. Pain Manag Nurs. 2002;3(2):44-52. [DOI] [PubMed]
13. Gorji MH, Nesami MB, Ayyasi M, Ghafari R, Yazdani J. Comparison of ice packs application and relaxation therapy in pain reduction during chest tube removal following cardiac surgery. N Am J Med Sci. 2014;6(1):19. [DOI] [PubMed]
14. Ganji Z, Shirvani MA, Rezaei-Abhari F, Danesh M. The effect of intermittent local heat and cold on labor pain and child birth outcome. Iran J Nurs Midwifery Res. 2013;18(4):298. [PubMed]
15. Block JE. Cold and compression in the management of musculoskeletal injuries and orthopedic operative procedures: a narrative review. Open Access J Sports Med. 2010;1:105-13. [DOI] [PubMed]
16. 16. Thienpont E. Does advanced cryotherapy reduce pain and narcotic consumption after knee arthroplasty? Clin Orthop Relat Res. 2014;472(11):3417-23. [DOI] [PubMed]

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