The effect of cold application in combination with standard analgesic administration on pain and anxiety during chest tube removal: A single-blinded, randomized, double-controlled study

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dc.contributor.authorDemir, Yurdanur
dc.contributor.authorKhorshid, Leyla
dc.date.accessioned2021-06-23T19:26:52Z
dc.date.available2021-06-23T19:26:52Z
dc.date.issued2010
dc.departmentBAİBÜ, Sağlık Bilimleri Fakültesi, Hemşirelik Bölümüen_US
dc.description.abstractThe aim of this study was to investigate the effect of cold application on pain and anxiety during chest tube removal (CTR) in patients who had undergone cardiac surgery. A single-blinded randomized design was used in this study. Ninety patients aged 18-74 years, hospitalized in the intensive care unit (ICU), who had a chest tube for a duration of at least 24hours were used for this convenience sample. The application of cold, placebo, or control therapies was randomized into three different groups. Sixty minutes before CTR was scheduled, an ICU nurse administered 10mg/kg paracetamol intravenously to all study subjects. Cold and warm packs covered with gauze dressing were applied to the area surrounding the chest tubes for 20minutes. Pain intensity, pain quality and situational anxiety for CTR were measured. Variance analysis and the latent growth model were used in the analysis of the data. Patients in the cold group had significantly lower pain intensity than the placebo group. The perception of pain intensity measured by visual analog scores of patients in the cold group showed the least variation. There was no statistically significant difference in McGill Melzack Pain Questionnaire scores or in change of anxiety level between the three groups. The application of cold prolonged the length of time until analgesics were needed after CTR. Results showed that cold application reduced patients' intensity of pain due to CTR but did not affect anxiety levels or the type of pain. Cold application is recommended as a pain-relieving technique during CTR. (C) 2010 by the American Society for Pain Management Nursingen_US
dc.identifier.doi10.1016/j.pmn.2009.09.002
dc.identifier.endpage196en_US
dc.identifier.issn1524-9042
dc.identifier.issn1532-8635
dc.identifier.issue3en_US
dc.identifier.pmid20728068en_US
dc.identifier.scopus2-s2.0-77955846090en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage186en_US
dc.identifier.urihttps://doi.org/10.1016/j.pmn.2009.09.002
dc.identifier.urihttps://hdl.handle.net/20.500.12491/6673
dc.identifier.volume11en_US
dc.identifier.wosWOS:000281628400008en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorDemir, Yurdanur
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofPain Management Nursingen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectChest Tube Removalen_US
dc.titleThe effect of cold application in combination with standard analgesic administration on pain and anxiety during chest tube removal: A single-blinded, randomized, double-controlled studyen_US
dc.typeArticleen_US

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