Effect of Applying Cold Gel Pack to the Sternum Region on the Postoperative Pain after Open-Heart Surgery
Öz
Aim: The present study was performed at investigating the effects of cold gel pack applied to the sternum on the pain associated with deep breathing and coughing after open-heart surgery.
Material-Methods: The study sample included 46 participants. While the study data were collected, the “Patient Information Form” prepared by the researcher based on the pertinent literature was used to question the sociodemographic characteristics of the patients, the “Visual Analogue Scale-VAS” was used to assess the severity of the patient's pain, and the “Pain Monitoring Form” was used to record the patient's pain associated with deep breathing and coughing exercises before and after cold gel pack application.
Pain scores after deep breathing and coughing were measured and compared warm (room temperature) (placebo) gel pack, with (intervention) and without (control) the gel pack.
Results: The intergroup analysis showed that the difference between the experimental, control and placebo groups in terms of their mean VAS scores obtained before the procedure and after the procedure was not statistically significant. But in the experimental group; in terms of their mean VAS scores obtained before the procedure and after the procedure was determined statistically significant.
Conclusions: The results of this study showed that cold therapy is an effective method for management of sternal incision pain associated with coughing and deep breathing in open heart surgery patients.
Key words: Postoperative Pain, Breathing Exercises, Cardiac Surgery, Post-Surgical Nursing.
Anahtar Kelimeler
Kaynakça
- Referans1. Samuels, J.G, Fetzer, S, Pain management documentation quality as a reflection of nurses clinical judgment, Journal of Nursing Care Quality, 2009, 24(3), 223-231.
- Referans2. Leegaard, M, Naden, D, Fagermoen, M.S, Postoperative pain and self-management: women’s experiences after cardiac surgery, Journal of Advanced Nursing, 2008, 63(5), 476-485.
- Referans3. Yorke, J, Mclean, B, Wallis, M, CardioThor, G.D, Cert, C, McLean, B, Cert, G, Patients’ perceptions of pain management after cardiac surgery in an australian critical care unit, Heart Lung. 2004, 33(1), 33-41.
- Referans4. Gelinas, C. Management of pain in cardiac surgery ICU patients: Have we improved over time? Intensive and Critical Care Nursing, 2007, 23(5), 298-303.
- Referans5. Boitor, M, Martorella, G, Laizner, A.M, Maheu, C, Gélinas, C. The effectiveness of hand massage on pain in critically ill patients after cardiac surgery: A randomized controlled trial protocol, JMIR Research Protocols, 2016, 5(4), e203.
- Referans6. Milgrom, L.B, Brooks, J.A, Qi, R, Bunnell, K, Wuestfeld, S, Beckman, D, Pain levels experienced with activities after cardiac surgery, American Journal of Critical Care, 2004, 13(2), 116-125.
- Referans7. Lahtinen, P, Kokki, H, Hynynen, M, Pain after cardiac surgery a prospective cohort study of 1-year incidence and intensity, Anesthesiology, 2006, 105(4), 794-800.
- Referans8. Kalso, E, Mennander, S, Tasmuth, T, Nilsson, E, Chronic post-sternotomy pain, Acta Anaesthesiologica Scandinavica, 2001, 45(8), 935-939.
Ayrıntılar
Birincil Dil
İngilizce
Konular
Hemşirelik
Bölüm
Araştırma Makalesi
Yazarlar
Kıvan Çevik
0000-0002-0556-8012
Türkiye
Serpil İnce
0000-0002-2160-8440
Türkiye
Sevgi Pakiş Çetin
*
Bu kişi benim
0000-0001-8330-3493
Türkiye
Ömer Tetik
Bu kişi benim
0000-0002-6683-5663
Türkiye
Yayımlanma Tarihi
31 Mart 2020
Gönderilme Tarihi
10 Ekim 2019
Kabul Tarihi
24 Mart 2020
Yayımlandığı Sayı
Yıl 2020 Cilt: 7 Sayı: 1
Cited By
The effect of non-pharmacological methods on pain in patients undergoing open heart surgery: A systematic review and meta-analysis
Turkish Journal of Thoracic and Cardiovascular Surgery
https://doi.org/10.5606/tgkdc.dergisi.2024.25603