The Effect of Cold Application on Drain-Related Pain Control After Thyroidectomy

Yıl 2020, , 226 - 231, 30.11.2020

Zeynep Temiz Aylin Aydın Sayılan Yalçın Kanbay Cevher Akarsu

https://doi.org/10.31125/hunhemsire.834077

Öz

Aim: To determine the effect of cold application on pain experienced and analgesic requirement frequency in patients with post-thyroidectomy drains.
Material and Methods: This randomized controlled trial was carried out in a Training and Research Hospital General Surgery Department in Istanbul between 15 May and 20 November, 2016. Fifty-nine patients with drains inserted post-thyroidectomy were randomly divided into two groups. Cold application was performed on the experimental group three times, 3 hours after analgesic administration on post-operative day 0, and immediately before drain removal on post-operative day 1. A cold gel pad was placed on the neck area for 20 minutes. Pain severity was measured 15 minutes after the cold application. The control group did not receive cold therapy, but pain severity was also measured.
Results: The patients in the experimental group had less pain on post-operative day 0, although the difference was not statistically significant (p>0.001). The severity of pain experienced after the removal of the drain on post-operative day 1 was significantly lower in the experimental group (p<0.001). Analgesic requirement frequencies among patients in the experimental group were significantly lower on post-operative days 0 and 1 (p≤0.001).
Conclusion: Cold application reduced drain-related pain along with analgesic requirements. It can contribute to the healing process by reducing pain.

Anahtar Kelimeler

Cold application, drain, pain, thyroidectomy

Tiroidektomi Sonrası Drenle İlişkili Ağrı Kontrolü Üzerine Soğuk Uygulamanın Etkisi

Öz

Amaç: Çalışmanın amacı, tiroidektomi sonrası dreni olan hastaların yaşadığı ağrı ve analjezik gereksinim sıklığı üzerine soğuk uygulamanın etkisini belirlemektir.
Gereç ve Yöntem: Randomize kontrollü deneysel bir tasarım olan bu çalışma, Mayıs-Kasım 2016 tarihinde, İstanbulda bir Eğitim Araştırma Hastanesinin genel cerrahi servisinde yürütüldü. Tiroidektomi sonrası dren takılan 59 hasta ile yapıldı. Hastalar randomize bir şekilde iki gruba ayrıldı. Soğuk uygulama, ameliyat sonrası 0. gün analjezik uygulamalarından 3 saat sonra toplam 3 kere uygulandı. Ameliyat sonrası 1. gün ise dren çıkartılmadan hemen önce uygulama yapıldı. Soğuk jel ped boyun bölgesinde drenin üzerine yerleştirilerek, 20 dakika boyunca soğuk uygulama yapıldı. Ağrı şiddeti soğuk uygulamadan 15 dakika sonra ölçüldü. Kontrol grubuna herhangi bir girişim uygulanmadı, sadece ağrı şiddeti ölçüldü.
Bulgular: Deney grubundaki hastaların ağrı şiddeti, ameliyat sonrası 0. gün daha azdı ancak, istatistiksel bir fark bulunmadı (p>0.001); ameliyat sonrası 1. günde dren çıkarıldıktan sonraki ağrının şiddeti deney grubunda anlamlı derecede düşük bulundu (p<0.001). Deney grubundaki hastaların analjezik gereksinim sıklığı ameliyat sonrası 0. ve 1. günlerde anlamlı olarak düşük bulundu (p≤0.001).
Sonuç: Soğuk uygulamanın, drenle ilişkili ağrı ile beraber analjezik gereksinimini azalttığı bulundu. Soğuk uygulama ağrıyı azaltarak iyileşme sürecine katkıda bulunabilir.

Anahtar Kelimeler

Ağrı, dren, soğuk uygulama, tiroidektomi

Kaynakça

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