Highlights
- •The effect of cold therapy on pain due to removal of chest tubes has been explored.
- •Research on using cold therapy with deep breathing and coughing exercises is limited.
- •Cold therapy before deep breathing and coughing exercises relieves pain.
Abstract
Background
Pain control is very important to ensure the comfort of patients and increase their
quality of life.
Objectives
The purpose of this randomized controlled trial was to examine the effects of cold
therapy in patients with chest tube before deep breathing and coughing exercises.
Methods
The study participants were patients with chest tubes, who were treated at a training
and research hospital in Turkey between May 2, 2017, and October 24, 2019. Seventy
patients participated in the study in accordance with the inclusion criteria. The
intervention group, patient identification form, and visual analogue scale were used
to collect data. Cold therapy was applied for the intervention group before deep breathing
and coughing exercises, and not for the control group.
Results
The pain rates of the intervention group participants were lower (3.31) after the
deep breathing and coughing exercises, than the rates (4.24) before the exercises
(p<0.01). The pain rate (5.29) among the control group participants after the deep
breathing and coughing exercises was significantly higher than those before (3.47)
the exercises (p<0.01).
Conclusions
The study revealed that cold therapy before deep breathing and coughing exercises
effectively relieves pain in patients with chest tubes.
Keywords
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References
- Therapeutic local procedures: chest tubes and therapeutic thoracentesis.Eur Respir Mon. 2002; 22: 297-310
- Chest drain removal pain and its management: a literature review.J Clin Nurs. 2006; 15: 145-154https://doi.org/10.1111/j.1365-2702.2006.01273.x
- Nature and intensity of the pain following thoracotomy.Int J Nurs Pract. 2012; 18: 84-90https://doi.org/10.1111/j.1440-172X.2011.01999.x
- Respiratory chest pain: diagnosis and treatment.Med Clin North Am. 2010; 94 (Mar): 217-232https://doi.org/10.1016/j.mcna.2010.01.003
- Control of postthoracotomy pain by transcutaneous electrical nerve stimulation: effect on serum cytokine levels, visual analogue scale. Pulmonary Function and Medication.Eur J Cardiothorac Surg. 2012; 40: 861-868https://doi.org/10.1093/ejcts/ezr108
- Post-thoracotomy pain relief: thoracic paravertebral block compared with systemic opioids.Egypt J Anaesthesia. 2012; 28: 55-60https://doi.org/10.1016/j.egja.2011.10.004
- Control of postthoracotomy pain by transcutaneous electrical nerve stimulation: Effect on serum cytokine levels, visual analogue scale. Pulmonary Function and Medication.Eur J Cardiothorac Surg. 2012; 40: 861-868https://doi.org/10.1093/ejcts/ezr108
- Postoperative pulmonary complications.Curr Opin Anaesthesiol. 2003; 16: 123-132https://doi.org/10.1097/00001503-200304000-00004
- Fundamentals of Nursing.7th Ed. 2010
- Pain management.in: Smeltzer SC Bare BG Brunner & Suddarth's Textbook of Medical Surgical Nursing. 10th ed. Lippincott Williams & Wilkins, Philadelphia2006: 216-248
- Appropriately timed analgesics control pain due to chest tube removal.Am J Crit Care. 2004; 13: 292-301
- Cooling for the reduction of postoperative pain: prospective randomized study.Hernia. 2006; 10: 184-186https://doi.org/10.1007/s10029-005-0062-2
- Cryotherapy following total knee replacement.Cochrane Database Systemat Rev. 2012; (Art. No.: CD007911)
- Evaluation of the outcomes of ıce application for the control of pain associated with chest tube ırritation.Pain Manag Nurs. 2013; 14: 29-35https://doi.org/10.1016/j.pmn.2010.05.001
- Ice Packs reduce postoperative midline ıncision pain and narcotic use: a randomized controlled trial.J Am Coll Surg. 2014; 219: 511-517https://doi.org/10.1016/j.jamcollsurg.2014.03.057
- 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.Pain Manag Nurs. 2010; 11: 186-196https://doi.org/10.1016/j.pmn.2009.09.002
- The use of ice for pain associated with chest tube removal.Pain Manag Nurse. 2002; 3: 44-52https://doi.org/10.1053/jpmn.2002.123017
- Comparison of ice packs application and relaxation therapy in pain reduction during chest tube removal following cardiac surgery.North Am J Med Sci. 2014; 6: 19-24https://doi.org/10.4103/1947-2714.125857
- Effects of Cold Application on Chest Tube Removal Pain in Heart Surgery Patients. 17. National Research Institute of Tuberculosis and Lung Disease, 2018: 29-36 (PMCID: PMC6087532)
- Cold application and breathing exercises to reduce pain and anxiety during chest tube removal.Am J Nurs. 2017; 6: 285-292https://doi.org/10.11648/j.ajns.20170604.12
- Effects of cold apaplication on pain & anxiety during chest tube removal among post operative cardiac surgery adult patients.J Nurs Health Sci. 2015; 4: 64-68https://doi.org/10.9790/1959-04626468
- The effect of cold appliccation on pain due to chest tube removal.J Clin Nurs. 2011; 21: 784-790https://doi.org/10.1111/j.1365-2702.2011.03955.x
- Efficacy of cold application on pain during chest tube removal: A randomized controlled trial.Medicine (Baltimore). 2017; : 96https://doi.org/10.1097/MD.0000000000008642
- Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement.Ann Intern Med. 2009; 151: 264-269https://doi.org/10.7326/0003-4819-151-4-200908180-00135
- A critical review of visual analogue scales in the measurement of clinical phenomena.Res Nurs Health. 1990; 13: 227-236
- Acute effects of cold pack for different periods on the biomechanical properties of the rectus femoris muscle.Altern Ther Health Med. 2021; 27: 92-99
- Ice therapy: how good is the evidence?.Int J Sports Med. 2001; 22: 379-384https://doi.org/10.1055/s-2001-15656
- Effects of cold therapy on pain and breathing exercises among median sternotomy patients.Pain Manag Nurs. 2016; 17: 401-410https://doi.org/10.1016/j.pmn.2016.05.006
- Effect of cold application in combination with Indomethacin suppository on chest tube removal pain in patients undergoing open heart surgery.Iran J Nurs Midwifery Res. 2014; 19 (PMCID: PMC3917189): 77-81
- Effects of cold application on pain & anxiety during chest tube removal among post operative cardiac surgery adult patients.J Nurs Health Sci. 2015; 4: 64-68
- Effect of applying cold gel pack on the pain associated with deep breathing and coughing after open heart surgery.Iranian J Nurs Midwifery Res. 2014; 19 (PMCID: PMC4280715): 545-549
- The effect of cold application before breathing exercises on sternotomy pain: a quasi-experimental study.Adnan Menderes Univ Health Sci J. 2019; 5: 1776-1787https://doi.org/10.30569/adiyamansaglik.623953
- Effect of coldt herapy on the pain of deep-breathig and coughing in patients after coronary artery bypass grafting.Der Pharmacia Lettre. 2016; 8: 201-205
- The Effect of Cold Application on Pain Caused by Mediastinal and Thoracic Tube Removal in Patients After Open Cardiovascular Surgery.Acı Badem University, Istanbul2017 (Master Thesis)
- Ambulatory hernia surgery under local anesthesia is feasible and safe in obese patients.Hernia. 2010; 14: 57-62
- Obese parturients have lower epidural local anaesthetic requirements for analgesia in labour.Br J Anaesth. 2006; 96: 106-110
- The perioperative effect of increased body mass index on peripheral nerve blockade: an analysis of 528 ultrasound guided interscalene blocks.Rev Bras Anestesiol. 2012; 62: 28-38
Article info
Publication history
Published online: May 06, 2022
Accepted:
April 21,
2022
Received in revised form:
April 19,
2022
Received:
November 10,
2021
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.