Local Application / Packing Too Cold Clinical Trial
Official title:
The Effect of Different Cold Application Materials on Pain During Chest Tube Removal: A Randomized Controlled Trial
Background: Despite being an important treatment intervention, chest tube causes severe pain
during removal because it attaches to the endothelium in the chest cavity.
Objectives: This study aimed to determine the effectiveness of cold application with ice pack
and gel pad in the control of pain experienced during chest tube removal.
Design: Prospective, parallel three armed, randomized controlled trial. Settings: The study
was conducted in athoracic surgery unit of a university hospital.
Methods: The sample of this study consisted of 180 patients in two experimental groups and
one control group.The patients were randomly assigned by a computer program to either
intervention groups (ice pack or gel pad) or control group.One experimental group received
cold application using ice pack and the other received cold application using gel pad until
the skin temperature of all the patients fell to 13.6°C. The control group did not receive
any intervention. Pain severity was assessed with Numerical Rating Scale (NRS) before chest
tube removal, at the end of the procedure and 15 minutes after the procedure. Data was
analyzed using descriptive statistics, chi-square, student t-test in independent groups,
one-way analysis of variance (ANOVA), and repeated measures ANOVA.
This study was aimed to determine which cold application material is more effective in pain
control of patients during chest tube removal process.
The primary outcomes measures of this study were the effect of cold application materials on
severity of pain.The secondary outcome measures of this study were duration of cold
application and analgesic requirements of the patients.
Procedure Before removal of chest tube, nurse researcher (DS) who is working in the thoracic
surgery clinic as a nurse, explained aim of study and take informed consent all patients.
Data were collected with Patient Information Form and NRS.
Patient Information Form was filled out for each using the information obtained from
patients/patients' relatives, patient files and health professionals of the clinic and the
patients' pain severity was measured with NRS.
The patients were randomly assigned by a computer program to either intervention groups (ice
pack or gel pad) or control group. Before the chest tube was removed, nurse researcher (DS)
made cold application with ice pack the first experimental group and cold application with
gel pad the second experimental group. The control group did not receive any intervention.
Since the cold application temperature should be reduced to 13.6 °C in order to have local
analgesic effect in both of the experimental groups the patient's skin temperature was
measured at one-minute intervals by using an infrared non-contact thermometer (Microlife
Non-Contact, Switzerland) with a wide measurement range (0-100 °C) and a measurement time of
three seconds. This application was terminated when the temperature was 13.6 °C and the chest
tube was removed by the physician.
Pain severity of all the patients was measured with NRS immediately after and 15 minutes
after chest tube removal.
;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Not yet recruiting |
NCT05511675 -
The Effect of Cold Application on the Hemostasis, Extremity Pain And Terumo Band Usage After Transradial Angiography
|
N/A |