The effectiveness of cold application in combination with Indomethacin suppository on chest tube removal pain undergone open heart surgery patients.
- Conditions
- chest tube removal pain.I00-I99
- Registration Number
- IRCT201205169664N2
- Lead Sponsor
- Vice-chancellor for Research of Zanjan University of Medcial Sciences and Health Services
- Brief Summary
Background:<br /> <br /> Chest tube removal is a painful procedure. The goal of this study was to evaluate the effect of cold application in combination with Indomethacin suppository on chest tube removal pain in patients undergoing open heart surgery.<br /> Materials and Methods:<br /> <br /> This single-blind, double-group clinical trial was performed on 66 patients aged 18-68 years with the chest tube in pleural space. The Indomethacin suppository (100 mg) was administered 1 h before the chest tub removal in both groups. In the intervention group, we applied a 4°C cold pack in the chest tube side for 20 min. In the placebo group, the applied pack was at room temperature. Pain intensity was measured by Visual Analog Score 20 min before, immediately after, and 15 min after the chest tube removal.<br /> Results:<br /> <br /> Immediately after the CTR, the mean pain score was 2.67 ± 0.79 and 3.9 ± 0.76 in the intervention and placebo groups, respectively. The pain scores measured before and 15 min after the CTR were not statistically different between the two groups.<br /> Conclusion:<br /> <br /> Application of cold in combination with Indomethacin suppository during the CTR was a suitable, low-risk, and easy method for pain control in open heart patients.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 68
inclusion criteria: patients undergo sternomy surgery, range of age :18-69, oriented to time and place, able to answer to questions, not addicted to drug , no smoking , Indometacin suppository or other kind of sedative have not being prescribed at least 6 hours before intervention also having no opoids prescription 12 hours before intervention, having at least one chest tube in pluera, having physician order for removing chest tube ,
exclusion criteria: sudden change in patient status during the intervention, pain in other organs which affect chest tube removal pain such as heart pain
Not provided
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Pain of chest tube removal. Timepoint: 20 minutes before CTR , just after and 15 minutes after CTR. Method of measurement: visual analog scores (VAS).
- Secondary Outcome Measures
Name Time Method Vital sign including Blood pressure, pulse, respiratory rate. Timepoint: 20 minutes before CTR, just after and 15 minutes after intervention. Method of measurement: mm/hg for BP, nomber for Pulse and respiratory rate announced by vital sign monitoring system Pooyandegan rahe Saadat made by iran.