Chailler Myrianne, Ellis Jacqueline, Stolarik Anne, Woodend Kirsten
University of Ottawa, Ottawa, ON.
Can J Cardiovasc Nurs. 2010;20(2):18-24.
Coughing has been identified as the most painful experience post cardiac surgery.
Participants (n = 32), in a randomized crossover trial, applied a frozen gel pack to their sternal incision dressing before performing deep breathing and coughing (DB & C) exercises. Pain scores from 0 to 10 at rest were compared with pain scores post DB & C with and without the gel pack. Participants were also asked to describe their sensations with the frozen gel pack, as well as their preferences for gel pack application.
The repeated measures analysis of variance revealed a significant reduction in pain scores between pre- and post-application of the gel pack (F = 28.69, p < .001). There were 22 (69%) participants who preferred the application of the gel pack compared with no gel pack. All 32 (100%) participants would reapply the gel pack in the future.
This study demonstrates that cold therapy can be used to manage sternal incisional pain when DB & C.
咳嗽已被确认为心脏手术后最痛苦的经历。
在一项随机交叉试验中，32名参与者在进行深呼吸和咳嗽（DB & C）练习前，将冷冻凝胶包敷在胸骨切口敷料上。比较静息时0至10分的疼痛评分与使用和不使用凝胶包进行DB & C后的疼痛评分。参与者还被要求描述使用冷冻凝胶包时的感觉，以及他们对凝胶包应用的偏好。
重复测量方差分析显示，凝胶包应用前后疼痛评分显著降低（F = 28.69，p < .001）。与不使用凝胶包相比，有22名（69%）参与者更喜欢使用凝胶包。所有32名（100%）参与者未来都会再次使用凝胶包。
本研究表明，在进行DB & C时，冷疗法可用于管理胸骨切口疼痛。
