Bayındır Sevda Korkut, Çürük Gülsüm Nihal, Oguzhan Abdurrahman
Department of Nursing, Faculty of Health Sciences, Erciyes University, Kayseri, Turkey.
Department of Nursing, Faculty of Health Sciences, İzmir University of Economics, İzmir, Turkey.
Pain Res Manag. 2017;2017:6594782. doi: 10.1155/2017/6594782. Epub 2017 May 28.
The aim of this study is to determine the pain reduction effectiveness of ice bag applications to the femoral region in patients undergoing percutaneous coronary intervention.
A randomized controlled trial with repeated measures and two-group design. The study was completed with a total of 104 patients who met the inclusion criteria: 52 each in the experimental group and the control group. The pain experienced by the patients was evaluated before and during removal and again while the nurse applied pressure on the catheter site after removal. The NRS scores were identified as NRS1, NRS2, and NRS3 for the three assessment, respectively.
The NRS1 score was similar between the two groups. It increased at the 2nd measurement, and a statistically significant difference was determined between the two groups (4.0 (3.0-4.0) in the experimental group and 6.0 (4.0-7.0) in the control group) ( < 0.001).
The results of the study revealed that ice bag application to femoral region was effective in reducing pain induced by femoral catheter removal in patients undergoing percutaneous coronary intervention. Local ice bag application may therefore be recommended as a nursing intervention for pain control in such cases.
本研究旨在确定对接受经皮冠状动脉介入治疗的患者在股部应用冰袋减轻疼痛的效果。
一项采用重复测量和两组设计的随机对照试验。共有104例符合纳入标准的患者完成了该研究:实验组和对照组各52例。在拔除导管前、拔除过程中以及拔除后护士按压导管部位时对患者的疼痛进行评估。三次评估的NRS评分分别确定为NRS1、NRS2和NRS3。
两组的NRS1评分相似。在第二次测量时升高,两组之间存在统计学显著差异(实验组为4.0(3.0 - 4.0),对照组为6.0(4.0 - 7.0))(<0.001)。
研究结果表明,对接受经皮冠状动脉介入治疗的患者在股部应用冰袋可有效减轻拔除股动脉导管引起的疼痛。因此,在此类情况下,局部应用冰袋可作为一种控制疼痛的护理干预措施予以推荐。