Düzce University Health Application and Research Center, Düzce, Turkey.
Düzce University Faculty of Health Sciences, Nursing Department, Düzce, Turkey.
Heart Lung. 2022 Sep-Oct;55:102-107. doi: 10.1016/j.hrtlng.2022.04.014. Epub 2022 May 6.
Pain control is very important to ensure the comfort of patients and increase their quality of life.
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.
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.
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).
The study revealed that cold therapy before deep breathing and coughing exercises effectively relieves pain in patients with chest tubes.
疼痛控制对于确保患者的舒适度和提高生活质量非常重要。
本随机对照试验的目的是研究在深呼吸和咳嗽练习前进行冷疗对带管患者的影响。
本研究的参与者是土耳其一家培训和研究医院的带管患者，研究时间为 2017 年 5 月 2 日至 2019 年 10 月 24 日。根据纳入标准，共有 70 名患者参与了这项研究。使用患者识别表和视觉模拟评分法来收集数据。干预组在深呼吸和咳嗽练习前进行冷疗，对照组则不进行。
深呼吸和咳嗽练习后，干预组患者的疼痛评分（3.31）低于练习前的评分（4.24）（p<0.01）。而对照组患者在深呼吸和咳嗽练习后的疼痛评分（5.29）显著高于练习前的评分（3.47）（p<0.01）。
本研究表明，在深呼吸和咳嗽练习前进行冷疗可以有效缓解带管患者的疼痛。
