Hables Reda Mhmoud Mohamed, ElShabory Nor El-Hoda Mohamed El-Sayed, Ibrahim Esraa Mostafa Abd El-Aty
Assistant Professor of Obstetrics and Gynecological Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Assistant Professor of Maternity, Gynecology and Obstetrics Nursing, Faculty of Nursing, Port-Said University, Port-Said, Egypt.
BMC Pregnancy Childbirth. 2025 Jun 7;25(1):660. doi: 10.1186/s12884-025-07770-2.
One of the most important things for women having cesarean deliveries to focus on is effective pain management. Nursing practice to lessen labor pain may be significantly impacted by the application of a nonpharmacologic treatment.
Evaluate the effect of gum chewing and cold therapy on postoperative cesarean women's self-assessed pain levels and narcotics use.
A Quasi Experimental intervention design was used in the study at inpatient units of Dar Sahet Elmar`Aa hospital that follow Egypt healthcare authority in Port Said city. Purposive sample of 159 pregnant women who enrolled randomly in the three parallel groups. Two tools were used for collecting data in the study as A self-Administered questionnaire and the visual analog scale (VAS) were used.
The overall mean VAS score among the Cold pack gel group was 4.216 ± 0.716, Gum chewing group was 4.314 ± 0.908, while control group was 5.714 ± 1.232 with statistically significance differences among groups. Furthermore, over one quarter in cold therapy group, less than one quarter in Gum chewing group (32.1 and 28.3%, respectively) stopped taking analgesics 24 h after surgery, compared to only 7.5% of control group.
Cold pack gel and gum chewing offer simple and cost-effective alternatives for postoperative pain management; however, cold pack gel has been shown to be substantially more effective in improving pain scores at four, eight, twelve, and twenty-four hours after surgery. In addition to its impact on reducing the need for opioid prescription drugs. Trial Registration Number (TRN). The study protocol was registered by the Research Ethics Committee of the Faculty of Nursing, Port Said University with code number: NUR22 on 6/2/2023.
剖宫产女性最重要关注的事情之一是有效的疼痛管理。非药物治疗的应用可能会对减轻分娩疼痛的护理实践产生重大影响。
评估咀嚼口香糖和冷疗法对剖宫产术后女性自我评估疼痛水平和麻醉药物使用的影响。
本研究在塞得港达尔萨赫特·埃尔马尔阿医院的住院部采用准实验干预设计，该医院遵循埃及医疗保健当局的规定。159名孕妇的目的抽样被随机纳入三个平行组。研究中使用了两种工具收集数据，即自我管理问卷和视觉模拟量表（VAS）。
冷敷凝胶组的总体平均VAS评分为4.216±0.716，咀嚼口香糖组为4.314±0.908，而对照组为5.714±1.232，组间差异具有统计学意义。此外，冷敷疗法组超过四分之一、咀嚼口香糖组不到四分之一（分别为32.1%和28.3%）的患者在术后24小时停止服用镇痛药，而对照组仅为7.5%。
冷敷凝胶和咀嚼口香糖为术后疼痛管理提供了简单且经济有效的替代方法；然而，冷敷凝胶已被证明在改善术后4小时、8小时、12小时和24小时的疼痛评分方面显著更有效。此外，它还对减少阿片类处方药的需求有影响。试验注册号（TRN）。该研究方案于2023年2月6日由塞得港大学护理学院研究伦理委员会以编号NUR22注册。
