Myrianne Chailler, Jacqueline Ellis, Anne Stolarik, Kirsten Woodend
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引用次数: 0
摘要
背景:咳嗽被认为是心脏手术后最痛苦的经历。方法:在一项随机交叉试验中，参与者(n = 32)在进行深呼吸和咳嗽(DB & C)练习之前，将冷冻凝胶包应用于胸骨切口敷料。休息时的疼痛评分从0到10与使用和不使用凝胶包的DB和C后的疼痛评分进行比较。参与者还被要求描述他们对冷冻凝胶包的感觉，以及他们对凝胶包应用的偏好。结果: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 < 0.001)。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%)参与者都将在未来重新使用凝胶包。结论:冷疗法可以有效地治疗胸骨切口疼痛。
Cold therapy for the management of pain associated with deep breathing and coughing post-cardiac surgery.
Background: Coughing has been identified as the most painful experience post cardiac surgery.
Methods: 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.
Results: 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.
Conclusion: This study demonstrates that cold therapy can be used to manage sternal incisional pain when DB & C.
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