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IRCT201502049422N9 IRCT 2015-03-15 Urima Medical Sience University Effects of cold on the pain Assessment affection of cold gel pack application on the sternal incision and pleural chest tube insertion site on the pulmonary function and pain due to coughing and deep breathing in coronary artery bypass graft surgery patients 2015-03-21 anticipated 50 Complete https://irct.ir/trial/9941 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment. N/A Condition 1: Pain in patients undergoing coronary artery surgery. Condition 2: pulmonary function tests. Intervention 1: In this study, the cooling gel pack with dimensions (10 × 25 cm) that is placed at room temperature and the timer is set for 20 minutes for the control group. Then, gel pack is placed in the dressing on the sternum incision site and around the pleural chest tube. A pillow or folded sheet will be given to the patient to support and immobilize the wound site before coughing or deep breathing. Gel pack is removed in 20 minutes and head of the bed elevated to 45-90 degrees for coughing and deep breathing. Pain intensity will be measured by a researcher using numerical pain scale, before and after applying gel pack at the end of coughing and deep breathing in the control group. The lung volumes are measured by using spirometry three times; before surgery, before and after applying the gel pack and coughing and deep breathing. Data will be collected in the afternoon of the first day after the operation. Intervention 2: In this study, the cooling gel pack with dimensions (10 × 25 cm) that has been frozen for at least one hour (reaching a pack’s temperature between 0 to - 5°C) is removed from the freezer and the timer is set for 20 minutes in the intervention group. Then, gel pack is placed in the dressing on the sternum incision site and around the pleural chest tube. A pillow or folded sheet will be given to the patient to support and immobilize the wound site before coughing or deep breathing. Gel pack is removed in 20 minutes and head of the bed elevated to 45-90 degrees for coughing and deep breathing. Pain intensity will be measured by a researcher using numerical pain scale, before and after applying the gel pack at the end of coughing and deep breathing in the intervention group. The lung volumes are measured by using spirometry three times; before surgery, before and after applying the gel pack, and coughing and deep breathing. Data will be collected in the afternoon of the first day after the operation.
public Noorellahi Davod
Madani hospital, In front of Research and Development complex of University, university street, Tabriz, East Azarbaijan
Tabriz Iran (Islamic Republic of) +98 41 3335 7771 msc_ccn@yahoo.com Madani hospital, Tabriz Medical Science University scientific Feizi Aram
School of Nursing and Midwifery, Nazlo complex, 11 km Serov, Urmia, West Azarbaijan
Urmia Iran (Islamic Republic of) +98 44 3275 4961 aramfeizi@yahoo.com Urmia Nursing and Midwifery School Iran (Islamic Republic of) A) Inclusion Criteria 1- The patient consent to participate in the study. 2- The patient is over 40 years old. 3- The patient is able to read and write. 4- The patient can speak Farsi and Turkish. 5- The patient orient to person, place and time. 6- The patient is able t use pain scale. 7- The patient has been underwent coronary artery bypass surgery ( with or without valve replacement ) with median sternutomy located. B) Exclusion criteria 1- The patient has a history of allergy or sensitivity to cold. 2- The patient has a history of Raynaud 's syndrome , sickle cell anemia , Cryoglobulinemia , diabetes and delirium. 3- The patient has severe visual, hearing and speech impairment. 4- The patient is connected to a ventilator at the time of data collection. 5- The patient has been ill at the time of data collection. 6- The patient has postoperative complications such as infection , bleeding , uncontrolled atrial fibrillation and opening the wound edges. 40 years 100 years Both R07.1 R94.2 Chest pain on breathing Abnormal results of pulmonary function studies Treatment - Other Treatment - Other In this study, the cooling gel pack with dimensions (10 × 25 cm) that is placed at room temperature and the timer is set for 20 minutes for the control group. Then, gel pack is placed in the dressing on the sternum incision site and around the pleural chest tube. A pillow or folded sheet will be given to the patient to support and immobilize the wound site before coughing or deep breathing. Gel pack is removed in 20 minutes and head of the bed elevated to 45-90 degrees for coughing and deep breathing. Pain intensity will be measured by a researcher using numerical pain scale, before and after applying gel pack at the end of coughing and deep breathing in the control group. The lung volumes are measured by using spirometry three times; before surgery, before and after applying the gel pack and coughing and deep breathing. Data will be collected in the afternoon of the first day after the operation. In this study, the cooling gel pack with dimensions (10 × 25 cm) that has been frozen for at least one hour (reaching a pack’s temperature between 0 to - 5°C) is removed from the freezer and the timer is set for 20 minutes in the intervention group. Then, gel pack is placed in the dressing on the sternum incision site and around the pleural chest tube. A pillow or folded sheet will be given to the patient to support and immobilize the wound site before coughing or deep breathing. Gel pack is removed in 20 minutes and head of the bed elevated to 45-90 degrees for coughing and deep breathing. Pain intensity will be measured by a researcher using numerical pain scale, before and after applying the gel pack at the end of coughing and deep breathing in the intervention group. The lung volumes are measured by using spirometry three times; before surgery, before and after applying the gel pack, and coughing and deep breathing. Data will be collected in the afternoon of the first day after the operation Pain. Timepoint: before and 20 minutes after intervention. Method of measurement: numeric pain scale. Pulmonary function results. Timepoint: before of operation /before of use of ice packed/ 20 minutes after use of ice packed. Method of measurement: spirometry. Urima Medical Sience University Approved 2015-01-26 Tabriz Medical Science University Central Building of Medical science, Golgasht Avenue, Azadi Street, Tabriz, East Azarbaijan Tabriz Iran (Islamic Republic of)