運用冰敷於胸管移除時疼痛減輕之成效－系統性文獻回顧

陳怡蓉; 謝伶瑜

doi:10.6224/JN.62.1.68

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来源数据

P68 - 75

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6224/JN

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运用冰敷於胸管移除时疼痛减轻之成效－系统性文献回顾

The Effectiveness of a Cold Application for Pain Associated with Chest Tube Removal: A Systematic Review

陈怡蓉(Yi-Rong Chen) ；谢伶瑜(Ling-Yu Hsieh)

护理杂志； 62 卷 1 期 (2015 / 02 / 01) ， P68 - 75

繁体中文 DOI： 10.6224/JN.62.1.68

冰敷；胸管移除；疼痛；系统性文献回顾； cold application ； chest tube removal ； pain ； systematic review

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摘要 │ 参考文献 (13) │ 被引用文献 (3) │ 国际计量

摘要〈TOP〉

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Background: Several previous studies have investigated the effectiveness of cold applications for pain associated with chest tube removal (CTR). However, the results of these studies are mutually contradictory. Purpose: The aim of this study was to determine the evidence related to the effectiveness of using a cold application to reduce the pain associated with CTR. Methods: This review focused on studies published before June 2014 that were indexed in the following databases: Cochrane Library, PubMed, MEDLINE, CINAHL, ProQuest, Airiti Library, and National Digital Library of Theses and Dissertations in Taiwan. Keywords that were searched included: chest tube removal, cold application, and pain within a search design based on the PICO (patient, intervention, comparion, outcome) structure. Only randomized controlled trials (RCTs) that evaluated the efficacy of cold application in patients before CTR were included in analysis. Study quality was assessed using the Modified Jadad scale. Results: Five RCTs that enrolled a total of 426 patients were included in the analysis. The mean age of participants ranged from 48.7 (SD=16.5) to 60.2 (SD=6.2) years. Ice packs were most widely used and applied to an area approximately 5-15 cm in diameter, with the chest tube entry point at the center. The findings of the effectiveness of the cold application were inconsistent among the studies. The researchers terminated the cold application when patients' skin temperature reached 13℃ or after 20 min, which showed that the cold application immediately reduced the pain associated with CTR. It was also observed that the cold application prolonged the duration of time between the CTR and the administration of analgesics. Additionally, two studies in which analgesics were administered to participants 60 min before CTR showed that cold application in combination with analgesics administration reduced patient pain due to the enhancement affects of CTR, which obtained results that were better than analgesics administration alone. Conclusion: The results of this study may be used as a reference for reducing pain associated with CTR in clinical practice. However, further studies with larger sample sizes are required to support these results.

参考文献 ( 13 ) 〈TOP〉

Bruce, E. A.,Howard, R. F.,Franck, L. S.(2006).Chest drain removal pain and its management: A literature review.Journal of Clinical Nursing,15(2),145-154.
Demir, Y.,Khorshid, L.(2010).The effect of cold application in combination with standard analgesic administration on pain and anxiety during chest tube removal: A single-blinded, randomized, double-controlled study.Pain Management Nursing,11(3),186-196.
Ertuğ, N.,Ülker, S.(2012).The effect of cold application on pain due to chest tube removal.Journal of Clinical Nursing,21(5-6),784-790.
Gorji, H. M. A.,Nesami, B. M.,Ayyasi, M.,Ghafari, R.,Yazdani, J.(2014).Comparison of ice packs application and relaxation therapy in pain reduction during chest tube removal following cardiac surgery.North American Journal of Medical Sciences,6(1),19-24.
Greenstein, G.(2007).Therapeutic efficacy of cold therapy after intraoral surgical procedures: A literature review.Journal of Periodontology,78(5),790-800.

被引用文献 ( 3 ) 〈TOP〉

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