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May 9, 2019

9th European Operating Room Nurses Association Congress 2019

The effect of cold therapy applied to the incision area after abdominal surgery on postoperative pain and analgesic use

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pain

cold

therapy

surgery

analgesics

Abstract

Abstract

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Keywords

pain

cold

therapy

surgery

analgesics

Abstract

This is a controlled and experimental research is made to analyze the effect of cold therapy which applied to the incision area after abdominal surgery on postoperative pain and analgesic use. Patient population of the research was made up of the patients who had abdominal surgery between September 2015 – January 2016 in an university-affiliated education and research hospitals’ General Surgery, Emergency Surgery and Urology Clinics. The sample of the research is 60 patients (according to the result of power analysis) who had abdominal surgery and who are in conformity with the research criteria and accepted to participate in the research. Data was collected through "Patient Information Form" which is prepared by the researcher to fit for the purpose. Visual Analogue Scale-VAS was used to measure the level of pain before and after cold therapy application and data was saved in Pain Assessment Form and Vital Signs Recording Form. Patient information was obtained from the patient's own responses and medical records. In the evaluation of data, mean, number, percentage in descriptive properties; t test, ANOVA, Pearson correlation were used in parametric data; Mann-Whitney U, Kruskal-Wallis and Spearman Correlation tests were used in non-parametric data; Wilcoxon and Friedman tests were used in evaluating VAS pain measurements. Cold therapy was applied to the study group patients’ incision area for 20 minutes after the abdominal surgery. The application of cold therapy was started in the operating room and was continued in the post-anesthesia care unit. And at the 2nd and 8th hours after surgery cold therapy was applied in surgical clinics. Pre and post-treatment pain level was measured and recorded. Patients in the control group were left in the service routine. In the research, it was determined that, there were no statistically significant difference between the study and control groups in the VAS pain measurements performed at the postoperative 1st hour (p> 0,05). In the study group, there was a statistically significant difference between pretreatment and post treatment 2nd and 8th hours VAS pain level (p = 0.001). There was no statistically significant difference in VAS pain level at the pretreatment 1st, 2nd and 8th hours in the study group (p> 0,05). There was not advanced significant decrease in the control group (p = 0.024), however there was an advanced significant decrease in the pain level from the post treatment 1st hour to the 8th hour in the study group (p = 0.001). There was no statistically significant difference between the study and control groups VAS pain measurements of the patients according to the analgesic used in (p> 0,05). Consequently, it was determined that the cold therapy is an effective and safe method of decreased the severity of acute pain in the first 8 hours after abdominal surgery but did not have a statistically significant effect on the analgesic use.

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© Copyright 2019 Morressier GmbH.
All rights reserved.