Abstract
Background: In this meta-analysis, we aimed to investigate the effect of cold application on chest tube removal-related pain compared to conventional analgesic care.
Methods: A systematic review and meta-analysis were conducted (PROSPERO, 2021: CRD42020179867). We searched studies in PubMed, Ovid-LWW, Scopus, Taylor & Francis, Science Direct, EBSCO, Google Scholar, Medline Complete, Cochrane Library and ULAKBIM databases and grey literature for this study. We included the articles published from January 2009 to December 2019. We limited the language to Turkish and English and the design to randomized-controlled trials. All studies were reviewed by two independent researchers. Meta-analysis was performed using the Comprehensive Meta-Analysis version 3.3 software. Heterogeneity was investigated by meta-regression.
Results: A total of 2,462 records were identified, of which 16 studies were included in a random model meta-analysis. The cold application was used in combination with a pharmacological agent in six studies and alone in 13 studies. All patients were older than 16 years and they had at least one chest tube. Cold application was found to be effective in relieving pain during chest tube removal (d=-1.265).
Conclusion: The use of a non-pharmacological method such as cold application is helpful to reduce pain or reduce painkiller doses during chest tube removal. Its use is recommended, as it is effective, easy to use, and cost-effective without any side effects.
Publisher
Baycinar Tibbi Yayincilik
Subject
General Engineering,Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine,Surgery
Reference39 articles.
1. Aktaş YY, Karabulut N. The use of cold therapy, music therapy and lidocaine spray for reducing pain and anxiety following chest tube removal. Complement Ther Clin Pract 2019;34:179-84. doi: 10.1016/j.ctcp.2018.12.001.
2. Demir Y, Khorshid L. 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 Manag Nurs 2010;11:186-96. doi: 10.1016/j.pmn.2009.09.002.
3. Mazloum SR, Gandomkar F, Tashnizi MA. The impact of using ice on quality of pain associated with chest drain removal in postcardiac surgery patients: An evidence-based care. Open Nurs J 2018;12:264-71. doi: 10.2174/1874434601812010264.
4. Payami MB, Daryei N, Mousavinasab N, Nourizade E. Effect of cold application in combination with Indomethacin suppository on chest tube removal pain in patients undergoing open heart surgery. Iran J Nurs Midwifery Res 2014;19:77-81.
5. Salmani F, Abadi A, Taheri SM, Alavi Majd H, Abbaszadeh A, Sheikhasadi H. Effect of beloved person’s voice on chest tube removal pain in patients undergoing open heart surgery: Fuzzy logistic regression model. Archives of Advances in Biosciences 2017;8:46-51. doi:10.22037/jps.v8i1.11921.