Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online: 176
  • Home
  • Print this page
  • Email this page
Year : 2014  |  Volume : 19  |  Issue : 6  |  Page : 545-549

Effect of applying cold gel pack on the pain associated with deep breathing and coughing after open heart surgery

1 Department of Biostatistics and Epidemiology, Urmia University of Medical Sciences, Urmia, Iran
2 Department of Nursing, Iranshar University of Medical Sciences, Iranshahr, Iran
3 Department of Nursing, Urmia University of Medical Sciences, Urmia, Iran
4 Department of Cardiac Surgery, Seyed Al-shohada Cardiovascular Center, Urmia University of Medical Sciences, Urmia, IR, Iran

Correspondence Address:
Aram Feizi
Department of Nursing, Nursing and Midwifery school, Urmia university of Medical Sciences, Urmia
Login to access the Email id

Source of Support: None, Conflict of Interest: None

Rights and Permissions

Clinical trial registration 20120724922n2

Rights and Permissions

Background: Coughing and deep breathing after sternotomy causes severe pain. This study was conducted to assess the effect of cold therapy on the pain in patients undergoing open heart surgery. Materials and Methods: In a randomized controlled trial (RCT) with crossover design, 50 eligible and consenting patients were recruited and randomly allocated to gel pack and non-gel pack groups on the first postoperative day. All patients performed four episodes of deep breathing and coughing (DB and C) every 2 h. Pain intesity was measured and compared at rest and after DB and C in both groups. At the end of the study, all patients were asked about their preferences for the cold gel pack application prior to DB and C. The study hypotheses were analyzed using repeated measures analysis of variance (RM-ANOVA). Results: Data analysis showed significant reduction in pain scores (P < 0.001) after cold gel application. Forty-five (90%) patients were inclined to reapply the gel pack in the future. Conclusion: Cold gel pack can reduce the pain associated with DB and C in cardiac surgery patients.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded92    
    Comments [Add]    

Recommend this journal