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Journal of Korean Critical Care Nursing 2008;1(1):33-45.
Published online September 30, 2008.

냉요법 적용이 관상동맥 우회술 환자의 흉관 제거시 통증에 미치는 효과
전미경, 김금순
1서울아산병원, 장기이식센터
2서울대학교 간호대학
The effects of cold therapy on pain related to chest tube removal in patients with coronary artery bypass graft surgery
Mi-Kyeong Jeon, Keum-Soon Kim
1Asan Medical Center
2College of Nursing, Seoul National University
Abstract
Purpose
Patients who underwent a coronary artery bypass graft surgery(CABG) experienced the unpleasant emotions and discomfort when their chest tube was removed. The purpose of this study was to evaluate the effects of cold therapy on pain related to chest tube removal(CTR) in CABG patients.
Methods
Fifty adult patients undergoing CABG were recruited in a prospective, double blinded study. Subjects were divided into the experimental group and the control group considering their sex and age. The pretest data were obtained 20 minutes before CTR. Patients in the experimental group, received cold therapy for 10 minutes before CTR. Pain sense and intensity were determined immediately after CTR and at 10 minutes after CTR.
Results
The total score of pain sense immediately after CTR of the experimental group was significantly lower than that of the control group(t=-3.703, p=.003). And scores of pain intensity immediately after CTR in the experimental group were significantly lower than that of the control group(t=-3.073, p=.001). But, there was no significant difference in the score of pain intensity 10 minutes after CTR between the experimental and the control group(t=1.759, p=.085).
Conclusion
The cold therapy would be recommended as an effective and nonpharmacologic nursing intervention for relieving pain in patients undergoing CTR.
Key Words: Cryotherapy, Pain, Chest tubes, Coronary artery bypass surgery
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