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Abstract Objectives: Use of analgesics is the most common method to alleviate the pain induced by chest tube removal (CTR), but patient response to medication can vary and may not be achieved complete relaxation. This study was to determine the effectiveness of cold application in combination with standard analgesic administration before CTR on CTR-induced pain.
Methods: A prospective, randomized, single-blind, placebo sham-controlled study was conducted. In addition to the same routine care, subjects in the experimental group (n = 30) received cold application of 600 g ice packs 15 minutes before CTR, whereas subjects in the placebo sham group (n = 30) received tap water packs. Numerical rating scale was used to measured pain intensity before, immediately after, and 10 minutes after CTR.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| cold application (experimental group) | Experimental | subjects in the experimental group (n = 30) received cold application of 600 g ice packs 15 minutes before CTR |
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| tap water packs application (sham group) | Sham Comparator | subjects in the sham group (n = 30) received tap water packs. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| cold application | Other | We manufactured two ice packs (17 × 12 cm) with a combined weight of 600 g. The ice packs were inserted into adjustable wraps made in our hospital so that they can be fixed next to the skin on each side of the chest tube in patients awaiting CTR. The combined contact area of the ice packs was approximately 25 cm in diameter around the chest tube. For patients of the experimental group, they were received 15-minutes cold application. |
| Measure | Description | Time Frame |
|---|---|---|
| numerical rating scale (NRS) | the intensity of pain at the chest tube replacement | before cold application |
| numerical rating scale (NRS) | the intensity of pain at the chest tube removal | immediately after chest tube removal |
| numerical rating scale (NRS) | the intensity of pain at the chest tube removal | 10 minutes after chest tube removal |
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Inclusion Criteria:
Exclusion Criteria:
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29145288 | Derived | Hsieh LY, Chen YR, Lu MC. Efficacy of cold application on pain during chest tube removal: a randomized controlled trial: A CONSORT-compliant article. Medicine (Baltimore). 2017 Nov;96(46):e8642. doi: 10.1097/MD.0000000000008642. |
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subjects in the experimental group received cold application of 600 g ice packs 15 min before CTR, whereas subjects in the sham group
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the researcher assigned participants to one of the two groups: cold application (experimental group) or tap water packs application (sham group) according the random allocation sequence.
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| tap water packs application | Other | We manufactured two tap water packs (17 × 12 cm) with a combined weight of 600 g. The tap water packs were inserted into adjustable wraps made in our hospital so that they can be fixed next to the skin on each side of the chest tube in patients awaiting CTR. The combined contact area of the tap water packs was approximately 25 cm in diameter around the chest tube. For patients of the sham group, they were received 15-minutes tap water application. |
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