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來源文獻資料
摘要
外文摘要
引文資料
題名:
運用冰敷於胸管移除時疼痛減輕之成效--系統性文獻回顧
書刊名:
護理雜誌
作者:
陳怡蓉
/
謝伶瑜
作者(外文):
Chen, Yi-rong
/
Hsieh, Ling-yu
出版日期:
2015
卷期:
62:1
頁次:
頁68-75
主題關鍵詞:
冰敷
;
胸管移除
;
疼痛
;
系統性文獻回顧
;
Cold application
;
Chest tube removal
;
Pain
;
Systematic review
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:0
共同引用:
6
點閱:14
背景 目前已有數篇探討運用冰敷於減輕胸管移除疼痛之研究,但其成效結果並未一致。目的 確定冰敷對減輕胸管移除所造成疼痛之成效。方法 搜尋2014年6月以前的中、英文文獻,資料庫包含Cochrane、PubMed、Medline、CINAHL、ProQuest、華藝線上圖書館及台灣博碩士論文網,以PICO(patient, intervention, comparion, outcome)建立中、英文關鍵字,分別為P:胸管移除(chest tube removal),I:冰敷(cold application),O:疼痛(pain)。文獻選取標準為需是運用冰敷於胸管移除時疼痛減輕之隨機控制試驗,並以modifiedJadad scale作為篩選文章品質之工具。結果 共納入五篇文獻,研究對象包含426位心胸外科病人,平均年齡自48.7(SD=16.5)至60.2(SD=6.2)歲。冰敷樣式以冰袋為主,冰敷區域為以胸管口為中心直徑5~15公分範圍。雖冰敷對減輕胸管移除時疼痛之成效並未達一致性,但在冰敷執行後,會確定皮膚溫度達13℃時才移除冰袋、或冰敷時間為20分鐘之研究中,其結果支持冰敷能有效減輕移除胸管後即刻的疼痛程度,且延後使用止痛藥的時間;而其中兩篇研究在各組措施介入前1小時會先予止痛藥使用,結果顯示合併藥物與冰敷措施對緩解疼痛之成效顯著優於僅使用藥物者。結論 研究結果可作為移除胸管過程的疼痛管理,未來仍應繼續執行嚴謹、盲化、大規模的隨機控制試驗,以驗證並更新此實證結果。
以文找文
Background: Several previous studies have investigated the effectiveness of cold applications for pain associated with chest tube removal (CTR). However, the results of these studies are mutually contradictory. Purpose: The aim of this study was to determine the evidence related to the effectiveness of using a cold application to reduce the pain associated with CTR. Methods: This review focused on studies published before June 2014 that were indexed in the following databases: Cochrane Library, PubMed, MEDLINE, CINAHL, ProQuest, Airiti Library, and National Digital Library of Theses and Dissertations in Taiwan. Keywords that were searched included: chest tube removal, cold application, and pain within a search design based on the PICO (patient, intervention, comparion, outcome) structure. Only randomized controlled trials (RCTs) that evaluated the efficacy of cold application in patients before CTR were included in analysis. Study quality was assessed using the Modified Jadad scale. Results: Five RCTs that enrolled a total of 426 patients were included in the analysis. The mean age of participants ranged from 48.7 (SD=16.5) to 60.2 (SD=6.2) years. Ice packs were most widely used and applied to an area approximately 5-15 cm in diameter, with the chest tube entry point at the center. The findings of the effectiveness of the cold application were inconsistent among the studies. The researchers terminated the cold application when patients' skin temperature reached 13℃ or after 20 min, which showed that the cold application immediately reduced the pain associated with CTR. It was also observed that the cold application prolonged the duration of time between the CTR and the administration of analgesics. Additionally, two studies in which analgesics were administered to participants 60 min before CTR showed that cold application in combination with analgesics administration reduced patient pain due to the enhancement affects of CTR, which obtained results that were better than analgesics administration alone. Conclusion: The results of this study may be used as a reference for reducing pain associated with CTR in clinical practice. However, further studies with larger sample sizes are required to support these results.
以文找文
期刊論文
1.
Oremus, M.、Wolfson, C.、Perrault, A.、Demers, L.、Momoli, F.、Moride, Y.(2001)。Interrater reliability of the modified Jadad quality scale for systematic reviews of Alzheimer's disease drug trials。Dementia and Geriatric Cognitive Disorders,12(3),232-236。
2.
林士傑、洪儀君、林瀛洲、張韡瀚、杜育才、周適偉(20120900)。腰椎薦椎化併下背痛患者--冰敷對腰椎活動度表現之影響。臺灣復健醫學雜誌,40(3),141-146。
延伸查詢
3.
陳渼娟、林庭妤、黃楷甯、石惠美、陳秀貞、蔡美菊(20080600)。鼻部冰敷物品改善專案。護理雜誌,55(3),61-68。
延伸查詢
4.
Bruce, E. A.、Howard, R. F.、Franck, L. S.(2006)。Chest drain removal pain and its management: A literature review。Journal of Clinical Nursing,15(2),145-154。
5.
Demir, Y.、Khorshid, L.(2010)。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 Management Nursing,11(3),186-196。
6.
Ertuğ, N.、Ülker, S.(2012)。The effect of cold application on pain due to chest tube removal。Journal of Clinical Nursing,21(5),784-790。
7.
Gorji, H. M. A.、Nesami, B. M.、Ayyasi, M.、Ghafari, R.、Yazdani, J.(2014)。Comparison of ice packs application and relaxation therapy in pain reduction during chest tube removal following cardiac surgery。North American Journal of Medical Sciences,6(1),19-24。
8.
Greenstein, G.(2007)。Therapeutic efficacy of cold therapy after intraoral surgical procedures: A literature review。Journal of Periodontology,78(5),790-800。
9.
Kol, E.、Erdogan, A.、Karsli, B.、Erbil, N.(2013)。Evaluation of the outcomes of ice application for the control of pain associated with chest tube irritation。Pain Management Nursing,14(1),29-35。
10.
Payami, M. B.、Daryei, N.、Mousavinasab, N.、Nourizade, E.(2014)。Effect of cold application in combination with Indomethacin suppository on chest tube removal pain in patients undergoing open heart surgery。Iranian Journal of Nursing and Midwifery Research,19(1),77-81。
11.
Sauls, J.(2002)。The use of ice for pain associated with chest tube removal。Pain Management Nursing,3(2),44-52。
12.
Sullivan, B.(2008)。Nursing management of patients with a chest drain。British Journal of Nursing,17(6),388-393。
13.
陳雅惠(20000200)。冷療在運動傷害中扮演的角色。大專體育,47,77-83。
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