Penerapan Gel Ice Pack untuk Mengurangi Nyeri saat Dilakukan Chest Tube Removal pada Pasien Pascaoperasi Jantung
DOI:
https://doi.org/10.31539/joting.v6i2.12124Abstract
The application of evidence-based nursing (EBN) aims to demonstrate the use of ice gel packs to reduce pain in post-cardiac surgery patients undergoing chest tube removal (CTR) in the Intermediate Surgical Ward of Harapan Kita Heart and Vascular Hospital in Jakarta in April 2024. The method used in this EBN application is a pre-posttest control group design, where each group consists of 9 respondents. The Mann-Whitney test results show a significant difference in pain reduction between the intervention group and the control group. In conclusion, post-cardiac surgery patients who received a cold compress using ice gel packs before chest tube removal (CTR) experienced minimal pain increase during the chest tube removal (CTR).
Keywords: Chest Tube Removal, Pain, Post Cardiac Surgery
References
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Emiroglu, S., Esen, E., Yalcin, N., Azizoglu, F. S., Zent, N., Bozdogan, A., Tukenmez, M., Muslumanoglu, M., Cetingok, H., Cavdar, I., & Cabioglu, N. (2023). Effect of Cold Therapy on Managing Postoperative Pain Following Breast Conserving Surgery. Pain Management Nursing, 24(4), 452–455. https://doi.org/10.1016/j.pmn.2023.03.001
Hsieh, L. Y., Chen, Y. R., & Lu, M. C. (2017). Efficacy of cold application on pain during chest tube removal: A randomized controlled trial: A CONSORT-compliant article. Medicine (United States), 96(46), 10–12. https://doi.org/10.1097/MD.0000000000008642
Jardak, M. N., Saad, E. A., Jalloul, R., Emmanuel, N., Nicolas, G., & Menendez, J. P. (2023). The efficacy of cryotherapy in reducing edema and ecchymosis in patients who underwent rhinoplasty: A narrative review. Journal of Plastic, Reconstructive and Aesthetic Surgery, 84, 279–286. https://doi.org/10.1016/j.bjps.2023.04.053
Jarrah, M. I., Hweidi, I. M., Al-Dolat, S. A., Alhawatmeh, H. N., Al-Obeisat, S. M., Hweidi, L. I., Hweidi, A. I., & Alkouri, O. A. (2022). The effect of slow deep breathing relaxation exercise on pain levels during and post chest tube removal after coronary artery bypass graft surgery. International Journal of Nursing Sciences, 9(2), 155–161. https://doi.org/10.1016/j.ijnss.2022.03.001
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Lu, H. Y., Lin, M. Y., Tsai, P. S., Chiu, H. Y., & Fang, S. C. (2023). Effectiveness of Cold Therapy for Pain and Anxiety Associated with Chest Tube Removal: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Pain Management Nursing, 25, 34–45. https://doi.org/10.1016/j.pmn.2023.04.016
Mohammadi, N., Pooria, A., Yarahmadi, S., Tarrahi, M. J., Najafizadeh, H., Abbasi, P., & Moradi, B. (2018). Effects of cold application on chest tube removal pain in heart surgery patients. Tanaffos, 17(1), 29–36. https://pubmed.ncbi.nlm.nih.gov/30116276/
Ozkan, B., & Cavdar, I. (2021). The Effect of Cold Therapy Applied to the Incision Area After Abdominal Surgery on Postoperative Pain and Analgesic Use. Pain Management Nursing, 22(6), 775–782. https://doi.org/10.1016/j.pmn.2021.03.007
RSJPDHK. (2023). Laporan Tahunan RS Jantung dan Pembuluh Darah Harapan Kita tahun 2023. https://www.pjnhk.go.id/storage/uploads/informasi/laporan-tahunan.pdf
Seweid, M. M., Ahmed, N. T., Ramadan, B. A., & Ahmed, F. R. (2021). Effect of cold application on incisional pain associated with incentive spirometry after coronary artery bypass graft surgery. International Journal of Africa Nursing Sciences, 15. https://doi.org/10.1016/j.ijans.2021.100315
Shields, J. K., Kenyon, L., Porter, A., Chen, J., Chao, L., Chang, S., & Kho, K. A. (2023). Ice-POP: Ice Packs for Postoperative Pain: A Randomized Controlled Trial. Journal of Minimally Invasive Gynecology, 30(6), 455–461. https://doi.org/10.1016/j.jmig.2023.01.015
Tsai, C. S., Tung, H. H., Fang, C. J., & Chen, C. Te. (2025). Effectiveness of non-pharmacological interventions for pain reduction following chest tube removal: A systematic review and network meta-analysis. Intensive and Critical Care Nursing, 87(August 2024). https://doi.org/10.1016/j.iccn.2024.103909
Wang, Y., Li, S., Zhang, Y., Chen, Y., Yan, F., Han, L., & Ma, Y. (2021). Heat and cold therapy reduce pain in patients with delayed onset muscle soreness: A systematic review and meta-analysis of 32 randomized controlled trials. Physical Therapy in Sport, 48, 177–187. https://doi.org/10.1016/j.ptsp.2021.01.004
Wang, Y., Lu, H., Li, S., Zhang, Y., Yan, F., Huang, Y., Chen, X., Yang, A., Han, L., & Ma, Y. (2022). Effect of Cold and Heat Therapies on Pain Relief in Patients With Delayed Onset Muscle Soreness: a Network Meta-Analysis. Journal of Rehabilitation Medicine, 54. https://doi.org/10.2340/jrm.v53.331
Yaban, Z. S., Álvarez-García, C., & Bozdemir, H. (2023). The effect of cold application on pain during the chest tube removal: A meta-analysis. Turkish Journal of Thoracic and Cardiovascular Surgery, 31(3), 398–407. https://doi.org/10.5606/tgkdc.dergisi.2023.23846
Bertolini, B., Felix, M. dos S., Raponi, M. B. G., & Calegari, I. B. (2024). Postoperative Pain Management in Coronary Artery Bypass Grafting: An Integrative Review. Journal of Perianesthesia Nursing, 39. https://doi.org/https://doi.org/10.1016/j.jopan.2023.07.020
Ceylan, E., & Rizalar, S. (2022). Which is More Effective: Cold Application or Relaxation Exercise on Pain During Chest Tube Remova. International Journal of Caring Sciences, 15(3), 1879–1885. www.internationaljournalofcaringsciences.org
de Andrade, É. V., Oliveira, L. M., dos Santos Felix, M. M., Raponi, M. B. G., de Faria, M. F., Calegari, I. B., da Silva, K. F. N., & Barbosa, M. H. (2024). Nonpharmacologic Therapies for Postoperative Pain in Cardiac Surgery: A Systematic Review. Pain Management Nursing, 25(2), e59–e75. https://doi.org/10.1016/j.pmn.2023.12.007
Elmetwaly, R. M., & El Sayed, R. A. E. (2020). Chest Tube Removal: Efficacy of Cold Application and Breathing Exercise on Pain and Anxiety Level. Evidence-Based Nursing Research, 2(4), 12. https://doi.org/10.47104/ebnrojs3.v2i4.159
Emiroglu, S., Esen, E., Yalcin, N., Azizoglu, F. S., Zent, N., Bozdogan, A., Tukenmez, M., Muslumanoglu, M., Cetingok, H., Cavdar, I., & Cabioglu, N. (2023). Effect of Cold Therapy on Managing Postoperative Pain Following Breast Conserving Surgery. Pain Management Nursing, 24(4), 452–455. https://doi.org/10.1016/j.pmn.2023.03.001
Hsieh, L. Y., Chen, Y. R., & Lu, M. C. (2017). Efficacy of cold application on pain during chest tube removal: A randomized controlled trial: A CONSORT-compliant article. Medicine (United States), 96(46), 10–12. https://doi.org/10.1097/MD.0000000000008642
Jardak, M. N., Saad, E. A., Jalloul, R., Emmanuel, N., Nicolas, G., & Menendez, J. P. (2023). The efficacy of cryotherapy in reducing edema and ecchymosis in patients who underwent rhinoplasty: A narrative review. Journal of Plastic, Reconstructive and Aesthetic Surgery, 84, 279–286. https://doi.org/10.1016/j.bjps.2023.04.053
Jarrah, M. I., Hweidi, I. M., Al-Dolat, S. A., Alhawatmeh, H. N., Al-Obeisat, S. M., Hweidi, L. I., Hweidi, A. I., & Alkouri, O. A. (2022). The effect of slow deep breathing relaxation exercise on pain levels during and post chest tube removal after coronary artery bypass graft surgery. International Journal of Nursing Sciences, 9(2), 155–161. https://doi.org/10.1016/j.ijnss.2022.03.001
Kiy, B. L., Demiray, A., & Boran, M. (2023). The effect of cold application on pain in patients with chest tubes before deep breathing and coughing exercises: A randomized controlled study. Heart and Lung, 60, 149. https://doi.org/10.1016/j.hrtlng.2022.11.012
Lu, H. Y., Lin, M. Y., Tsai, P. S., Chiu, H. Y., & Fang, S. C. (2023). Effectiveness of Cold Therapy for Pain and Anxiety Associated with Chest Tube Removal: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Pain Management Nursing, 25, 34–45. https://doi.org/10.1016/j.pmn.2023.04.016
Mohammadi, N., Pooria, A., Yarahmadi, S., Tarrahi, M. J., Najafizadeh, H., Abbasi, P., & Moradi, B. (2018). Effects of cold application on chest tube removal pain in heart surgery patients. Tanaffos, 17(1), 29–36. https://pubmed.ncbi.nlm.nih.gov/30116276/
Ozkan, B., & Cavdar, I. (2021). The Effect of Cold Therapy Applied to the Incision Area After Abdominal Surgery on Postoperative Pain and Analgesic Use. Pain Management Nursing, 22(6), 775–782. https://doi.org/10.1016/j.pmn.2021.03.007
RSJPDHK. (2023). Laporan Tahunan RS Jantung dan Pembuluh Darah Harapan Kita tahun 2023. https://www.pjnhk.go.id/storage/uploads/informasi/laporan-tahunan.pdf
Seweid, M. M., Ahmed, N. T., Ramadan, B. A., & Ahmed, F. R. (2021). Effect of cold application on incisional pain associated with incentive spirometry after coronary artery bypass graft surgery. International Journal of Africa Nursing Sciences, 15. https://doi.org/10.1016/j.ijans.2021.100315
Shields, J. K., Kenyon, L., Porter, A., Chen, J., Chao, L., Chang, S., & Kho, K. A. (2023). Ice-POP: Ice Packs for Postoperative Pain: A Randomized Controlled Trial. Journal of Minimally Invasive Gynecology, 30(6), 455–461. https://doi.org/10.1016/j.jmig.2023.01.015
Tsai, C. S., Tung, H. H., Fang, C. J., & Chen, C. Te. (2025). Effectiveness of non-pharmacological interventions for pain reduction following chest tube removal: A systematic review and network meta-analysis. Intensive and Critical Care Nursing, 87(August 2024). https://doi.org/10.1016/j.iccn.2024.103909
Wang, Y., Li, S., Zhang, Y., Chen, Y., Yan, F., Han, L., & Ma, Y. (2021). Heat and cold therapy reduce pain in patients with delayed onset muscle soreness: A systematic review and meta-analysis of 32 randomized controlled trials. Physical Therapy in Sport, 48, 177–187. https://doi.org/10.1016/j.ptsp.2021.01.004
Wang, Y., Lu, H., Li, S., Zhang, Y., Yan, F., Huang, Y., Chen, X., Yang, A., Han, L., & Ma, Y. (2022). Effect of Cold and Heat Therapies on Pain Relief in Patients With Delayed Onset Muscle Soreness: a Network Meta-Analysis. Journal of Rehabilitation Medicine, 54. https://doi.org/10.2340/jrm.v53.331
Yaban, Z. S., Álvarez-García, C., & Bozdemir, H. (2023). The effect of cold application on pain during the chest tube removal: A meta-analysis. Turkish Journal of Thoracic and Cardiovascular Surgery, 31(3), 398–407. https://doi.org/10.5606/tgkdc.dergisi.2023.23846
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2024-12-31
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Penerapan Gel Ice Pack untuk Mengurangi Nyeri saat Dilakukan Chest Tube Removal pada Pasien Pascaoperasi Jantung. (2024). Journal of Telenursing (JOTING), 6(2), 3016-3023. https://doi.org/10.31539/joting.v6i2.12124
