Background: Chest drain tube poses a greater intensity of pain in a patient, especially during its removal. It is necessary for a nurse to recognize the severity of pain and treat it accordingly with nonpharmacological treatments to prevent side effects and ease comfort. Objective: To assess the efficacy of ice pack application by differentiating the before and after assessment of severity of pain among the control and the ice pack group of patients with chest tubes. Materials and methods: The present study was conducted using experimental research design. A total of 60 patients with chest tubes were selected by systematic sampling method, assigning 30 patients to control group and ice pack group after ruling out their inclusion criteria. Data were collected using a demographic pro forma, clinical pro forma, Numerical rating pain scale, and Mc Gill Pain Questionnaire. Results: The results revealed that the scores of posttest severity pain in the control group by numerical rating scale [mean (M) = 7.06, standard deviation (SD) = 0.77] and Mc Gill Pain questionnaire (M = 2, SD = 0.51) and in the ice pack group by numerical rating scale (M = 1.8, SD = 1.11) and Mc Gill Pain questionnaire (M = 0.1, SD = 0) showed a statistically significant difference for “t” value of 35.39 (NRS) and 31.67 (Mc Gill Pain questionnaire) at p value <0.001 which may be attributed to the ice pack application. Conclusion: The ice pack application has a remarkable effect on the severity of pain during chest tube removal.
Sullivan B. Nursing management of patients with chest drain. Br J Nurs 2008;17(6):388–393. DOI: 10.12968/bjon.2008.17.6.28906. https://www.ncbi.nlm.nih.gov/pubmed/18414310.
Owen S, Gould D. Underwater seal chest drain: patient experience. J Clin Nurs 1997;6(3):215–225. DOI: 10.1111/j.1365-2702.1997.tb00307.x. https://www.ncbi.nlm.nih.gov/pubmed/9188339.
Gorji H, Nesamani B, Ayyasi M, Ghafari B, Yazdani J. Comparison of ice pack application and relaxation therapy in pain reduction during chest tube removal following cardiac surgery. N Am J Med Sci 2014;6(1):19–24. PMID24678472 10.4103/1947-2714.125857. https://www.ncbi.nlm.nih.gov/pubmed/24678472.
Casey E, Lane A, Kuriakose D, et al. Bolus remifaentanil for chest drain removal in icu: randomized double blinded clinical trial. Intensive Care Med 2010;36(8):1380–1385. DOI: 10.1007/s00134-010-1836-2. https://www.ncbi.nlm.nih.gov/pubmed/20237760.
Ernst E, Fialka V. Ice freezes pain? A review of the clinical efficay of analgesic cold therapy. J Pain Symptom Manage 1994;9(1):56–59. DOI: 10.1016/0885-3924(94)90150-3.
Hsieh LY, Chen YR, Lu MC. Efficacy of cold application on pain during chest tube removal: a randomized Controlled trial. Medicine (Baltimore) 2017;96(46):e8642. DOI: 10.1097/MD.0000000000008642. PMID 29145288 https://www.ncbi.nlm.nih.gov/pubmed/29145288.
Payami M, Daryei N, Mowavanasab N, Nowariz E. Effect of cold application in combination with indomethacin suppository on chest tube removal in patients undergoing open heart surgery. Iran J Nurs Midwifery Res 2014;19(1):77–81. PMID 24554964. https://www.ncbi.nlm.nih.gov/pubmed/24554964.
Mazolum SR, Teshnizi AM, Kianinejad A, et al. Effect of applying ice bag on pain intensity associated with chest drain removal after cardiac surgery. Horizon Med Sci 2012;18(3):109–114. http://hms.gmu.ac.ir/browse.php?a_id=1270&sid=1&slc_lang=en.
Improving the quality of care through pain assessment management. In: Wells N, Pasero C, McCaffery M Patient safety and quality: an Evidence based handbook for nurses. https://www.ncbi.nlm.nih.gov/books/NBK2658/.
Ertug N, Ulker S. The effect of cold application on pain due to chest tube removal. J Clin Nurs 2012;21(5-6):780. DOI: 10.1111/j.1365-2702.2011.03955.x. https://www.ncbi.nlm.nih.gov/pubmed/22082021.
Demir Y, Khorshid L. The effect of cold application with standard analgesic administration on pain and anxiety during chest drain removal: a single—blinded, randomized, double controlled study. Pain Manag Nurs 2010;11(3):186–196. https://www.ncbi.nlm.nih.gov/pubmed/20728068.
Sauls J. The use of ice for pain associated with chest tube removal. Pain Manag Nurs 2002;3(2):44–52. DOI: 10.1053/jpmn.2002.123017. https://www.researchgate.net/publication/11322477_The_Use_of_Ice_for_Pain_Associated_with_Chest_Tube_Removal.