NCT04798040

Brief Summary

This study evaluates the effect of lavender aromatherapy and cold application on pain during drain removal. The investigators hypothesize that there is no difference in pain prevention between lavender oil inhalation and local cold application.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
121

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Sep 2021

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 8, 2021

Completed
7 days until next milestone

First Posted

Study publicly available on registry

March 15, 2021

Completed
6 months until next milestone

Study Start

First participant enrolled

September 1, 2021

Completed
29 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 30, 2021

Completed
5 days until next milestone

Study Completion

Last participant's last visit for all outcomes

October 5, 2021

Completed
Last Updated

June 21, 2022

Status Verified

June 1, 2022

Enrollment Period

29 days

First QC Date

March 8, 2021

Last Update Submit

June 14, 2022

Conditions

Keywords

lavender oilaromatherapycold applicationpainnursing caredrain removal

Outcome Measures

Primary Outcomes (3)

  • Pain level before the drain removal

    Pain scores of all patients (lavender oil, cold application, oxygen administration and control group) before removal of the drain were evaluated using the Numerical Rating Scale (NRS). The Numeric Rating Scale is used to digitize the level of pain that cannot be measured numerically. In this scale, patients are asked to describe their pain by numbers, with "0" for painlessness and "10" for the highest unbearable pain. According to this scoring system, less than 3 points indicate mild pain, 3-6 points indicate moderate pain, and more than 6 points indicate severe pain.

    15 minutes before the drain removal

  • Pain level as soon as the drain removal

    As soon as the drain was removed, the pain scores of all patients (lavender oil, cold application, oxygen administration and control group) were evaluated using the Numerical Rating Scale (NRS). The Numeric Rating Scale is used to digitize the level of pain that cannot be measured numerically. In this scale, patients are asked to describe their pain by numbers, with "0" for painlessness and "10" for the highest unbearable pain. According to this scoring system, less than 3 points indicate mild pain, 3-6 points indicate moderate pain, and more than 6 points indicate severe pain.

    as soon as the drain is removed.

  • Pain level after drain removal

    After the drain was removed, the pain scores of all patients (lavender oil, cold application, oxygen administration and control group) evaluated using the Numerical Rating Scale (NRS). The Numeric Rating Scale is used to digitize the level of pain that cannot be measured numerically. In this scale, patients are asked to describe their pain by numbers, with "0" for painlessness and "10" for the highest unbearable pain. According to this scoring system, less than 3 points indicate mild pain, 3-6 points indicate moderate pain, and more than 6 points indicate severe pain.

    15 minutes after the drain is removed

Secondary Outcomes (12)

  • Oxygen Saturation (SPO2) before drain removal

    15 minutes before the drain removal

  • Oxygen Saturation (SPO2) as soon as the drain removal

    as soon as the drain removal

  • Oxygen Saturation (SPO2) after the drain removal

    15 minutes after the drain is removed

  • Systolic and Diastolic Blood Pressure before the drain removal

    15 minutes before the drain removal

  • Systolic and Diastolic Blood Pressure as soon as the drain removal

    as soon as the drain removal

  • +7 more secondary outcomes

Study Arms (4)

Control group

NO INTERVENTION

Routine treatment and nursing care of the clinic will be applied to the patients without any application. Routine interventions applied to the control group during silicone drain removal in the clinic: 1. The patient will be informed about the procedure. 2. The consent of the patient who agrees to participate in the study will be obtained. 3. The patient will mark the pain he feels due to the silicone drain on the Numeric Rating Scale . 4. The patient will mark the pain again from the Numeric Rating Scale immediately after the procedure. 5. The patient will fill the Numeric Rating Scale 15 minutes after the removal of the silicone drain.

Cold application group

EXPERIMENTAL

The patient will mark the pain he feels due to the silicone drain on the Numeric Rating Scale. A gel pad with a temperature of -10 ° C and a homogeneous distribution when cooled will be placed so that the patient is in full contact with the silicone drain.Since the skin temperature must fall below 13.6 ° C for cold application to have a local analgesic effect, the application will be terminated when the patient's skin temperature is 13.6 ° C by measuring every one minute during the cold application and the physician will be informed that the patient is ready.The patient will mark the pain again from the Numeric Rating Scale immediately after the procedure. The patient will fill the Numeric Rating Scale15 minutes after the removal of the silicone drain.

Other: cold application

Lavender oil group

EXPERIMENTAL

All patients who accept the study will be tested for lavender oil before the procedure to exclude sensitivity to lavender. Patients in the lavender group will be given oxygen with a lavender oil covered face mask 15 minutes before the silicone drain is removed. Two drops of 2% lavender oil will be applied with a cotton swab inside the oxygen face mask. The patient will mark the pain he feels due to the silicone drain on the Numeric Rating Scale.The patient will mark the pain again from the Numeric Rating Scale immediately after the procedure.The patient will fill the Numeric Rating Scale 15 minutes after the removal of the silicone drain.

Other: lavender oil inhalation

Oxygen administration

EXPERIMENTAL

The patient will be informed about the procedure. Consent of the patient who agrees to participate in the study will be obtained. Patients in the oxygen administration group will be given 2 lt/min oxygen with a face mask 15 minutes before the silicone drain is removed. The patient will mark the pain he feels due to the silicone drain on Numeric Rating Scale. The patient will re-mark the pain from Numeric Rating Scale immediately after the procedure. The patient will fill the Numeric Rating Scale 15 minutes after the removal of the silicone drain. Before the procedure, as soon as the procedure is over and 15 minutes after the procedure, the patient's vital signs will be measured.

Other: oxygen administration

Interventions

To reduce pain, cold application is applied around the drain before the drain is removed.

Cold application group

To reduce pain, lavender oil is inhaled prior to drain removal.

Lavender oil group

To reduce pain, oxygen is inhaled prior to drain removal.

Oxygen administration

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Between the ages of 18-80,
  • Being conscious, oriented and cooperative,
  • Can speak and understand Turkish,
  • After the surgery with silicone drains
  • General condition stable,
  • Patients who received written and verbal consent to participate in the study will be included.

You may not qualify if:

  • Patients with asthma, bronchitis, chronic obstructive pulmonary disease
  • Patients with contact dermatitis against cosmetic fragrances
  • Patients who are pregnant
  • Patients with poor general condition
  • Oriented, non-cooperative patients
  • Patients whose consent is not taken will be excluded

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Mugla Sitki Kocman University

Muğla, Muğla, 48000, Turkey (Türkiye)

Location

Related Publications (27)

  • Arıoğlu, B. (2012). The effect of progressive muscle relaxation exercise on pain before chest tube removal. Master's thesis, Çukurova University, Adana.

    BACKGROUND
  • Demir Y, Khorshid L. 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 Manag Nurs. 2010 Sep;11(3):186-96. doi: 10.1016/j.pmn.2009.09.002. Epub 2010 May 31.

    PMID: 20728068BACKGROUND
  • Tucci G, Amorese V, Romanini E. Closed suction drainage after orthopedic surgery: evidence versus practice. J Orthop Traumatol. 2006; 7: 29-32.

    BACKGROUND
  • Joshi VS, Chauhan S, Kiran U, Bisoi AK, Kapoor PM. Comparison of analgesic efficacy of fentanyl and sufentanil for chest tube removal after cardiac surgery. Ann Card Anaesth. 2007 Jan;10(1):42-5. doi: 10.4103/0971-9784.37923.

    PMID: 17455407BACKGROUND
  • Hood BS, Henderson W, Pasero C. Chest tube removal: an expanded role for the bedside nurse. J Perianesth Nurs. 2014 Feb;29(1):53-9. doi: 10.1016/j.jopan.2013.11.001. No abstract available.

    PMID: 24461283BACKGROUND
  • Tercan, B. (2015). Nurses' knowledge and application of non-drug methods in pain management. Master's thesis, İnönü University, Malatya.

    BACKGROUND
  • 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.

    PMID: 29145288BACKGROUND
  • Ertug N, Ulker S. The effect of cold application on pain due to chest tube removal. J Clin Nurs. 2012 Mar;21(5-6):784-90. doi: 10.1111/j.1365-2702.2011.03955.x. Epub 2011 Nov 15.

    PMID: 22082021BACKGROUND
  • Özveren, H. (2011). Non-pharmacological methods in pain control. Faculty of Health Sciences Journal of Nursing, 18 (1), 83-92.

    BACKGROUND
  • Gorji HM, Nesami BM, Ayyasi M, Ghafari R, Yazdani J. Comparison of Ice Packs Application and Relaxation Therapy in Pain Reduction during Chest Tube Removal Following Cardiac Surgery. N Am J Med Sci. 2014 Jan;6(1):19-24. doi: 10.4103/1947-2714.125857.

    PMID: 24678472BACKGROUND
  • Gül, A., Eti Aslan, F. (2010). Evidence-Based Approach to Pain Control; Massage and Aromatherapy. Turkey Clinical J Nurs Sci 2012; 4 (1): 30-6

    BACKGROUND
  • Yip YB, Tam AC. An experimental study on the effectiveness of massage with aromatic ginger and orange essential oil for moderate-to-severe knee pain among the elderly in Hong Kong. Complement Ther Med. 2008 Jun;16(3):131-8. doi: 10.1016/j.ctim.2007.12.003. Epub 2008 Mar 4.

    PMID: 18534325BACKGROUND
  • Maddocks-Jennings W, Wilkinson JM. Aromatherapy practice in nursing: literature review. J Adv Nurs. 2004 Oct;48(1):93-103. doi: 10.1111/j.1365-2648.2004.03172.x.

    PMID: 15347415BACKGROUND
  • Steflitsch W, Steflitsch M. Clinical aromatherapy. Journal of Men's Health 2008; 5 (1): 74-85.

    BACKGROUND
  • Dunning T, James K. Complementary therapies in action--education and outcomes. Complement Ther Nurs Midwifery. 2001 Nov;7(4):188-95. doi: 10.1054/ctnm.2001.0575.

    PMID: 11855801BACKGROUND
  • Cooke B, Ernst E. Aromatherapy: a systematic review. Br J Gen Pract. 2000 Jun;50(455):493-6.

    PMID: 10962794BACKGROUND
  • Moss M, Cook J, Wesnes K, Duckett P. Aromas of rosemary and lavender essential oils differentially affect cognition and mood in healthy adults. Int J Neurosci. 2003 Jan;113(1):15-38. doi: 10.1080/00207450390161903.

    PMID: 12690999BACKGROUND
  • Barocelli E, Calcina F, Chiavarini M, Impicciatore M, Bruni R, Bianchi A, Ballabeni V. Antinociceptive and gastroprotective effects of inhaled and orally administered Lavandula hybrida Reverchon "Grosso" essential oil. Life Sci. 2004 Nov 26;76(2):213-23. doi: 10.1016/j.lfs.2004.08.008.

    PMID: 15519366BACKGROUND
  • Kim JT, Wajda M, Cuff G, Serota D, Schlame M, Axelrod DM, Guth AA, Bekker AY. Evaluation of aromatherapy in treating postoperative pain: pilot study. Pain Pract. 2006 Dec;6(4):273-7. doi: 10.1111/j.1533-2500.2006.00095.x.

    PMID: 17129308BACKGROUND
  • Braden R, Reichow S, Halm MA. The use of the essential oil lavandin to reduce preoperative anxiety in surgical patients. J Perianesth Nurs. 2009 Dec;24(6):348-55. doi: 10.1016/j.jopan.2009.10.002.

    PMID: 19962101BACKGROUND
  • Tulunay, M., Tulunay, F.C. (2000). Pain Assessment and Pain Measurements. Serdar Erdine. (Ed.). In pain (pp. 91-107). Istanbul: Nobel Medical Bookstores.

    BACKGROUND
  • Yazici Sayin Y, Akyolcu N. Comparison of pain scale preferences and pain intensity according to pain scales among Turkish Patients: a descriptive study. Pain Manag Nurs. 2014 Mar;15(1):156-64. doi: 10.1016/j.pmn.2012.08.005. Epub 2012 Sep 24.

    PMID: 24602433BACKGROUND
  • Hasanzadeh F, Kashouk NM, Amini S, Asili J, Emami SA, Vashani HB, Sahebkar A. The effect of cold application and lavender oil inhalation in cardiac surgery patients undergoing chest tube removal. EXCLI J. 2016 Jan 22;15:64-74. doi: 10.17179/excli2015-748. eCollection 2016.

    PMID: 27047319BACKGROUND
  • Kazan, E.E. (2011). Cold practices and nursing care. Hacettepe University Nursing Faculty Journal, 18 (1), 73-82.

    BACKGROUND
  • Yagiz On A. [Cold applications for the treatment of pain]. Agri. 2006 Apr;18(2):5-14. Turkish.

    PMID: 17089230BACKGROUND
  • Love, H.N., Pritchard, K.A., Hart, J.M. ve Saliba, S.A. (2013). Cryotherapy effects, part 1: comparison of skin temperatures and patient-reported sensations for different modes of administration . International Journal of Athletic Therapy and Training, 18(5), 22-30.

    BACKGROUND
  • Steen M, Cooper K, Marchant P, Griffiths-Jones M, Walker J. A randomised controlled trial to compare the effectiveness of ice-packs and Epifoam with cooling maternity gel pads at alleviating postnatal perineal trauma. Midwifery. 2000 Mar;16(1):48-55. doi: 10.1054/midw.1999.0188.

    PMID: 11139861BACKGROUND

MeSH Terms

Conditions

Pain

Interventions

Oxygen

Condition Hierarchy (Ancestors)

Neurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

ChalcogensElementsInorganic ChemicalsGases

Study Officials

  • Murat Urkan, Assoc.Prof.

    Mugla Sıtkı Koçman University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: Randomized controlled study
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principle Investigator

Study Record Dates

First Submitted

March 8, 2021

First Posted

March 15, 2021

Study Start

September 1, 2021

Primary Completion

September 30, 2021

Study Completion

October 5, 2021

Last Updated

June 21, 2022

Record last verified: 2022-06

Data Sharing

IPD Sharing
Will not share

Locations