Ice Pack and Lukewarm Gel Pad Use on Pain, Anxiety Level and Physiological Parameters

NCT06600763 | Not Yet Recruiting

• 1 other identifier: 2024/82
• Study Type: interventional
• Target: 108
• Locations: 0 countries
• Sites: N/A

Brief Summary

The study was planned as a randomized controlled experimental study to determine the effect of cold application used during surgical drain removal on pain, anxiety level and physiological parameters of children aged 9-18 years. The study will be conducted between July 2024 and April 2025 in the Pediatric Surgery Service of Adana City Training and Research Hospital. Pediatric Surgery Service has a capacity of 24 beds and 14 nurses work on a roster basis with 5 nurses during the day and 3 nurses at night. The clinical physician staff consists of 8 pediatric surgery specialists and 1 pediatric urologist. Mostly, acute abdomen, intra-abdominal mass excision, hypospadias surgery and congenital megacolon surgeries are performed. The clinic provides outpatient and emergency services on a 24/7 basis. Data Collection In the study, children treated in pediatric surgery and followed up with drainage system after abdominal surgery will be evaluated in terms of sampling criteria and children who do not meet the criteria will be excluded from the study. Application

1. 1.Phase: The necessary ethics committee and institutional permission will be obtained before starting the study.
2. 2.Stage: The decision to remove the drainage system after the end of function or end of indication is communicated to the investigator by the physician.
3. 3.Stage: After obtaining written informed consent from the child\'s parents for the drain removal procedure, the researcher will explain the drain removal procedure and what will be done during the procedure to the parents. Then the descriptive information form will be filled.
4. 4.Stage: Physiological parameters (pulse, blood pressure, respiration, SPO2 ) of the children will be measured by the researcher before and after the procedure.
5. 5.Before the procedure, the necessary materials (ice pack or warm gel ice, infrared thermometer, gloves, saline, scalpel, clamp, sterile sponge, plaster and scissors) will be prepared and the drainage system will be clamped.
6. 6.The parent and nurse will assess and record the child\'s pain score 15 minutes before, during and 15 minutes after the procedure. The child will be asked to make the same assessments and the results will be recorded.

Conditions

Pain; Anxiety; Children; Surgery

Keywords

pain; anxiety; children; surgery

Outcome Measures

Primary Outcomes (2)

• State-Trait Continuity Inventory for Children

  State-Trait Continuity Inventory for Children : The inventory, which is used to measure the state and trait anxiety states of children, was developed by Spielberger in 1973. It is a simplified form of the State-Trait Anxiety Inventory developed for adults for children. While the number of options was 4 in the adult form, it was reduced to 3 in the child form. Özusta translated the inventory into Turkish and conducted an application study.

  1 hour

• Pain level

  Numerical Pain Scale : This method, which aims to determine the severity of pain, aims to explain the patient\'s pain in numbers. On numerical scales, absence of pain (0) is evaluated as unbearable pain (10).

  1 hour

Study Arms (3)

Ice pack

EXPERIMENTAL

Ice pack application group: An ice pack kept in the refrigerator and having a temperature of -10 degrees Celsius will be wrapped in sterile gauze and applied to the drain area of the pediatric patient who is decided to end the surgical drain indication. The temperature of the area where the ice pack is applied will be measured at one minute intervals, and when the relevant area reaches a temperature of 13.6 0C, the physician will be informed and the drain removal procedure will be initiated. The child will be asked to mark the degree of pain felt before, during and after the procedure.

Other: Ice pack

warm gel

EXPERIMENTAL

Warm gel pad application group: Gel pads kept at room temperature will be applied to the drain area of the pediatric patient whose surgical drain indication is decided to end, in a sheath designed to wrap around the drain. After waiting for 10 minutes in the application area, the drainage system will be removed by the physician.

Other: warm gel pad

Control

NO INTERVENTION

Control group: The integrated drainage system will be withdrawn by the physician. The child will not receive any non-pharmacologic intervention before, during or after the procedure.

Interventions

Ice pack OTHER

The temperature of the area where the ice pack is applied will be measured at one minute intervals, and when the relevant area reaches a temperature of 13.6 0C, the physician will be informed and the drain removal procedure will be initiated.

Ice pack

warm gel pad OTHER

Gel pads kept at room temperature will be applied to the drain area of the pediatric patient whose surgical drain indication is decided to end, in a sheath designed to wrap around the drain. After waiting for 10 minutes in the application area, the drainage system will be removed by the physician.

warm gel

Eligibility Criteria

• Age: 9 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• The child must be between the ages of 9 and 18,
• The child does not have developmental delay (Developmental Problems: Delay in one or more of the developmental areas such as communication, social-emotional, cognitive, sensory functions, fine-rough movements, self-care, loss of function, loss of ability, loss of ability, limitation of participation in life as a result of disease)
• Follow-up with surgical drain
• The child does not have a chronic disease that may affect his/her life
• Voluntariness of the parent and child to participate in the study

You may not qualify if:

• The child is under 9 years of age
• Communication problems
• Not volunteering to participate in the study
• Presence of more than one surgical drain
• The presence of developmental delay in the child (Developmental Problems: Delay in one or more of the developmental areas such as communication, social-emotional, cognitive, sensory functions, fine-rude movements, self-care, loss of function, loss of ability, loss of ability, restriction of participation in life as a result of disease)
• Previous surgical procedure under general anesthesia
• Use of any analgesic medication until at least 6 hours before the procedure

Sponsors & Collaborators

• Tarsus University: lead

Related Publications (5)

• Simsek Yaban Z, Alvarez-Garcia C, Bozdemir H. The effect of cold application on pain during the chest tube removal: A meta-analysis. Turk Gogus Kalp Damar Cerrahisi Derg. 2023 Jul 27;31(3):398-407. doi: 10.5606/tgkdc.dergisi.2023.23846. eCollection 2023 Jul.

  PMID: 37664777 RESULT

• Kazan AGDEE. (2011). Soğuk Uygulamalar ve Hemşirelik Bakımı. HUHEMFAD. 18(1):73-82.

  RESULT

• Knowlton MC. Nurse's guide to surgical drain removal. Nursing. 2015 Sep;45(9):59-61. doi: 10.1097/01.NURSE.0000470418.02063.ca. No abstract available.

  PMID: 26287712 RESULT

• Özveren, H. (2011). Ağrı kontrolünde farmakolojik olmayan yöntemler. Sağlık Bilimleri Fakültesi Hemşirelik Dergisi, 18(1), 83-92.

  RESULT

• 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: 22082021 RESULT

MeSH Terms

Conditions

Pain; Anxiety Disorders

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders

Central Study Contacts

Atiye Karakul, Phd

CONTACT

+903246000033; atiyekarakul@tarsus.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Nursing

Study Record Dates

• First Submitted: September 16, 2024
• First Posted: September 19, 2024
• Study Start: September 20, 2024
• Primary Completion: February 25, 2025
• Study Completion: May 31, 2025
• Last Updated: September 23, 2024

Record last verified: 2024-09