After open heart surgery, considerable postoperative incisional pain is observed when incentive spirometry is used. As a result, the major postoperative treatment strategy for cardiac surgery is pain management. cold therapy is regarded as a quick, inexpensive, and non-pharmacological pain management technique. Aim: evaluate the effect of cold gel pack intervention on controlling pain associated with incentive spirometry post open heart surgery. Design: Quasi experimental design was utilized. Setting: The study was conducted in cardiothoracic intensive care unit and cardiothoracic department of Benha University Hospital. Sample: A Purposive sample of 60 adult patients were included in the study. Tools of data collection: Three tools were used for data collection; Tool I Structured interview questionnaire, Tool II Subjective pain assessment sheet, Tool III Objective pain assessment sheet. Results: There were statistically significant effects on pain intensity score, patients' perception and most of physiological indicators related to incisional pain associated with the use of incentive spirometry after cold gel pack application in study group compared to control group. Conclusions: Application of cold gel pack intervention was effective for reducing incisional pain and improving physiological parameters associated with incentive spirometry in patients post coronary artery bypass graft. Recommendations: Cold gel pack application should be promoted as a non-pharmacological treatment option before incentive spirometry for post-operative CABG patients, |
