Pain
Conditions
Keywords
Pain, Pain Management, Kidney Transplantation, Drainage, Cryotherapy
Brief summary
The study was planned as a prospective, randomized controlled study to examine the effect of cold application on pain due to Jackson Pratt drain removal in kidney transplant patients.
Detailed description
During kidney transplant surgery, a Jackson Pratt Drain (JP) is placed in the surgical field to monitor lymphocele and urinary leakage. This drain is a closed system that opens outward from the skin at a point close to the incision line. This drain is removed by pulling when the drainage amount falls below 30 ml. This procedure is known to cause serious pain. In our study, which was planned as a prospective, randomized controlled study, it was aimed to examine the effect of cold application in the pain caused by the removal of the JP drain in patients with kidney transplantation. The population of the study will be patients who had a kidney transplant in İstinye University Hospital Liv Hospital Organ Transplant Center (n=76). In the study, patients will be assigned to the experimental and control groups by the block randomization method. Patient Information Form and Visual Analog Scale (VAS) will be used as data collection tools. In the experimental group, cold application will be made until the skin temperature of the drain exit area reaches 13.6 °C. Then, the drain removal process will be performed by the physician. In the control group, no application will be made. In both study groups before drain removal, immediately after drain removal and 15 minutes later, pain levels will be measured with VAS and analgesic needs will be questioned. Chi-square and t-tests will be used to compare demographic data in the analysis process of the data. ANOVA test will be applied to compare pain scores between groups.
Interventions
OTHERCold application
In the experimental group, cold application will be made until the skin temperature of the drain exit area reaches 13.6 °C. And before drain removal, immediately after drain removal and 15 minutes later, pain levels will be measured with VAS and analgesic needs will be questioned
Sponsors
Karadeniz Technical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Caregiver)
Masking description
The application will be made by the researcher. However, pain assessment will be done by the nurse who cares for the patient.
Intervention model description
Prospective, parallel randomized controlled clinical trial
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Being between the ages of 18-65, * Being conscious, oriented to person, place and time, * No history of mental pathology, * No history of drug or alcohol use, * Having a body mass index of \<30 kg/m2, * Not using any analgesic or sedative medication one hour before drain removal.
Exclusion criteria
* IV analgesic or sedative treatment during cold application, * Having a history of chronic pain, * Having previous drain removal experience, * Anxiety, * Refusal to participate in the research, * Unstable hemodynamic status.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain evaluated using the Visual Analog Scale (VAS) | Pain measurement will be made with VAS just before drain removal, immediately after drain removal, and 15 minutes later. | According to this scale, 0 indicates no pain, 1-4 indicates mild pain, 5-6 indicates moderate pain, and 7-10 indicates severe pain. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactUfuk AKKURT, Master
Outcome results
None listed