Effect of Cryotherapy on Recovery Outcomes among Patients Undergoing Surgical Rhinoplasty

Document Type : Original Article

Authors

1 B.Sc. Nursing Sciences Faculty of Nursing, Menoufia University

2 Professor of Medical Surgical Nursing Faculty of Nursing, Menoufia University

3 Professor of Plastic and burn surgery Faculty of Medicine, Menoufia University

4 Assistant Professor of Medical Surgical Nursing Faculty of Nursing, Menoufia University

Abstract

Background: Surgical rhinoplasty has many complications such as intraoperative
bleeding, eyelid edema and ecchymosis, Post-operative pain and theses complication can lead to Post-
surgical rhinoplasty dissatisfaction syndrome. Purpose: to examine the effect of cryotherapy on
recovery outcomes among patients undergoing surgical rhinoplasty. Design: A quasi experimental research
design was utilized. Setting: The study was conducted in the Plastic and Burn Surgery Department at
Menoufia University Hospital (Emergency Hospital), Menoufia governorate, Egypt. Sample: A
consecutive sample of 60 adult patients of both sexes who undergoing surgical rhinoplasty and
fulfills the inclusion criteria was selected and assigned randomly into study and control group, 30
patients for each. Instruments of the study: five instruments were utilized in data collection; 1) A
Structured Interviewing Questionnaire, 2) Intra-operative surgical field bleeding grading scale, 3)
Visual Analogue Pain Scale, 4) The modifified “Surgeon Periorbital Rating of Edema and
Ecchymosis” questionnaire, 5) The Short Assessment of Patient Satisfaction. Results: The findings
revealed that the study group achieved statistically significant improvement than control group
regarding all the recovery outcomes after implementation of cryotherapy. Conclusion:
Implementing the cryotherapy as perioperative nursing intervention among patients undergoing
surgical rhinoplasty is effective as it reduces the intraoperative bleeding, reduces the postoperative
pain, reduces the postoperative periorbital edema and ecchymosis as well as has a significant
improvement of patient's satisfaction.

Keywords