Efficacy of Localized Cryotherapy on Incisional Pain associated with Incentive Spirometry Post Coronary Artery Bypass Graft Surgery

Dardier Hussein Awad, Reda; Abdel Halim Mostafa Ahmed, Fatma; Nabil El-Sayied Abboud, Amal; Fathy Mohamed Gabr, Wessam

doi:10.21608/ejhc.2022.279718

Efficacy of Localized Cryotherapy on Incisional Pain associated with Incentive Spirometry Post Coronary Artery Bypass Graft Surgery

Document Type : Original Article

Authors

¹ Lecturer at Medical Surgical and Critical Care Nursing department, Faculty of Nursing, Beni-Suef University, Egypt

² Lecturer of Medical- Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt

³ Lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Menoufia University, Egypt

10.21608/ejhc.2022.279718

Abstract

Background: After coronary artery bypass graft 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. Localized cryotherapy is regarded as a quick,
inexpensive, and non-pharmacological pain management technique. Aim: Determine the efficacy of
localized cryotherapy on incisional pain associated with the use of incentive spirometry post
coronary artery bypass graft surgery. Setting: Crossover study design was utilized at Cardiothoracic
Surgical Intensive Care Unit (ICU) and Cardiothoracic Surgery Department at Shebin El-Kom,
Menoufia University Hospital, Menoufia Governorate, Egypt. 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, pain distress, visual analog pain score, patients' perception and most of physiological
indicators related to incisional pain associated with the use of incentive spirometry after localized
cryotherapy application. Conclusions: Application of localized cryotherapy in form of cold gel
pack application was effective for reducing incisional pain and its physiological indicators
associated with incentive spirometry in patients post coronary artery bypass graft.
Recommendations: For post-operative CABG patients, localized cryotherapy should be promoted
as a non-pharmacological treatment option before incentive spirometry.

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