جستجوی مقالات مرتبط با کلیدواژه « Ice pack » در نشریات گروه « پزشکی »

patients undergoing hemodialysis experience fistula puncture pain an average of 10 times per month. Reduction of these complications is important for adjusting the patients with long-term hemodialysis. This study aimed at investigating the effects of EMLA cream and ice pack on severity of pain induced by vascular needle punctures in hemodialysis patients. This was a quasi-experimental design carried out on 40 hemodialysis patients with arteriovenous fistula at Shahid Rahnemoon Hospital., Yazd, Iran, in 2015. In this study, the pain severity was measured in the patients upon insertion of vascular needles using EMLA cream and ice pack with numeric scale of pain severity measurement. The data were analyzed using SPSS16 and repeated measure ANOVA. Our findings showed that the mean score of pain in three methods of uncontrolled pain method, ice pack method, and EMLA cream method, was 7.45±0.88, 5.38±0.83, and 2.80±0.70, respectively. Reduction in average pain intensity was more obvious with both EMLA cream and ice pack methods compared to the uncontrolled pain method (P < 0.001). Also, the mean of pain reduction was significantly greater with EMLA cream compared to ice pack (P < 0.001) Both methods of ice pack and EMLA cream were effective in reducing pain, but due to EMLA cream was more effective in decreasing fistula puncture pain, it could be suggested to hemodialysis patients.

cold therapy is the simplest and oldest therapeutic modality in the treatment of acute soft tissue injuries So this research was done to evaluate the Features of two cooling devices (gel pad with ice pack) on perineal pain level in who gave birth. In this randomized controlled trial، 81 healthy primiparous women were chosen in the two groups cold therapy (ice pack، cooling gel pad) and control group. Evaluate Features of two cooling devices with 3questions and Rating scale in days 1، 2، 5، 10. A statistically significant difference in the pain level was seen in 2 groups at days 2، 5، 10th،، which was in favour of the maternity gel pad. cooling in 2 group during 10 minute and prolonge effect analgesia device not significant at days 1، 2، 5، 10th Cooling gel pad is better than ice pack on reduced episiotomy pain.

There are still considerable morbidities associated with childbirth, despite of the fall in material mortality in the last country. Episiotomy is performed for most of primiparous women and the pain related to this treatment is typically treated with oral analgesic medications. Application of cooling devices is a new approach in pain reliefe.This research was carried out, from October 2005 to February 2006, to determine the effect of two cooling devices (gel pad and ice pack) on the intensity of perineal pain and to compare its effects with no localised treatment regime (control) in women who gave birth at Hazrat Ommolbanin University Maternity Hospital in Mashhad –Iran. In this randomized controlled trial, 121women, with the necessary criteria were sampled and randomely allocated in the two groups of cold therapy (ice pack, cooling gel pad) and the control group (acetaminophen). At hospital, during a period of 4 hours after episiotomy, and then on demand of individuals, to reclnce the intensity of perineal pain at home, subjects received analgesia. During the first 4 hours and on the days 1, 2, 5, 10 after episotomy, perineal pain intensity was evaluated, using Numeric Rating Scale (NRS). Evaluation of women satisfaction from analgesia accomplished on the day 10. Data analyzed by statistics parametric and nonparametric methods, using the SPSS software. There was a statistically significant difference in the intensity of perineal pain in three groups at 4 hours (p=0.003) and on the day 10 (p= 0.044), after episiotomy, which was in favour of the maternity gel pad group. A considerable variation, observed in the reduced necessity for medication and satisfactory treatment, among three groups. Maternity gel pads are effective in reducing the perineal pain intensity, and the need for medication. Therefore, cooling gel pads are suggested as a safe and adequate method of perineal pain relief, which is applicable both at hospital and home.

Background and Perineal pain is one of the most common postpartum problems in women, found in 94% of women undergoing episiotomys it brings about undesirable complications on the physical and mental health of mothers and their relationship with infants. This study was conducted to compare the effects of Acetaminophen tablets, Diclofenac suppositories and ice packs or relieving th perineal pain after episiotomy. Methods and Materials: In this randomized clinical trial, 180 primiparous women with mediolateral were selected and randomly assigned into three groups (taking tablets, suppositories and using ice packs respectively) each with 60 subjects upon the onset of post-episiotomy pain the intensity of pain was measured through a 10-rate numerical scale before and after treatment. 50-mg Diclofenac suppositories (maximum 3 doses until the pain relieved) were given to the first group. The second group received 325-mg Acetaminophen tablets (maximum 4 doses until the pain relieved) and the third group used ice packs (on the basis of individual needs). Descriptive statistics as well as non-parametric tests, frequent measurement (Friedman), Kruskal Wallis, and Wilcoxon were used in SPSS to analyze the obtained data. The results indicated that perineal pain significantly decreased in the three groups. However, the ice packs were more effective than Diclofenac suppositories and the latter was more effective than Acetaminophen tablets. Encouraging patients and health workers to use non-pharmaceutical procedures and to avoid medicinal intervention seem to be necessary in order to reduce complications and saving time and expenses.

Episiotomy occuring during delivery can be a source of serious short and long term morbidity. So a delay in healing can also increase the duration of perineal pain. Nowadays attention has recently focused on maternal morbidity and improving diagnosis and treatment of perineal injury following childbirth. So, this study was done to evaluate the effectiveness of cold therapy in two patient groups (gel pad and ice pack) and compare them with control group in term of wound healing and intensity perineal pain after episiotomy in primparous women who gave birth at Hazrat Ommolbanin University Maternity Hospital in Mashhad-Iran from October 2005 to February 2006.Methods and material: In this randomized controlled trial, 121 healthy primparous women with include and exclude criteria which underwent normal delivery with episiotomy were chosen in the two cold therapy groups(gel pad and ice pack) and one control group. Evaluation of wound healing with REEDA scale and evaluation of intensity pain with numeric scale (NRS) (0-10) during the first 4 hours and on 1st,2nd,5th,10th days after episiotomy and evaluation of satisfaction of women from analgesia at 10th day were conducted.Data were analysed by statistic methods with chi-square, kruskal Wallis. Mann-withney u, jonckheere trepstra, analysis variance and exact tests with software spss. The results showed a statistically significant difference in the wound healing in 2nd day (P<0.001), 5th day (P<0.001) and 10th day (P<0.001) and intensity perineal pain in 3 the groups at first 4 hours (P=0.003) and 10th day (P=0.044) after episiotomy. Also satisfactory was in favor of the maternity gel pad group. Using to maternity gelpad is effective in reducing perineal morbidity. So it suggested as a complementary treatment in clinical services and is a comfirmation to the correct and invasive treatment and can be an acheivement in promoting health level and also, women’s satisfaction.

Cryotherapy has long been introduced as a common method for preventing and reducing edema caused by traumatic injuries. Many studies have been conducted regarding other effects of cold such as its effects on muscle strength which provided controversial results over the past decades. The aim of this study is to investigate whether cold is capable of changing the muscle strength. The research was conducted on 30 volunteers with the mean age of 22 years. In a standard situation, the volunteers were asked to make their maximum grip force. Cold was applied over their anterior forearm using an ice pack for 15 minutes. The maximum grip force was measured before and within 0 to 120 minutes after cold application. The strength of the anterior forearm muscles decreased rapidly after cold application. The maximum reduction of muscle strength, in average 18%, was observed after 10 minutes. This was followed by a gradual increase of grip force. After 120 minutes the force was increased to about 5% above the baseline force that was before cold application. Regarding the slight increase in the muscle strength and its long delay, cryotherapy of muscles cannot be considered as a practical method in rehabilitation of patients. However, this method would be of great importance for athletes.