Effect of Local Heat Application on Physiological Status and Pain Intensity among Patients with Acute Coronary Syndrome
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 6
Abstract
Acute coronary syndrome (ACS) is a main problem of coronary heart disease. In patients with this disease, there are many pharmacological and non-pharmacological methods used for symptom management. One of these non-pharmacological methods is local heat application. Symptom management is the most important component of comprehensive nursing care. Nursing role should be emphasized on assessment and management of symptom inflicted by acute coronary syndrome. Aim: study the effect of local heat application on physiological status and pain intensity among patients with acute coronary syndrome. Subjects and Method: design: quasi experimental research design was utilized to achieve the aim of this study. Setting: the study was conducted at cardiac care unit and emergency intensive care unit at Menoufia University Hospital. Sample: - A purposive sample of 60 patients were assigned randomly and divided into two groups 30 patients for each group. Tools: three tools were utilized to collect the data. Tool I: An interviewing questionnaire to assess demographic and medical data, Tool II: physiological parameters measurement tool to identify patients’ physiological problems and its extent. Tool III: visual analogue pain scale to assess the patient,s subjectiv pain intensity . Result: illustrated that, the mean age of studied group 54.60 ± 4.29 years; 54.40 ±4.29 years in study and control group respectively. More than half of them were male (63.3, 66.7%) in study and control group respectively. Physiological parameters of patients with acute coronary syndrome( Heart rate, Blood pressure, Respiratory rate,& Oxygen saturation) were significantly different among study group &control group after 24 hrs from local heat application. Level of chest pain decreased in study group rather than control group after 24 hrs from local heat application. Conclusions: local heat application had positive effect on improving physiological parameters and decreased intensity of chest pain among patients with acute coronary syndrome. Recommendations: Application of local heat should be carried out routinely for managing symptom among patients with acute coronary syndrome.
Authors and Affiliations
Prof. Dr . Hala Badran, Assist. Prof. Amal Amin El-Sheikh, Assist. Prof. Asmaa Hamed Abd Elhy, Dr. Neveen Adel Amer Ismael Amer
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