Comparing the effect of two methods of using ear protective device on pain intensity in patients undergoing coronary artery bypass grafting: A randomized clinical trial

Fatemeh Bastani, Narges Kheirollahi

Abstract


Background: Severe pain is the most prevalent complication after Coronary Artery Bypass Grafting (CABG). The aim of this study is to compare the impact of two methods using ear protective devices on pain intensity in patients undergoing CABG.

 Materials and Methods: The present randomized clinical trial was conducted between October 2019 and February 2020. The participants included 84 patients undergoing CABG, who were randomly divided into two intervention groups (A, B) and a control group. On the first night after the heart surgery, ear protective devices were used for the patients in group A during the evening and night sleep, while they were used in group B only during the night sleep. A demographic questionnaire and Visual Analog Scale (VAS) were the data collection tools used in this study. Data were analyzed using Chi‑square test, paired t‑test, and one‑way Analysis of Variance (ANOVA) in Statistical Package for the Social Sciences (SPSS) software.

Results: Before the intervention, the mean (SD) of pain intensity in the two intervention groups (A, B) and the control group was 6.46 (1.71), 6.32 (1.36), and 6.54 (1.45), respectively, and there was no significant difference between the groups (F2,81 = 0.14; p = 0.86). However, after the intervention, the mean (SD) of pain intensity in the two intervention groups (A, B) and the control group was 3.39 (1.87), 4.46 (1.55), and 6.39 (1.54), respectively, which showed a significant difference (F2,81 = 23.37; p < 0.001).

Conclusions: The use of ear protective device is recommended as a non‑invasive and accessible way of reducing pain intensity in patients after CABG.


Keywords


Coronary artery bypass, ear protective device, pain

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References


Huang AP, Sakata RK. Pain after sternotomy review. Revista Brasileira de Anestesiologia 2016;66:395 401.

Jannati M, Attar A. Analgesia and sedation post coronary artery bypass graft surgery: A review of the literature. Ther Clin Risk Manag 2019;15:773 81.

Simons KS, Verweij E, Lemmens PM, Jelfs S, Park M, Spronk PE, et al. Noise in the intensive care unit and its influence on sleep quality: A multicenter observational study in Dutch intensive care units. Crit Care 2018;22:250 8.

Kryter KD. Effects of Noise on Man. Academic Press; 1970. p. 654.

Horsten S, Reinke L, Absalom AR, Tulleken JE. Systematic review of the effects of intensive care unit noise on sleep of healthy subjects and the critically ill. Br J Anaesth 2018;120:443 52.

Menger J, Urbanek B, Skhirtladze Dworschak K, Wolf V, Fischer A, Rinoesl H, et al. Earplugs during the first night after cardiothoracic surgery may improve a fast track protocol. Minerva Anestesiol 2018;84:49 57.

Ayazi M, Bazzi A, Reyhani T, Boskabadi H. Effect of ear protector on heart rate and pain due to intravenous sampling in premature infants. J Babol Univ Medical Sci 2017;19:13 9.

Baharlooei F, Marofi M, Abdeyazdan Z. Effect of environmental and behavioral interventions on pain intensity in preterm infants for heel prick blood sampling in the neonatal intensive care unit. Iran J Nurs Midwifery Res 2017;22:388 91.

Alsangkar S, Bodhare T, Gorre M. Utility of numerical and visual analog scales for evaluating the post operative pain in rural patients. Indian J Anaesth 2012;56:553 7.

Miozzo AP, Stein C, Bozzetto CB, Plentz RD. Massage therapy reduces pain and anxiety after cardiac surgery: A systematic review and meta analysis of randomized clinical trials. Clinical Trials and Regulatory Science in Cardiology 2016;23:1 8

Taylor C, Lynn P, Bartlett J. Fundamentals of Nursing: The Art and Science of Person Centered Care. Chapter 34. Lippincott Williams & Wilkins; 2018.

Brennan F, Carr D, Cousins M. Access to pain management—still very much a human right. Pain Med 2016;17:1785 9.

Nightingale F. Notes on Nursing: What It Is, and What It Is Not. Lippincott Williams & Wilkins; 1992.

Chou R, Gordon DB, de Leon Casasola OA, Rosenberg JM, Bickler S, Brennan T, et al. Management of postoperative pain: A clinical practice guideline from the American pain society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ committee on regional anesthesia, executive committee, and administrative council. J Pain 2016;17:131 57.

Jemebere W, Bekele G, Tsegaye B, Yohannis Z. Knowledge and attitudes of nurses towards postoperative pain management in Southern Ethiopia. International Journal of Caring Sciences (IJCS) 2020;13:909 20.

Vincent J L, Shehabi Y, Walsh TS, Pandharipande PP, Ball JA, Spronk P, et al. Comfort and patient centred care without excessive sedation: The eCASH concept. Intensive Care Med 2016;42:962 71.

Devlin JW, Skrobik Y, Gélinas C, Needham DM, Slooter AJ, Pandharipande PP, et al. Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. Crit Care Med 2018;46:825 73.


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