A comparative study on the effect of acupressure and ice bag on the pain during removal of femoral artery sheath in angioplasty patients: A clinical trial study

authors:

avatar Mohajereh Allahbakhshi , avatar Ali Ravari , * , avatar Tayebeh Mirzaei , avatar Mohsen Mirzaei , avatar Mojtaba Mirza Mohamadi


how to cite: Allahbakhshi M, Ravari A, Mirzaei T , Mirzaei M, Mirza Mohamadi M. A comparative study on the effect of acupressure and ice bag on the pain during removal of femoral artery sheath in angioplasty patients: A clinical trial study. koomesh. 2021;23(5):e153291. 

Abstract

Introduction: Pain is one of the common consequences of removing the arterial sheath. This study was performed to compare the effect of two methods of acupressure and ice pack on pain during arterial sheet removal in patients under angioplasty. Materials and Methods: In this clinical trial, 90 patients were randomly assigned to three 30-member groups. In the ice bag group, an ice bag was placed on the right side of the patients’ femoral region for 15 min and then the sheath was removed. In the acupuncture group, the pressure was applied in the Hegu;#39s point 20 min before the sheath removal. In the control group, only the nurse for 20 min. Visual analog scale touched the hand of patients (VAS) was used to measure the severity of pain. Results: The mean pain score in the ice pack and acupressure groups was 1.6 ± 1.6 and 2.4 ± 1.4, respectively, and in the control group was 4.03 ± 1.27. After the arterial sheet was removed, there was a significant difference between the three groups in terms of pain score (P= 0.0001). However, despite the lower score of the pain in the ice bag group, it showed no significant difference with the acupuncture group (P= 0.065). Conclusion: Both intervention methods were effective in pain control. In addition, patients did not complain of either applying the ice bag or acupuncture. Thus, both of them can be used for this purpose.  

References

  • 1.

    Ghods AA, Asghari F, Mirmohamadkhani M, Asgari MR. Effect of Jacobson's relaxation on anxiety in patients undergoing percutaneous coronary intervention. Koomesh 2019; 21: 628-632. (Persian).

  • 2.

    Byrne RA, Stone GW, Ormiston J, Kastrati A. Coronary balloon angioplasty, stents, and scaffolds. The Lancet 2017; 390: 781-792.

  • 3.

    Hassan AK, Hasan-Ali H, Demetry SR, Refaat R, Ali AS. Early sheath removal after percutaneous coronary intervention using Assiut Femoral Compression Device is feasible and safe. Results of a randomized controlled trial. Egyptian Heart J 2015; 67: 69-77.

  • 4.

    Bayindir SK, rk GN, Oguzhan A. Effect of ice bag application to femoral region on pain in patients undergoing percutaneous coronary intervention. Pain Res Manag 2017; 2017: 1-7.

  • 5.

    Armendaris MK, Azzolin KdO, Alves FJMS, Ritter SG, Moraes MAPd. Incidence of vascular complications in patients submitted to percutaneous transluminal coronary angioplasty by transradial and transfemoral arterial approach. Acta Paulista de Enfermagem 2008; 21: 107-111.

  • 6.

    Kurt Y, Kak M. The effect of the application of cold on hematoma, ecchymosis, and pain at the catheter site in patients undergoing percutaneous coronary intervention. Int J Nurs Sci 2019; 6: 378-384.

  • 7.

    Stea S, Beraudi A, De Pasquale D. Essential oils for complementary treatment of surgical patients: state of the art. Evid Based Complement Alternat Med 2014; 2014: 726341.

  • 8.

    Qu F, Zhang D, Chen LT, Wang FF, Pan JX, Zhu YM, et al. Auricular acupressure reduces anxiety levels and improves outcomes of in vitro fertilization: a prospective, randomized and controlled study. Sci Rep 2014; 4: 5028.

  • 9.

    Borzou SR, Akbari S, Fallahinia GH, Mahjub H. The effect of acupressure at the point of hugo on pain severity of needle insertion in arteriovenous fistulas in hemodialysis patients. Nephro Urol Month 2018; 10.

  • 10.

    Hosseinabadi R, Biranvand S, Pournia Y, Anbari K. The effect of acupressure on pain and anxiety caused by venipuncture. J Infus Nurs 2015; 38: 397-405.

  • 11.

    Raddadi Y, Adib-Hajbaghery M, Ghadirzadeh Z, Kheirkhah D. Comparing the effects of acupressure at LI4 and BL32 points on intramuscular injection pain. Eur J Integrat Med 2017; 11: 63-68.

  • 12.

    Narimani M, Jaberi AA, Bonabi TN, Sadeghi T. Effect of acupressure on pain severity in patients undergoing coronary artery graft: a randomized controlled trial. Anesth Pain Med 2018; 8: e82920.

  • 13.

    Talebi A, Jalali R, Hosseinabadi R, Rezaei M, Bodagh M. The effect of acupoints massage on pain in patients with minor trauma. Qual Prim Care 2016; 24: 219-221.

  • 14.

    Karimpour F, Fayazi S, Mowla K, Latifi SM. Effect of acupressure on severity of pain in arthritis rheumatoid patient. 2012; 11: 269-275. (Persian).

  • 15.

    Mohammadkhan Kermanshahi S, Sadrizadeh R, Nafisi S. The effect of auto acupressure on reliefing headache migraine. J Kermanshah Univ Med Sci (Behbood) 2010; 13: 290-298. (Persian).

  • 16.

    Sinha R, Dave K, Goyal H, Mathur R. Effects of cold application on pain anxiety during chest tube removal among post operative cardiac surgery adult patients. IOSR J Nurs Health Sci 2016; 4: 64-68.

  • 17.

    Javadi M, Mirzaei S, Eftekhari A. Study of the effect of EMLA cream and ice pack on the pain of vascular needles insertion in hemodialysis patients. J Shahid Sadoughi Univ Med Sci 2019; 26: 694-705 (Persian).

  • 18.

    Sivagami R. Effectiveness of cryotherapy on arteriovenous fistula puncture related pain among clients undergoing hemodialysis in a selected hospital at Coimbatore [dissertation]. Annai Meenakshi College of Nursing, Coimbatore; 2011.

  • 19.

    Osunde O, Adebola R, Omeje U. Management of inflammatory complications in third molar surgery: a review of the literature. Afr Health Sci 2011; 11.

  • 20.

    Ravari A, Irani M, Mirzaei T, Raeisi M, Askari Majdabadi H. Effects of drug use reminder SMS on controlling hypertension in elderlies: A clinical trial study. Koomesh 2020; 22: 437-445. (Persian).

  • 21.

    Ebrahimi Rigi H, Feizi A, Abdollahimohammad A, Ebrahimi Rigi Z, Salehi Ardabili S. Effect of cold therapy on the pain of deep-breathing and coughing in patients after coronary artery bypass grafting. Der Pharmacia Lett 2016; 8: 201-205. (Persian).

  • 22.

    Pishkarmofrad Z. Effects of localized cryotherapy on the severity of thoracic pain in patients undergoing coronary artery bypass grafting. Med Surg Nurs J 2016; 5: 22-27. (Persian).

  • 23.

    Hosseinzadeh F, Alaee N, Rejeh N, Alemohammad SN. Comparing the effect of cryotherapy and acupressure on pain intensity of arteriovenous fistula cannulation in patients hemodialysis. Iran J Nurs Res 2019; 14: 40-47. (Persian).

  • 24.

    Abbasi Teshnizi M, Kianinejad A, Gandomkar F. Effect of applying Ice bag on pain intensity associated with chest tube removal after cardiac surgery. Horizon Med Sci 2012; 18: 109-114.

  • 25.

    rk GN, Tac S, Elmal F, Oguzhan A, Kalay N. The effect of ice-bag applied to femoral region of individuals with percutaneous coronary intervention on local vascular complications and low back-pain. IOSR J Nurs Health Sci 2017; 6:136-144.

  • 26.

    Bayndr SK, rk GN, Oguzhan A. Effect of ice bag application to femoral region on pain in patients undergoing percutaneous coronary intervention. Pain Res Manag 2017; 2017: 6594782.

  • 27.

    Klimek L, Bergmann KC, Biedermann T, Bousquet J, Hellings P, Jung K, et al. Visual analogue scales (VAS): Measuring instruments for the documentation of symptoms and therapy monitoring in cases of allergic rhinitis in everyday health care. Allergo J Int 2017; 26: 16-24.

  • 28.

    Patidar V. Effectiveness of cryotherapy on pain during arteriovenous fistula puncture among hemodialysis patients. J Lab Life Sci 2015; 1.

  • 29.

    Haynes JM. Randomized controlled trial of cryoanalgesia (ice bag) to reduce pain associated with arterial puncture. Respir Care 2015; 60: 1-5.

  • 30.

    Rousdy A. Effectiveness of acupressure at the Zusanli (ST-36) acupoint as a comfortable treatment for diabetes mellitus: a pilot study in Indonesia. J Acupunct Meridian Stud 2017; 10: 96-103.

  • 31.

    Kwan RY, Leung MC, Lai CK. Acupressure for agitation in nursing home residents with dementia: study protocol for a randomized controlled trial. Trials 2014; 15: 410.

  • 32.

    Shakhaei S, Motaarefi H, Sadeghyani HE. Comparing the effect of ice massage and acupressure on the intensity of the venipuncture pain in hemodialysis patients. Int J Pharma Bio Sci 2018; 9: 164-170.

  • 33.

    rk GN, Tac S, Elmal F, Oguzhan A, Kalay N. The effect of ice-bag applied to femoral region of individuals with percutaneous coronary intervention on local vascular complications and low back-pain. IOSR J Nurs Health Sci 2017; 6: 136-144.

  • 34.

    Abdollahi A, Hosseini S, Behnampour N, Salehi A. Coronary arteries angiography findings of subjects referring to Kosar angiography center in Golestan province, Iran (2008-09). J Gorgan Univ Med Sci 2011; 13: 109-114 (Persian).

  • 35.

    Yousefi Z, Rezaei K, Hoseini K. The effect of deep and slow breathing on pain and pain outcomes during arterial sheath removal after undergoing coronary angioplasty. Iran J Cardiovasc Nurs 2015; 4: 46-53 (Persian).##.