The Effects of Heat Therapy on Low Back Pain, Blood Pressure and Pulse Rate after Percutaneous Coronary Intervention

경피적 관상동맥 중재술 후 온요법이 요통, 혈압 및 맥박에 미치는 효과

  • Yun, So-Young (College of Nursing, Chonnam National University) ;
  • Cho, Bok-Hee (College of Nursing, Chonnam National University, Chonnam Research Institute of Nursing Science)
  • 윤소영 (전남대학교 간호대학) ;
  • 조복희 (전남대학교 간호대학, 전남대학교 간호과학연구소)
  • Received : 2010.08.06
  • Accepted : 2011.06.30
  • Published : 2011.08.31

Abstract

Purpose: This study was done to examine the effects of heat therapy on low back pain, blood pressure and pulse rate after percutaneous coronary intervention. Method: The participants in this study were 40 patients who were admitted after having percutaneous coronary intervention. The experimental group, 20 patients, had heat therapy and the control group, 20 patients, maintained a supine position for 12 hours after the intervention. Back pain (VAS), blood pressure and pulse rate were measured just after removal of the sheath, and at 2-hour intervals up to 6 hours. Data were analyzed using SPSS 15.0. Results: The experimental group had significantly lower VAS for low back pain (F=23.44, p=.001). However no significant differences were found between two groups for blood pressure and pulse rate. Conclusion: The findings indicate that heat therapy is effective in reducing low back pain in patients who have had percutaneous coronary intervention. Therefore, heat therapy could be used as nursing intervention percutaneous coronary intervention.

Keywords

References

  1. Barkman, A., & Lunse, C. P. (1994). The effect of early ambulation on patient comfort and delayed bleeding after cardiac angiogram: a pilot study. Heart and Lung, 23, 112-117.
  2. Birnbaum, M. L. (1986). Cost-containment in critical care. Critical Care Medicine, 14, 1068-1077. https://doi.org/10.1097/00003246-198612000-00017
  3. Brunner, L., & Suddath, D. (1992). Textbook of medicalsurgical nursing (7th ed.). Philadelphia: Lippincott Williams & Wilkins.
  4. Choi, S. H., Baek, K. H., Lee, J. Y., Lim, H. B., Kim, H. J., Kim, Y. S., et al. (2006). The effect of warm and ice application for pain control caused by arteriovenous fistula needling under hemodialysis. Journal of Korean Clinical Nursing Research, 12(1), 179-189.
  5. Dahlen, H. G., Homer, C. S., Cooke, M., Upton, A. M., Nunn, R., & Brodrick, B. (2007). Perineal outcomes and maternal comfort related to the application of perineal warm packs in the second stage of labor: a randomized controlled trial. Birth, 34, 282-290. https://doi.org/10.1111/j.1523-536X.2007.00186.x
  6. Hahn, S. W. (2002). The effects of exercise therapy and transcutaneous electrical nerve stimulation for the alleviation of low back pain after coronary angiography. Journal of Korean academy of adult nursing, 14, 222-232.
  7. Hahn, T. R., & Bang, M. S. (2008). Rehabilitation medicine (3rd ed.). Seoul : Koonja.
  8. Hong, Y. R. (2011). Effect of heat therapy using a far infrared rays heating element for dysmenorrhea in high school girls. Journal of Korean Academy of Nursing, 41, 141-148. https://doi.org/10.4040/jkan.2011.41.1.141
  9. Hwang, Y. T., You, K. T., Lee, M. Y., & Park, R. J. (2007). The effect of heat therapy in stretching exercise on lumbar flexibility. Journal of Rehabilitation Science, 25(1), 104-113.
  10. Kang, H. S. (1990). Application of heat and cold. The Korean nurse, 29(2), 16-23.
  11. Kang, I. S. (2001). The effect of thermotherapy on high school girls' dysmenorrhea. Unpublished master's thesis, Kyunghee University, Seoul.
  12. Kettenmann, B., Wille, C., Lurie-Luke, E., Walter, D., & Kobal, G. (2007). Impact of continuous low level heatwrap therapy in acute low back pain patients: subjective and objective measurement. The Clinical Journal of Pain, 23, 663-668. https://doi.org/10.1097/AJP.0b013e31813543ef
  13. Kim, M. H., Hahn, M. J., Lee, J. E., & Lee, J. M. (2007). Effects of exercise and ice pack therapy on discomfort after percutaneous coronary intervention. Journal of Korean Clinical Nursing Research, 13(1), 185-196.
  14. Kim, M. J., Koo, M. O., Kim, J. H., Kim, H. S., Kim, W. S., & Jang, H. J. (2009). Fundamental of nursing. Seoul : Hyunmoonsa.
  15. Kim, S. H., Kim, M. H., & Kim, J. S. (2003). Effects of heat therapy according to the application time among the elderly with osteoarthritis. The Journal of the Korean Rheumatism Association, 10, 7-18.
  16. Kulisch, A., Bender, T., Németh, A., & Szekeres, L. (2009). Effect of thermal water and adjunctive electrotherapy on chronic low back pain: a double-blind, randomized, followup study. Journal of Rehabilitation Medicine, 41, 73-79. https://doi.org/10.2340/16501977-0291
  17. Morton, P. G., Fontaine, D. K., Hudak, C. M., & Gallo, B. M. (2007). Critical care nursing: cardiovascular and respiratory system (Council on specialized intensive care nursing courses, Trans). Seoul : Koonja. (Original work published 2005)
  18. Nadler, S. F., Steiner, D. J., Erasala, G. N., Hengehold, D. A., Abeln, S. B., & Weingand, K. W. (2003). Continuous low-level heatwrap therapy for treating acute nonspecific low back pain. Archives of Physical Medicine and Rehabilitation, 84, 329-334. https://doi.org/10.1053/apmr.2003.50102
  19. Nadler, S. F., Steiner, D. J., Erasala, G. N., Hengehold, D. A., Hinkle, R. T., Beth, G. M., et al. (2002). Continuous low-level heat wrap therapy provides more efficacy than ibuprofen and acetaminophen for acute low back pain. Spine, 27, 1012-1017. https://doi.org/10.1097/00007632-200205150-00003
  20. Nahm, S. Y. (2007). The effects of Fowler's position change on back pain and discomfort of the patients undergone percutaneous coronary intervention. Unpublished master's thesis, Seoul National University, Seoul.
  21. Nuhr, M., Hoerauf, K., Bertalanffy, A., Bertalanffy, P., Frickey, N., Gore, C., et al. (2004). Active warming during emergency transport relieves acute low back pain. Spine, 29, 1499-1503. https://doi.org/10.1097/01.BRS.0000131439.87553.99
  22. Park, J. S., Kim, E. S., & Park, J. J. (2004). The effects of the slow stroke back massage on discomfort in patients following percutaneous transluminal coronary angioplasty. Journal of Korean Clinical Nursing Research, 9(2), 56-67.
  23. So, H. S., Seo, S. R., Kwon, I, K., Kim, Y. H., & Yun, Y. H. (2005). Pain management made incredibly easy. Seoul: Koonja.
  24. Tao, X., & Bernacki, E. J. (2005). A randomized clinical trial of continuous low-level heat therapy for acute muscular low back pain in the workplace. Journal of Occupational and Environmental Medicine, 47, 1298-1306. https://doi.org/10.1097/01.jom.0000184877.01691.a3
  25. Terkelsen, A. J., Molgaard, H., Hansen, J., Andersen, O. K., & Jensen, T. S. (2005). Acute pain increase heart rate: differential mechanisms during rest and mental stress. Autonomic Neuroscience, 121, 101-109. https://doi.org/10.1016/j.autneu.2005.07.001
  26. The Korean Pain Society. (2000). Pain Medicine. Seoul: Koonja.
  27. The Korean Society of Cardiology & Clinical Research Center for Ischemic Heart Disease (2007, May). The medical treatment recommendation of ischemic heart disease. from http://www.circulation.or.kr/eoffice/e_book/viewer_frame.html
  28. Yoo, K. J. (2004). Surgical treatment of coronary artery disease. Journal of the Korean Medical Association, 47, 758-766. https://doi.org/10.5124/jkma.2004.47.8.758