Effect of Cold Application on Local Problems among Patients Receiving Subcutaneous Enoxaparin | ||
| Egyptian Journal of Health Care | ||
| Article 16, Volume 11, Issue 1, March 2020, Pages 219-233 PDF (604.34 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2020.74784 | ||
| Authors | ||
| Walaa Eid Zaki; Manal Salah Hassan; Amira Hedaya Mourad; Hoda Attia Abd Elnaby | ||
| Medical Surgical Nursing department- Faculty of Nursing- Ain-Shams University. | ||
| Abstract | ||
| Background: Subcutaneous enoxaparin administration often causes problems such as pain; bruise and hematoma at the injection sites. In terms of these problems, cold application has been found to have various therapeutic benefits as relieve pain by produce localized anesthetic effect and controls bleeding by causing vasoconstriction. Aim of the study: To investigate the effect of cold application on local problems among patients receiving subcutaneous enoxaparin. Design: Self controlled trial design was utilized. Setting: The study was carried out in general surgery department, orthopedic surgery department, and chest Intensive Care Unit at Beni-seuf University Hospital. Study subjects: A purposive sample of 60 patients was included in the study. Data collection tools: Data were obtained through Patient assessment tool, Bruising Category Scale, Visual Analogue Scale for pain and Hematoma Formation Scale. Results: All studied patients had pain and more than half developed bruise at injection site when they received enoxaparin without cold application but more than three quarter of studied patients had pain and less than one quarter developed bruise when they received injection with cold application. Meanwhile, the majority of the studied patient did not develop hematoma whether cold applied at injection site or not. Conclusion: The pre-injection cold application at enoxaparin injection site was effective in reducing the occurrence of pain and bruising. Moreover, there was statistically significant relation between the patients’ pain intensity, the size of bruising and their demographic characteristics; age and gender. Recommendations: Cold application should be included in standard protocol for the administration of SC enoxaparin and providing on-going and regular in-service educational programs about it for nurses. | ||
| Keywords | ||
| Enoxaparin; Subcutaneous; Local problems; Cold application | ||
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