The Use of Cold Therapy, Music Therapy and Lidocaine Spray for Reducing Pain and Anxiety Following Chest Tube Removal
Abstract
AIM: To determine the effect of cold therapy, music therapy and lidocaine spray on pain and anxiety following chest tube removal (CTR). METHODS: This study was a randomized clinical trial. The participants were randomly assigned either one of four groups: control group, cold therapy, music therapy, and lidocaine spray. The primary outcome of the study was to measure pain using Visual Analog Scale. Anxiety was used as secondary outcome. RESULTS: Thirty patients in each arm completed the study. There was no difference in pain scores between groups immediately after and 20min after CTR (F=2.06, p=0.108). However, there was a significant difference between the anxiety scores of control and intervention groups 20min after CTR (p<0.05). CONCLUSIONS: Cold therapy reduced anxiety levels after the procedure. A multimodal approaches, such as the administration of pharmacologic agents in conjunction with non-pharmacological interventions including cold therapy may also be suggested.