TY - JOUR
T1 - Effectiveness of Cold Therapy for Pain and Anxiety Associated with Chest Tube Removal
T2 - A Systematic Review and Meta-Analysis of Randomized Controlled Trials
AU - Lu, Hsin Yi
AU - Lin, Mei Yu
AU - Tsai, Pei Shan
AU - Chiu, Hsiao Yean
AU - Fang, Su Chen
N1 - Publisher Copyright:
© 2023 American Society for Pain Management Nursing
PY - 2024/2
Y1 - 2024/2
N2 - Objectives: To assess the effectiveness of cold therapy for pain and anxiety associated with chest tube removal. Design: A Systematic review and meta-analysis of randomized controlled trials. Data sources: Articles were searched from Cochrane Library, PubMed, Embase, CINAHL, ProQuest, Airiti Library, China National Knowledge Infrastructure, and the National Digital Library of Theses and Dissertations in Taiwan. Review/Analysis methods: Eight electronic databases were searched from inception to August 20, 2022. The Cochrane Risk of Bias 2.0 tool was used to assess the quality of the included studies. Using a random-effects model, we calculated Hedges’ g and its associated confidence interval to evaluate the effects of cold therapy. Cochrane's Q test and an I2 test were used to detect heterogeneity, and moderator and meta-regression analyses were conducted to explore possible sources of heterogeneity. Publication bias was assessed using a funnel plot, Egger's test, and trim-and-fill analysis. Results: We examined 24 trials involving 1,821 patients. Cold therapy significantly reduced pain during and after chest tube removal as well as anxiety after chest tube removal (Hedges’ g: −1.28, −1.27, and −1.80, respectively). Additionally, the effect size of cold therapy for reducing anxiety after chest tube removal was significantly and positively associated with that of cold therapy for reducing pain after chest tube removal. Conclusions: Cold therapy can reduce pain and anxiety associated with chest tube removal.
AB - Objectives: To assess the effectiveness of cold therapy for pain and anxiety associated with chest tube removal. Design: A Systematic review and meta-analysis of randomized controlled trials. Data sources: Articles were searched from Cochrane Library, PubMed, Embase, CINAHL, ProQuest, Airiti Library, China National Knowledge Infrastructure, and the National Digital Library of Theses and Dissertations in Taiwan. Review/Analysis methods: Eight electronic databases were searched from inception to August 20, 2022. The Cochrane Risk of Bias 2.0 tool was used to assess the quality of the included studies. Using a random-effects model, we calculated Hedges’ g and its associated confidence interval to evaluate the effects of cold therapy. Cochrane's Q test and an I2 test were used to detect heterogeneity, and moderator and meta-regression analyses were conducted to explore possible sources of heterogeneity. Publication bias was assessed using a funnel plot, Egger's test, and trim-and-fill analysis. Results: We examined 24 trials involving 1,821 patients. Cold therapy significantly reduced pain during and after chest tube removal as well as anxiety after chest tube removal (Hedges’ g: −1.28, −1.27, and −1.80, respectively). Additionally, the effect size of cold therapy for reducing anxiety after chest tube removal was significantly and positively associated with that of cold therapy for reducing pain after chest tube removal. Conclusions: Cold therapy can reduce pain and anxiety associated with chest tube removal.
KW - Anxiety
KW - Chest tube removal
KW - Cold therapy
KW - Meta-analysis
KW - Pain
KW - Systematic review
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U2 - 10.1016/j.pmn.2023.04.016
DO - 10.1016/j.pmn.2023.04.016
M3 - Review article
C2 - 37268491
AN - SCOPUS:85163183984
SN - 1524-9042
VL - 25
SP - 34
EP - 45
JO - Pain Management Nursing
JF - Pain Management Nursing
IS - 1
ER -