The Effects of Cold Compression on Pain and Satisfaction Among Trigger Finger Patients Receiving Steroid Injection Therapy
Keywords:
Cold compression, Pain, Satisfaction, Trigger finger, Steroid injectionAbstract
Steroid injection treatment in patients with trigger finger induces pain when the needle is inserted. A cold compress is accepted to relieve acute pain. This quasi-experimental research aimed to study the effect of cold compression on pain and patient satisfaction after receiving a steroid injection for trigger finger. The subjects were 102 trigger finger patients who visited the orthopedic outpatient room in a university hospital and met the specified criteria. The experimental group received a cold gel compression before injection and the control group received normal nursing care. There were 51 cases in each group, and the simple random sampling method was used for allocating subjects to each group by matching similar characteristics in terms of age, sex, injection site, and number of injections. The research instruments consisted of 1) the research operation tools, including cold gel bags, digital thermometers, and a stopwatch; and 2) the data collection tools, including the personal data record form, the pain assessment record form, and the patients’ satisfaction questionnaire. Data were analyzed using descriptive statistics, chi-square test, Fisher’s exact test, and the Mann-Whitney U test. The level of significance was set at p < .05.
The results showed that the experimental group had statistically significantly lower pain scores, both when the needle is inserted and immediately after the needle injection, than the control group (p < .001 and p < .001), and the patients’ satisfaction score was higher than that of the control group with statistical significance (p = .01).
The results indicate the effectiveness of the cold compress in reducing pain during steroid injections in patients with trigger finger, and patients were satisfied. Therefore, a cold compress should be considered as alternative pain management for patients with trigger finger before a steroid injection.
References
American Society for Surgery of the Hand. (2015). Cortisone shot. Retrieved from https://www.assh.org/handcare/condition/cortisone-shot
Apivatthakakul, T. (2015). Orthopedic secret. Chiang Mai: Faculty of Medicine, Chiang Mai University.
Chompoopongkasem, K. (2011). Effectiveness of cold gel compression before intralesional triamcinolone acetonide injection for pain relief in keloid treatment. Region 4-5 Medical Journal, 30(4), 359-369. (in Thai)
Duangmee, I. (2021). Comparative study of intrasynovial and extrasynovial steroid injection in treatment of trigger finger: A randomized controlled trial. Kamphaeng Phet Hospital Journal, 25(1), 30-36. (in Thai)
Firstphysio Clinic. (2016). Cold therapy. Retrieved from http://www.firstphysioclinic. com.tag /cold-therapy
Jantaracharut, B., Singchalerm, T., Pungtong, J., Sumachareun, A., Laohawee, P., Pornpatkun, C., & Wongtriratanachai, P. (2016). Comparing the effects of cryotherapy use and non-use on post-operative pain in patients with broken bones. International Journal of Evidence-Based Healthcare, 14, S11-12.
Jongkajornpong, N., & Wattanawong, K. (2021). The efficacy of skin cooling for pain relief during intralesional steroid injection for keloid treatment: A randomized cross-over study. The Journal of the Medical Association of Thailand, 104(11), 1752-1757.
Julka, A., Vranceanu, A. M., Shah, A. S., Peters, F., & Ring, D. (2012). Predictors of pain during and the day after corticosteroid injection for idiopathic trigger finger. The Journal of Hand Surgery, 37(2), 237–242.
Kolcaba, K. (2003). Comfort theory and practice. New York: Springer.
Kongphet, C., & Paneeya, J. (2011). The effect of cold gel pack compression on minimizing postoperative pain in eyelid surgery. Kuakarun Journal of Nursing, 18(1), 67-79. (in Thai)
Langer, D., Maeir, A., Michailevich, M., Applebaum, Y., & Luria, S. (2016). Impact of trigger finger on hand function, quality of life, and activity and participation. The American Journal of Occupational Therapy, 70(4_Suppl._1), 7011505110p1. doi: 10.5014/ajot.2016.70S1-PO1090
Melzack, R., & Wall, P. D. (1965). Pain mechanisms: A new theory: A gate control system modulates sensory input from the skin before it evokes pain perception and response. Science, 150(3699), 971-979.
Niruttisart, S. (2016). Essential knowledge in pain management (1st ed.). Bangkok: Amarin. (in Thai)
Painupong, I. (2014). The effect of ice-pack pain management with self-efficacy enhancing exercise program on recovery outcomes in elderly patients after total knee arthroplasty (Master’s thesis). Prince of Songkla University, Thailand. Retrieved from http://kb.psu.ac.th/psukb/handle/2010/9808
Patrinely, J. R. Jr., Johnson, S. P., & Drolet, B. C. (2021). Trigger finger corticosteroid injection with and without local anesthetic: A randomized, double-blind controlled trial. Hand (NY), 16(5), 619–623.
Petprasert, T. (2019). Cold application on injection area for pain reduction from intramuscular tetanus vaccine injection. Royal Thai Air Force Medical Gazette, 65(3), 16-19. (in Thai)
Pituksung, A., Chirapapaisan, N., Konlakij, D., Suratako, R., & Kumteam, K. (2015). The effect of cold compression as the pain relieving for botulinum toxin an injection for the blepharospasm patients. Nursing Science Journal of Thailand, 33(2), 61–67. (in Thai)
Poonprasit, P. (2018). The effect of cold pack compression to minimizing pain among patients who had got keloid-prone skin in Udonthani Hospital. Udonthani Hospital Medical Journal, 26(1), 21-28. (in Thai)
Rerkyen, P., & Luenam, S. (2014). Nursing care for patients with trigger finger. Journal of The Royal Thai Army Nurses, 15(2), 166-172. (in Thai)
Seigerman, D., McEntee, R. M., Matzon, J., Lutsky, K., Fletcher, D., Rivlin, M., … Beredjiklian, P. (2021). Time to improvement after corticosteroid injection for trigger finger. Cureus, 13(8), e16856.
Silangam, W. (2018). Dangers of smartphone addiction. HCU Journal of Health Science, 22(43-44), 193-204. (in Thai)
Sirijaruwong, S., Klaphajone, J., Sananpanich, K., & Tongprasert, S. (2012). A pilot study of clinical outcomes and satisfaction on metacarpophalangeal splint in patients with trigger fingers: A randomized control trial. Journal of Thai Rehabilitation Medicine, 22(3), 80-88. (in Thai)
Smith, G., Meadows, S., Myers, J., Reynolds, J., & Woodhead, P. (2014). Review of injection therapy clinics performed by physiotherapists working in primary care. International Musculoskeletal Medicine, 36(4), 150-153.
Tanapatiwat, W., Kongsri, N., Thanakiatpinyo, T., & Tongsuntud, S. (2020). Activities of daily living for reduce the risk of trigger finger. Siriraj Medical Bulletin, 13(1), 48-52. (in Thai)
Wongcharoen, S., & Puanfai, S. (2017). The efficiency of cold compression before botulinum toxin injection for pain relief in hemifacial spasm patients at Chiang Mai Neurological hospital. Journal of Nurses Association of Thailand Northern Office, 23(1), 54-63.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Nursing Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
