The effect of cold pack compression to minimizing pain among patients who had got keloid-prone skin in Udonthani Hospital

Abstract

Background: Keloid-prone skin was one of health problems that lead the patients went to see the physicians. The number of keloid-prone skin patients raising for each year in Udonthani hospital. Steroid injected in keloid scar is one of its treatment but pain while injecting can effected the patients loss follow up next time.

Objective: To compare pain scores among patients who had got keloid-prone skin between had applied cold compressing before steroid injection and not applied cold compression group, and to study satisfaction in patients who had got cold compression before steroid injection.

Method: This study was a quasi-study. The subjects were 80 keloid-prone skin patients, age over 15 years old, who received steroid injected to keloid. Data were collected between 1 July-31 August 2017. Control group, 40 patients, were received a standard treatment for keloid without cold compression before steroid injection and study group, 40 patients were received a same treatment and had applied cold compression before injecting of steroid. Pain scores were evaluated in 3 periods, before, intra and post injection for each patients. Data were analyzed by descriptive statistic, compare pain scores in same group by paired t-test and between group by independent t-test.

Results: The results revealed that the study group, patients who received cold pack compression before steroid injected to keloid reported statistically lower pain scores while injecting than control group who were not compressed at p <0.05 and had satisfaction in high level.

Conclusion: To promote nursing care by continue cold compression before steroid injected in keloid-prone skin patients for more satisfaction and complying follow up.