Effects of Localized Heating on Pain, Skin Perfusion, and Wound Healing After Lumbar Decompression
| العنوان: | Effects of Localized Heating on Pain, Skin Perfusion, and Wound Healing After Lumbar Decompression |
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| المؤلفون: | Yong Soon Shin, Jeoung Hee Kim |
| المصدر: | Journal of Neuroscience Nursing. 52:251-256 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, Decompression, 030204 cardiovascular system & hematology, law.invention, Heating, 03 medical and health sciences, 0302 clinical medicine, Lumbar, Randomized controlled trial, law, Humans, Medicine, Prospective Studies, Prospective cohort study, Pain, Postoperative, Wound Healing, Endocrine and Autonomic Systems, business.industry, Lumbosacral Region, Surgical wound, Middle Aged, Skin perfusion, Decompression, Surgical, Perfusion, Medical–Surgical Nursing, Anesthesia, Female, Surgery, Neurology (clinical), Wound healing, business, 030217 neurology & neurosurgery |
| الوصف: | Background Current evidence regarding the effectiveness and safety of localized heating after spinal surgery for pain, peripheral tissue perfusion, and wound healing is conflicting. Methods This study was a prospective, single-blind, randomized controlled trial; 58 adult patients were randomized to an experimental group or a control group after spinal decompression surgery. All participants received localized cooling on postoperative days 1 and 2. The experimental group received localized heating at the surgical wound on postoperative days 3 and 4, and the control group kept normothermia without localized heating. Outcome variables were evaluated 1 hour after surgery and on day 4. Results Postoperative pain was significantly lower in the experimental versus control group (13.8 vs 23.0, P = .01). Skin perfusion was better in the experimental versus control group (4.7 vs 2.8, P = .001). There was no statistically significant difference in the wound healing status between the groups. Conclusion Localized heating can effectively relieve postoperative pain and improve skin perfusion. These results suggest that localized heating tailored to the wound healing process may be beneficial for patients undergoing spinal surgery. |
| تدمد: | 1945-2810 0888-0395 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::71de9d7788b18bcb616e3610cfd2eca1 https://doi.org/10.1097/jnn.0000000000000529 |
| رقم الأكسشن: | edsair.doi.dedup.....71de9d7788b18bcb616e3610cfd2eca1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19452810 08880395 |
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