Study on ice water cryotherapy on postoperative analgesia in patients underwent joint function exercises

ZHAI Qiujin; HUANG Jue; SHI Ying

doi:10.3969/j.issn.1002-7386.2024.14.015

Abstract：Objective To explore the effectiveness of ice water cryotherapy on postoperative analgesia in patients underwent joint function exercises.Methods Four hundred patients with joint replacement surgery admitted in the First People's Hospital of Qinzhou were randomly divided into an experimental group(n=200,cryotherapy with Kindman cloth ice pack)and a control group(n=200,cryotherapy with solid ice pack)based on joint function exercises.The postoperative pain,swelling degree,joint motion,complication,36-item Short Form Health Survey(SF-36),nursing satisfaction were included as comparators.Results The 8-h,24-h,48-h Numerical Rating Scale(NRS)scores in the experimental group decreased sequentially compared with the control group(P＜0.05),with significant differences in the interaction effects at different times(P＜0.05).The 8-h,24-h,48-h swelling degree in the experimental group were significantly lower than those of the control group(P＜0.05).The excellent rate of joint motion was significantly better in the experimental group compared with the control group(P＜0.05).The rate of complications decreased notably in the experimental group compared with the control group(P＜0.05).The 3-day and 5-day SF-36 scores in the experimental group were significantly higher than those of the control group(P＜0.05).The nursing satisfaction was significantly increased in the experimental group relevant to the control group(P＜0.05).Conclusion The cryotherapy with Kindman cloth ice pack in patients underwent joint function exercises can significantly reduce postoperative analgesia,improve joint motion and quality of life.