The Effects of Ice Chips on Reducing Sore Throat after Extubation in Patients Undergone Surgery with

1
The Effects of Ice Chips on Reducing Sore
Throat after Extubation in Patients Undergone
Surgery with General Anesthesia at Sampran
Hospital in Nakhon Pathom Province.

• By
• Kulitsara Fuangmanakul
• Christian University of Thailand

2
Background and rationale

• Sore throat after extubation in patients
  who have
• undergone surgery under general anesthesia is
  an acute pain, which can cause suffering in
  patients both physically and mentally.
• Therefore, after extubation in general
  anesthesia, patients need holistic care to reduce
  sore throat. The cold from ice chips is part of
  independent nursing care to reduce sore throat
  and this therapy can promote physical, mental,
  emotional, and social balance.

3
Conceptual framework

• The framework of this study was based on
  concept of the gate control theory (Melzack and
  Wall,1982) and endogenous pain control theory
  (Huges,et al. 1975)

4
Objective

• The objective of this study is to test the
  effectiveness of ice chips to reduce pain level
  of sore throat after extubation and duration of
  times to reduce sore throat between the
  experimental group and the control group.

5
Research hypotheses

• 1. After extubation, all patients with sore
  throat who received general anesthesia with
  endotracheal tube, the experimental group had
  less level of pain of sore throat than the
  control group.
• 2. After extubation, the experimental group had
  less pain on the following days.
• 3. After extubation, the experimental group had
  less duration of times on reducing sore throat
  than the control group.

6
Scope of the study

• The study was quasi experimental research
  designed to test the effects of ice chips on
  reducing sore throat after extubation in patients
  who undergone surgery with general anesthesia.
• This research was conducted among pregnant
  patients who received ceasarean section and
  general anesthesia with endotracheal tube.

7
Scope of the study

• After extubation, the researcher
  assessed the pain level of sore throat in the
  experimental group and the control group. If the
  score of pain level 4, patients in the
  experimental group received ice chips and the
  control group received standard post operative
  nursing care.
• This study was conducted at Sampran
  Hospital in Nakhon Pathom Province, from October
  2007 to April 2008. Purposive sampling with
  inclusion criteria was used to select 30 patients
  to join the study.

8
Methods

• Population and sampling
• The population of this study were
  pregnant patients, who received caesarean section
  and general anesthesia, with endotracheal tube.
  After extubation, the population who had pain
  score level of sore throat 4 were selected.
• Purposive sampling was used to select
  30 patients to join the study. The samples were
  randomly divided into two groups the
  experimental and the control groups.

9
Setting

• The study was conducted in postpartum ward at
  Sampran Hospital in Nakhon Pathom Province.

10
Data analysis

• Data were analyzed by using mean,
  standard deviation, independent sample t-test and
  repeated measure ANOVA. The kolmogorov-smirnov
  test was used to test the assumption of the
  dependent variable normality. The test indicated
  that all dependent variables in this study met
  normality assumption.

11
Results

• The sample in this research consisted
  of 30 subjects, the experimental group was
  composed of 15 patients and the control group was
  composed of 15 patients. The results of this
  study revealed that
• 1. The mean score level of sore throat
  in the experimental group was less than the
  control group and was significantly different
  (P-value 0.00)
• 2. The mean score level of sore throat
  in the experimental group was reduced, and was
  significantly different (P-value 0.00)
• 3. The mean score of a duration of
  times to reduce sore throat in the experimental
  group was less than the control group, and was
  significantly different (P-value 0.00)

12
Conclusion

• This study recommends that ice chips can
  reduce sore throat after extubation. Nurses can
  integrate this recommendation into their post
  operative nursing care to reduce sore throat, as
  an independent nursing role.
• This will improve patients
  comfort, satisfaction and the quality of nursing
  care, which is concerned with both physical and
  mental aspects of patients health.

13
(No Transcript)