Showing 3 results for Heat
Mohsen Tasavori, Seyed Reza Mazloum, Razieh Froutan,
Volume 23, Issue 2 (7-2017)
Abstract
Background & Aim: Access to peripheral veins in more than 80% of hospitalized patients is necessary. This skill is more difficult in the patients with overweight. The study was conducted to determine the effect of local heating on the success rate of venipuncture in the patients with overweight.
Methods & Materials: An unblinded, randomized clinical trial (IRCT2017020832133N1) was done on 70 patients with overweight, hospitalized in the internal department of Imam Reza hospital in Mashhad in 2016. Subjects were randomly allocated to the two groups of experimental and control. For the experimental group, the 39.5 degree (Celsius) local dry heat was applied at the venipuncture site, 10 minutes before venipuncture. The control group had venipuncture in a similar condition but without local heating. In the two groups, the rate of visibility and palpability of peripheral veins was measured by the Lenhardt scale, the required time for venipuncture was determined by chronometer and the number of venipuncture attempt was measured by counting. Data were analyzed by descriptive statistics, independent t-test and Chi-square using the SPSS software version 16.
Results: For the intervention and control groups, the average number of venipuncture attempt were respectively 1.0±0.1 and 1.3±0.5 times, duration of venipuncture were 89.7±26.3 and 120±38.9 seconds and the rate of visibility and palpability of peripheral veins were 2.9±0.7 and 2.3±0.5, and all were statistically significant (P<0.05).
Conclusion: The use of local heating for the overweight patients can increase the visibility and palpability of peripheral veins and decrease the duration of venipuncture and venipuncture attempts.
Sadighe Sadeghian, Ali Mohammadpour, Masoumeh Salari,
Volume 25, Issue 1 (5-2019)
Abstract
Background & Aim: Increase in gastric residual volume and abdominal distention are important complications in patients with nasogastric tube feeding. This study aimed to determine the effect of local heat therapy on gastric residual volume and abdominal distention in patients with nasogastric tube feeding.
Methods & Materials: In this double-blind clinical trial, 64 patients with nasogastric tube feeding, were selected using the convenience sampling method according to the inclusion criteria and randomly assigned to either the experiment group or control group. For two groups, a hot pack was placed on the anterior abdominal region in two 23-minute sessions, about 1.5 hours after gavage. The temperature of the hot pack was 50°C for the experiment group and it was equal to the ambient temperature for the control group. The levels of patients’ abdominal distention and gastric residual volume were measured and compared half an hour before and 1.5 hours after gavage. Data collection tools were consisted of a demographic questionnaire and a data sheet for recording digestive function. Data were analyzed using the SPSS software version 16 through descriptive and inferential statistical tests. The p-value less than 0.05 was considered significant.
Results: According to the results, 46.9% of the patients were female and 53.1% were male. The age mean for the experiment and control groups were 12.5±72.5 and 15.3±7.8, respectively. There was no significant difference between the two groups in terms of demographic characteristics and disease-related information. Abdominal distention and gastric residual volume were similar in the two groups before the intervention, but significantly decreased in the experiment group after the intervention (P<0.05). However, there was no significant difference in the control group.
Conclusion: Local heat therapy reduces gastric residual volume and abdominal distention in patients with nasogastric tube feeding, and its application is suggested in further research.
Clinical trial registry: IRCT2015050822163N1
Ali Mohammadpour, Samane Najafi, Javad Bazeli, Mahnaz Parimoo,
Volume 29, Issue 1 (4-2023)
Abstract
Background & Aim: Diabetic neuropathy is found in 50% of people with diabetes and refers to a group of diseases that affect all nerves such as peripheral, autonomic and spinal nerves. This study aimed to investigate the effect of topical heat therapy on clinical symptoms of peripheral neuropathy in patients with type 2 diabetes.
Methods & Materials: The present study was a randomized controlled clinical trial conducted on 52 patients with type 2 diabetes with peripheral neuropathy referred to the clinic of Allameh Behlool Gonabadi Hospital in 2018. The participants were randomly divided into two groups of intervention and placebo. The intervention group received heat therapy using a hot pack at 40 ° C twice a day for 20 minutes for a week. The control group received all routine care similar to the intervention group. A demographic information form and NSS questionnaire were used to collect the data through interview. Data were analyzed using the SPSS software version 23 at a significance level of less than 0.05.
Results: The mean scores of neuropathy symptoms before and after the intervention were 5.46±1.90 and 4.12±1.55 respectively for the intervention group, and 4.88±1.53 and 5.08±1.52 for the control group that no significant difference was observed between the both groups before the intervention (P=0.23), but there was a statistically significant difference after the intervention (P=0.03). Also, the comparison of the mean scores of two groups after the intervention showed a significant difference (P<0.001).
Conclusion: The findings showed that topical heat therapy can improve the clinical symptoms of peripheral neuropathy. Since this technique is easy to learn and inexpensive, it can be used to reduce treatment costs and drug side effects, as well as to improve patient self-care.
Clinical trial registry: IRCT20181015041354N1
