The effect of ice on reduce of pain

INTERVENTION: Group 2: Tubes (pericardial and thoracic tube) randomly assigned for Ice bag (zero to 5 ° C) and control (without anything application). Ice bag applies to the area surrounding the chest tube for 20minutes. Time between two chest tubes removal is 30 minutes. Group 3: Tubes (pericardial and thoracic tube) randomly assigned for placebo bag (zero to 5 ° C) and control (without anything application) placebo bag (22‐18 ° C) applies to the area surrounding the chest tube for 20minutes. Time between two chest tubes removal is 30 minutes. Intervention 1: This clinical trial consists of three groups. The patients are divided to three groups randomly assigned; Group 1: tubes (pericardial and thoracic tube) randomly assigned for Ice bag (zero to 5 ° C) and placebo bag (22‐18 ° C) application. Ice and placebo bags designed by the researcher. Ice and placebo bags apply to the area surrounding the chest tubes for 20minutes. Time between two chest tubes removal is 30 minutes. Intervention 2: Group 2: Tubes (pericardial and thoracic tube) randomly assigned for Ice bag (zero to 5 ° C) and control (without anything application). Ice bag applies to the area surrounding the chest tube for 20minutes. Time between two chest tubes removal is 30 minutes. Intervention 3: Group 3: Tubes (pericardial and thoracic tube) randomly assigned for placebo bag (zero to 5 ° C) and control (without anything application) placebo bag (22‐18 ° C) applies to the area surrounding the chest tube for 20minutes. Time between two chest tubes removal is 30 minutes. This clinical trial consists of three groups. The patients are divided to three groups randomly assigned; Group 1: tubes (pericardial and thoracic tube) randomly assigned for Ice bag (zero to 5 ° C) and placebo bag (22‐18 ° C) application. Ice and placebo bags designed by the researcher. Ice and placebo bags apply to the area surrounding the chest tubes for 20minutes. Time between two chest tubes removal is 30 minutes. CONDITION: Pain, not elsewhere classified, Acute pain Pain. ; Pain, not elsewhere classified, Acute pain R52, R52.0 PRIMARY OUTCOME: Pain Intensity. Timepoint: Before chest tube removal, Immediately and 15 minutes after chest tube removal. Method of measurement: Visual Analog Scale. Pain Quality. Timepoint: Before chest tube removal, Immediately after chest tube removal. Method of measurement: Modify Short Form McGill Pain Questionnaire. INCLUSION CRITERIA: Eligible participants include adult patients who had cardiothoracic surgery; Could speak Persian and able to verbally report their pain; Have two chest tube (pericardial and thoracic tube); Orient to place, person and time; Don’t have co morbidity to effect pain such as, delirium, severe depression, severe visual defect; Had chest tube at least 24 hours; Don’t connect to ventilator and are Iranian and Muslim; Patient had pericardial and pleural chest tube that distance between them is more than 8‐10 cm. Exclusion criteria include patient refusal; Sedative drugs infusion; Chest tubes were removed more than three minutes of discontinuation of the intervention; Time between remove two chest tube is less than 30 minutes; Take opioid drugs 2 hours ago chest tube removal.