J Korean Acad Nurs.  2012 Aug;42(4):579-588. 10.4040/jkan.2012.42.4.579.

Effects on Blood Flow Velocity, Wound Healing and Pain in Hand Microsurgery Patients Following Heating on Non-affected Side

• Kim M
• So H

• KMID: 1387330
• DOI: http://doi.org/10.4040/jkan.2012.42.4.579

Abstract

PURPOSE
The purpose of this study was to identify the effects of heating on the non-affected hand on blood flow velocity, wound healing, and pain for hand microsurgery patients.
METHODS
This study was designed using the nonequivalent control group pretest-posttest design. Thirty-nine patients were assigned either to the experimental group (20 patients) or control group (19 patients). Data were analyzed with chi2-test, Fisher's exact test, t-test, and repeated measure ANOVA using SPSS/WIN 17.0 program.
RESULTS
After treatment in this program, blood flow velocity (F=5.13, p=.008) and wound healing (F=4.11, p=.020) improved significantly in the experimental group compared to the control group. But there was no significant improvement in pain in the experimental group compared to the control group (F=2.40, p=.097).
CONCLUSION
Based upon these results, the non-affected side hand heating was recommended as an independent nursing intervention for the patients who need improvement in blood flow velocity and wound healing such as patients who have microsurgery. As the heating was effective even when applied on the non-affected side, it is the applicable to patients who cannot tolerate any therapy on affected side.

Keyword

Heating; Microsurgery; Blood flow velocity; Wound healing; Pain

MeSH Terms

Adult
Blood Flow Velocity/*physiology
Female
Hand Injuries/surgery/*therapy
Humans
Hyperthermia, Induced
Male
*Pain Measurement
Time Factors
Wound Healing/*physiology

Figure

• 

  Figure 1 Changes of research variables by two groups. Exp.=Experimental group; Cont.=Control group; POD=Postoperative date.

Reference

1. Evans M. Natural alternatives: Healing remedies and therapies. 2003. New York: Lorenz Books.

2. Fu K, Izquierdo R, Hubbard T, Fareed J. Modified crush-avulsion anastomosis model on the rat femoral vein. Microsurgery. 1995. 16(8):536–541.

3. Ham YR. Effects of back massage on pain, mood and wound healing in the patients with gastrectomy. Korean Journal of Nursing Query. 2003. 12(2):128–149.

4. Han TR, Lee JM. The effects of consensual reaction of the heat on nerve conduction and autonomic nervous function. Journal of Korean Academy of Rehabilitation Medicine. 1994. 18:28–33.

5. Harris R, Milard JB. Paraffin-wax baths in the treatment ofrheumatoid arthritis. Annals of the Rheumatic Diseases. 1955. 14(3):278–282.

6. Hartel M, Illing P, Mercer JB, Lademann J, Daeschlein G, Hoffmann G. Therapy of acute wounds with water-filtered infrared- A(wIRA). GMS Krankenhhygiene Interdisziplinar. 2007. 2(2):Doc53. Retrieved December 30, 2011, from http://www.ncbi.nlm.nih.gov/pubmed/20204084.

7. Hoffmann G. Water-filtered infrared-A(wIRA) in acute and chronic wounds. GMS Krankenhhygiene Interdisziplinar. 2009. 4(2):Doc12. Retrieved December 30, 2011, from http://www.ncbi.nlm.nih.gov/pubmed/20204090.

8. Hong YJ, Kim C, Park MS, Kim YJ. Changes of pre-auricular cutaneous blood flow and skin temperature after dry heat therapy and moist heat therapy. Journal of Korean Academy of Oral Medicine. 2006. 31:47–57.

9. Joung YH, Hur H, Kim BM. Measurement of blood flow during thermotherapy Paper presented at the meeting of the Optical Society of Korea Summer Meeting 2003. 2003, July; Yongpyeong, Gangwon-do.

10. Jung SH, Kim JH, Choi IS, Lee SG, Kim GY, Park SJ. The effect of thermo-undulation therapy on the patients with chronic low back pain. Journal of Korean Academy of Rehabilitation Medicine. 2007. 31:574–581.

11. Kang HS. Application of heat and cold. Korean Nurse. 1990. 29(2):16–23.

12. Kim MJ. Implementation of pain intervention among clinicalnurses. Journal of Korean Academy of Adult Nursing. 1997. 9:209–224.

13. Kim WK, Kim SW, Han SK. Microvascular anastomosis using fibrin glue. Journal of the Korean Microsurgical Society. 1996. 5:157–160.

14. Kim YM, Park SY, Choi HS, Kwon OY. Contralateral heating effects of contrast bath and warm bath. Journal of the Korean Academy of University Trained Physical Therapists. 1996. 3(2):49–54.

15. The Korean Orthopaedic Association. Textbook of orthopaedic surgery. 2006. 6th ed. Seoul: Choisinuihaksa.

16. The Korean Society of Plastic and Reconstructive Surgeons. Textbook of plastic surgery. 2009. 2nd ed. Seoul: Koonja.

17. Lee BI, Han SK, Kim WK. How to overcome the problems in ten-digit and nine-digit replantation: clinical analysis of ten cases. Journal of the Korean Society of Traumatology. 1996. 9(2):216–224.

18. Lee EO, Kim SY, Seo MJ, Han JS, Kim MJ, Kang HS, et al. Arthritis. 1999. 4th ed. Seoul: Shinkwang.

19. Lee GS. Effect of heat therapy given at a community heath clinic on sleep and pain in rural elders who have osteoarthritis. 2006. Seoul: Yonsei University;Unpublished master's thesis.

20. Lehmann JF, Delateur BJ. Therapeutic heat and cold. 1990. 4th ed. Baltimore, MD: Williams and Wilkins.

21. Trybus M, Lorkowski J, Brongel L, Hladki W. Causes and consequences of hand injuries. American Journal of Surgery. 2006. 192(1):52–57. http://dx.doi.org/10.1016/j.amjsurg.2005.10.055.

22. Ministry of Employment and Labor. The occurrence state of industrial accident in 2010. The occurrence state of industrial accident in 2010. 2011. 01. Retrieved December 30, 2011, from= view&bbs_cd=3&bbs_cd=105&state=A&seq=1296094157064.

23. Park GC, Cho NS, Cho SH, Ju S, Kim SK. Evaluation of the effect factor on replantation and revascularization of an amputated digit. Journal of the Korean Society of Emergency Medicine. 2002. 13:78–83.

24. Park JC, Kim SY, Nam GS, Park JS, Lee IH. Theory and practice of hydrotherapy. 2007. 4th ed. Seoul: Hyunmoon.

25. Park JE, Kim MA, Oh DH. The effect of aroma-therapy combined with heat application on the pain, range of Motion of lower limb joint, and discomfort of activities of daily living among patients with rheumatoid arthritis. Journal of Korean Academy of Adult Nursing. 2008. 20:839–851.

26. Whang IS. A study on the clinical analysis of acute hand injuries. 2002. Gimhae: Inje University;Unpublished master's thesis.

27. Yamano Y. Replantation of the amputated distal part of the fingers. The Journal of Hand Surgery. 1985. 10(2):211–218.

28. Yoon SY. Effect of foot bath program on post operation blood circulation, pain, stress in emergency hand replantation patients. 2009. Daejeon: Chungnam National University;Unpublished doctoral dissertation.

29. Yun JH, Kim YS, Yu SW, Ko SM, Oh KS, Park IA, et al. Effect of hand reflexology massage method on patient's pain and mood following a spinal surgery. Journal of the Nursing Academic Association of Ewha Womans University. 2003. 15(2):1–17.