Comparing the effects of cold and hot compresses

Comparing the effects of cold and hot compresses on urinary retention after cardiac catheterization. Personal Photo Seyed Hamid Seyedalangi 1, Seyedeh Azam Sajadi 2* (coauthor response), Zahra Farsi 3, Esmail mohamadnezhad 4 1. Master of Sciences in Critical care nursing, Nursing Faculty, AJA University of Medical Sciences, Tehran, Iran 2. Assistant professor (*Corresponding Author), Nursing faculty, AJA University of Medical Sciences. Tehran, Iran V_Poster Code: "A-10 -940 -1" 3. Associate professor, Nursing faculty, AJA University of Medical Sciences. Tehran, Iran 4. Assistant professor, Nursing Faculty, Tehran University of Medical Sciences, Tehran, Iran Seyedeh Azam Sajadi - Nursing faculty, AJA University of Medical Sciences. Tehran, Iran 1 13/OCT/10

Introduction Cardiac catheterization is one of the most valuable invasive cardiovascular diagnostic tests (1). One of the most common and unpleasant complications after Cardiac catheterization is acute urinary retention (2, 3). This study aimed to compare the effect of hot and cold compresses on urinary retention after cardiac catheterization. 2 Seyedeh Azam Sajadi - Nursing faculty, AJA University of Medical Sciences. Tehran, Iran 13/OCT/10

Method This study was a semi-experimental study that examines the effect of hot and cold compresses on acute urinary retention following cardiac catheterization in 132 hospitalized male patients of selected AJA University of medical sciences hospitals. There were three groups; control, hot compresses, and cold compresses. The elimination time of urinary retention and the severity of urinary retention were measured using a visual analog scale before and after the intervention. Data were analyzed by statistical Software of SPSS (version 21). Seyedeh Azam Sajadi - Nursing faculty, AJA University of Medical Sciences. Tehran, Iran 3 13/OCT/10

………………………………………………. Result Based on the ANOVA test, there was no significant difference between the severity of urinary retention • … in the cold and hot groups (P = 0. 51). However, the elimination time of urinary retention was significantly lower in the hot compresses group than in the cold compressed group (P = 0. 03). elimination time of urinary retention mean SD severity of urinary retention mean SD group 4 Hot 15 4. 17 Hot 4. 16 1. 57 Cold 17. 23 3. 96 Cold 4. 59 1. 30 Control 18 4. 96 Control 6. 48 1. 54 Seyedeh Azam Sajadi - Nursing faculty, AJA University of Medical Sciences. Tehran, Iran 13/OCT/10

Discussion Although many studies have shown the effect of hot compresses on urinary retention, few studies have been conducted on the effect of cold compresses (4 - 6), The results of a study indicated the effect of cold compression on reducing urinary retention (7). Therefore, further studies are recommended in this area. 5 Seyedeh Azam Sajadi - Nursing faculty, AJA University of Medical Sciences. Tehran, Iran 13/OCT/10

Conclusion Regarding the effect of hot compresses on reducing the elimination time of urinary retention, it is recommended to use warm compression on the suprapubic area. 6 Seyedeh Azam Sajadi - Nursing faculty, AJA University of Medical Sciences. Tehran, Iran 13/OCT/10

References 1. Asoh K, Hickey E, Dorostkar PC, Chaturvedi R, van Arsdell G, Humpl T, Benson LN. Outcomes of emergent cardiac catheterization following pediatric cardiac surgery. Catheter Cardiovasc Interv. 2009; 6(73): 933– 940. 2. Zeif HJ, Subramonian K. Alpha blockers prior to removal of a catheter for acute urinary retention in adult men. Cochrane Database Syst Rev. 2009; 12(4): 67 -73. 3. Zaouter C, Kaneva P, Carli F. Less urinary tract infection by earlier removal of bladder catheter in surgical patients receiving thoracic epidural analgesia. Reg Anesth Pain Med. 2009; 34(6): 542 -8. 4. Afazel MR, Jalali E, Sadat Z, Mahmoodi H. Comparing the effects of hot pack and lukewarm-water-soaked gauze on postoperative urinary retention; a randomized controlled clinical trial. Nurs Midwifery Stud. 2014; 3(4): e 24606. 5. Park S U, Lee S H, Chung Y G, Park K K, Mah S Y, Hong S J, and Chung B H. Warm Sitz Bath: Are There Benefits after Trans urethral Resection of the Prostate? Korean J Urol. 2010; 51(11): 763– 766. 6. Shafik A. Role of warm water bath in inducing micturition in postoperative urinary retention after anorectal operations. Urol Int. 1993; 50(4): 213 -7. 2 7. Zeini B. Assessing the impact of hot and cold compresses on the prevention of pelvic urinary retention following hemorrhoidectomy. Ph. D. thesis, Shahid Sadoughi University of Medical Sciences, 2000. 7 Seyedeh Azam Sajadi - Nursing faculty, AJA University of Medical Sciences. Tehran, Iran 13/OCT/10

Final Questions • What is already known about the subject? One of the most common and unpleasant complications after Cardiac catheterization is acute urinary retention. These complaints are higher in men. • What could be added to the current knowledge by this study? The use of hot compresses reduces the elimination time of urinary retention 8 Seyedeh Azam Sajadi - Nursing faculty, AJA University of Medical Sciences. Tehran, Iran 13/OCT/10