Effectiveness of Cold Compress with Ice Gel on Pain Intensity among Patients with Post Percutaneous Coronary Intervention (PCI)


  • Gentur Wicaksono Poltekkes Kemenkes Semarang
  • Ta’adi Ta’adi
  • Masrifan Djamil




Cold Compress, Ice Gel, Pain Intensity, Aff Femoral Sheath, Percutaneous Coronary Intervention (PCI)


Coronary heart disease is caused by narrowing the coronary arteries due to atherosclerosis or spasms, or a combination of both. A non-surgical intervention to reopen narrowed coronary arteries by Percutaneous Coronary Intervention (PCI) and pain is one of the common symptoms. Interventions were carried out to reduce pain by using cold compresses with ice gel. This study aimed to examine the effect of cold compress with ice gel on pain intensity among patients with aff femoral sheath post-Percutaneous Coronary Intervention (PCI). True experimental approach post-test only with control group design was applied in this study. Independent t-test showed a significant difference p-value 0.000 (<0.05) that the pain intensity of the intervention group decreased from 4.53 to 2.40 (p=0.000) with a mean delta value of -2.13. The mean pain intensity control group also reduced from 4.40 to 4.27 (p=0.334) with a mean delta value of -0.13. Conclusion cold compresses with ice gel effectively reduce pain intensity in aff femoral sheath patients with post percutaneous coronary intervention (PCI). Cold compress (ice gel) is a nurse's independent action to reduce the pain intensity scale and increase comfort during the treatment phase but still requires collaboration with doctors to provide analgesics


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(1) Harselia S. Tindakan Percutaneous Coronary Intervention Pada Pasien Stenosis Arteri Koroner Kanan. Arkavi [Arsip Kardiovaskular Indonesia). 2018;3(1):186-91.

(2) Kementrian Kesehatan Republik Indonesia. Hasil Utama Riskesdas 2018. Jakarta [Id]: Balitbangkes Kementerian Kesehatan. 2018.

(3) Grossman W. Grossman's Cardiac Catheterization, Angiography, And Intervention: Lippincott Williams & Wilkins; 2006.

(4) Osborn Ks, Wraa Ce, Watson As, Holleran Rs. Medical-Surgical Nursing: Pearson Higher Ed; 2013.

(5) Kristiyan A, Purnomo Hd, Ropyanto Cb. Pengaruh Kompres Dingin Dalam Penurunan Nyeri Pasien Post Percutaneous Coronary Intervention (Pci): Literature Review. Holistic Nursing And Health Science. 2019;2(1):16-21.

(1) (6) Wnorowski D. Heat And Cold Therapy. 2002.

(7) Tamsuri A. Konsep Dan Penatalaksanaan Nyeri. Jakarta: EGC. 2007:1-63.

(8) Algafly Aa, George Kp. The Effect Of Cryotherapy On Nerve Conduction Velocity, Pain Threshold And Pain Tolerance. British Journal Of Sports Medicine. 2007;41(6):365-9.

(9) Chair Sy, Fernandez R, Lui Mhl, Lopez V, Thompson Dr. The Clinical Effectiveness Of Length Of Bed Rest For Patients Recovering From Trans?Femoral Diagnostic Cardiac Catheterisation. International Journal Of Evidence?Based Healthcare. 2008;6(4):352-90.

(10) Advisory P-Pps. Strategies To Minimize Vascular Complications Following A Cardiac Catheterization. Pa Psrs Patient Saf Advis. 2007;4(2):58-63.

(11) Simon A, Bumgarner B, Clark K, Israel S. Manual Versus Mechanical Compression For Femoral Artery Hemostasis After Cardiac Catheterization. American Journal Of Critical Care. 1998;7(4):308.

(12) Jones T, Mccutcheon H. Effectiveness Of Mechanical Compression Devices In Attaining Hemostasis After Femoral Sheath Removal. American Journal Of Critical Care. 2002;11(2):155-62.

(13) Yilmaz E, Gurgun C, Dramali A. Minimizing Short-Term Complications In Patients Who Have Undergone Cardiac Invasive Procedure: A Randomized Controlled Trial Involving Position Change And Sandbag/Kardiyak Invazif Girisim Yapilan Hastalarda Kisa Donem Komplikasyonlari Azaltma: Kum Torbasi Ve Pozisyon Degisikligini Iceren Randomize Kontrollu Bir Calisma. The Anatolian Journal Of Cardiology (Anadolu Kardiyoloji Dergisi). 2007;7(4):390-7.

(14) Manik MJ. Perbedaan Bantal Pasir Dan Cold-Pack Dalam Mencegah Komplikasi Pasca Kateterisasi Jantung. Jurnal Keperawatan Soedirman. 2015;10(2):105-13.

(15) Fauzi H, Hendayani N. Pengaruh Kompres Dingin Terhadap Tingkat Nyeri Pada Prosedur Invasif Pemasangan Infuse Anak Usia Sekolah. Diperoleh Pada Tanggal; 2013.

(16) Senol DK, Aslan E. The Effects Of Cold Application To The Perineum On Pain Relief After Vaginal Birth. Asian Nursing Research. 2017;11(4):276-82.

(17) Wnorowski D. Heat And Cold Therapy. Runner Foot And Ankle Problems. 2006.

(18) Bay?nd?r SK, Çürük GN, Oguzhan A. Effect Of Ice Bag Application To Femoral Region On Pain In Patients Undergoing Percutaneous Coronary Intervention. Pain Research, And Management. 2017;2017.

Kozier E, Erb G. Fundamental Of Nursing: Concept And Practice. California: Addison-Wesley; 2013.




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