Aynaz BAGHERZADI, Roghiyeh EMANI, Haleh GHAVAMI, Hamid Reza KHALKHALİ, Marziyeh EBRAHIMI

Comparing the effect of heat and cold therapy on the intensity of nitrate-induced migraine type headache in cardiac inpatients: A randomized controlled trial

Objectives: This study aimed to compare the effect of heat and cold therapy on the intensity of nitroglycerine-induced migrainetype headache in cardiac inpatients.Methods: This randomized controlled trial was conducted on a total of 75 cardiac inpatients in three groups design (heat orcold therapy and control group) as pre-test and post-test. Patients in the intervention group received heat or cold therapy for25 min, 2 times (at 1 h interval), patients in the control group did not receive any heat or cold therapy. Headache intensity wasmeasured by the numeric rating scale for pain, in three groups of study for 3 times (just before the study, at the end of applyingthe first therapy, and at the end of applying the second therapy).Results: No baseline diﬀerences existed among the three groups for the mean pain scale score (p=0.781) just before the study;but the diﬀerence between three groups after applying heat and cold therapy was statistically significant (p=0.000).Conclusion: This study demonstrated that applying heat and cold therapy may reduce the intensity of nitrate-induced migrainetype headache in cardiac inpatients. Considering this fact that approximately 10% of patients cannot tolerate nitratetherapies due to unbearable headache, applying heat or cold therapy in patients with nitrate-induced migraine type headacheis recommended to improve patient’s adherence to treatment.

Kalp hastalarında ısı ve soğuk terapinin nitrogliserine bağlı migren tip baş ağrısı şiddeti üzerine etkilerinin karşılaştırılması: Randomize kontrollü bir çalışma

Amaç: Bu çalışmanın amacı kardiyak hastalarda ısı ve soğuk terapi uygulamasının nitrogliserine bağlı migren tipi baş ağrısı şiddeti üzerine etkilerini karşılaştırmaktı. Gereç ve Yöntem: Bu randomize kontrollü çalışma, ön test ve son test olarak üç grup tasarımında (ısı veya soğuk terapi ve kontrol grubu) toplam 75 kardiyak hasta üzerinde gerçekleştirilmiştir. Müdahale grubundaki hastalar 25 dakika boyunca, iki kez (1 saatlik aralıklarla) ısı veya soğuk terapi aldı, kontrol grubundaki hastalar herhangi bir terapi almadı. Baş ağrısı şiddeti, ağrı için sayısal derecelendirme ölçeği ile, üç çalışma grubunda 3 kez (çalışmadan hemen önce, ilk terapinin uygulanmasının sonunda ve ikinci terapinin uygulanmasının sonunda) ölçülmüştür. Bulgular: Çalışmadan hemen önce üç grup arasında ortalama ağrı skalası skoru (p=0,781) için bazal fark yoktu; ancak ısı ve soğuk terapi uygulandıktan sonra üç grup arasındaki fark istatistiksel olarak anlamlı idi (p=0,000). Sonuç: Bu çalışma, ısı ve soğuk terapi uygulanmasının kardiyak hastalarda nitrata bağlı migren tipi baş ağrısının şiddetini azaltabildiğini göstermiştir. Hastaların yaklaşık %10’unun dayanılmaz baş ağrısından dolayı nitrat tedavilerine tahammül edemediği gerçeği göz önüne alarak, nitrata bağlı migren tipi baş ağrısı olan hastalarda ısı veya soğuk terapi uygulaması, hastanın tedaviye uyumunu artırmak için önerilmektedir.

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