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EFFECT OF COLD COMPRESS ON THE REDUCTION OF MUSCULOSKELETAL PAIN, SWELLING AND HEMARTHROSIS AMONG ORTHOPAEDIC PATIENTS IN LAUTECH TEACHING HOSPITAL, OGBOMOSO, OYO STATE, NIGERIA

Musculoskeletal injury can be as result of trauma or
disease which is common these days in our communities.
This study assessed effect of cold compress towards the
reduction of acute musculoskeletal pain, swelling,
hemarthrosis among orthopedic patients at LAUTECH
hospital, Ogbomoso. Quasi-experimental design was
adopted for this study. The target populations were
orthopaedic patients attended Lautech Teaching
Hospital, Ogbomoso. Simple random sampling
technique was used to select 100 respondents out of
population. The instruments used for this study were
questionnaires, However, ice block and towel was used
for the procedure. (Cold Compress) Measurement was
made with Tape rule to measure the severity of swelling
and interview and Numerical numbering pain scoring
scale of 0 (minimum) to 10 (maximum) was used to
measure the pain intensity pre and post the procedure , 0
means no pain and 10 means severe pain. Data was
analyzed using descriptive statistical package for social
scientists (SPSS) version20, 0 expressed in form of
Tables, frequency charts, percentages and correlation.
The demographic characteristics of this study observed
that majority of the respondents were males (63%),
married (65%) and living in urban areas (72%). Result
also indicates that majority of the respondents are from
Yoruba ethnic group (73%) and are dark skinned (56%).
The age of respondents with musculoskeletal
injury/disorders injury/disorders as noted in the study
are as follows: Knee osteoarthritis above years
50(18%), Low back pain, above years 50(18%) and
dislocation, sprain/stain including fracture are below 50
years (64%). Findings of this study after post test
revealed that there is effectiveness of cold compress on
the reduction of acute musculoskeletal pain, from 7.5/10
to 1.5/10. Also, there is effectiveness of cold compress onthe reduction of swollen ankle/elbow/knee joints is, from
7 cm to 2cm and lastly, there is effectiveness of cold
compress on the reduction of swelling, tensed,
tenderness, severe pain among respondents with
hemoathrosis within 36 hours of cold therapy
application without NSAIDs. The result of hypotheses in
this study observed that there is no significant
relationship between respondents exposed to cold
compress in the course of management of acute
musculoskeletal swelling, and the ages of the
respondents. Secondly, there is no significant
relationship between respondents exposed to cold
compress in the course of management of acute
musculoskeletal pain, and the genders. Thirdly, there is
no significant relationship between respondents exposed
to cold compress in the course of management of acute
musculoskeletal hemarthrosis and the respondents’
ethnicities. Lastly, there is significant effect relationship
between the respondents exposed to cold compress and
reduction of acute musculoskeletal pain. The hypothesis
was to know whether gender, age, and ethnicity of
respondents affect the result of cold compress, results
showed that age, gender, and ethnicity has no inhibitory
effect on cold therapy effectiveness. Cold items must not
be placed directly to the skin to prevent frost bite or cold
burn but wrap the ice cubes or other cold in a thin cloth,
then apply it to the injured site gently for maximum of 20
minutes intermittently for 4 to 6 times within 24hours. In
conclusion, Acute musculoskeletal pain, swelling and
hemarthrosis were effectively managed with cold
compression therapy instead of introducing patients to
OPIOIDS or NSAIDs drugs which can be addicted or
cause drug induced gastric ulcer.

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