The purpose was to explore the effectiveness of hot compression versus cold compression and compare the effectiveness on phlebitis.A quasi-experimental equivalent time series design was used for the study. Conceptual framework of the study was Ladwig Von Bertanlanlaffy System Model. The population was 20-50 years of age of sick adults getting intravenous medicine at medical and surgical ward in Civil Hospital Gurugram. Non probability purposive sampling technique was used for selected subject. The sample comprised of 60 sick adults 20-50 years of age getting intravenous medication with phlebitis. The tool used were record analysis of selected variable and standardized phlebitis grading scale of Infusion nurses society standard practice 2011. Data were collected through interview schedule and assessment method.
Major findings of the study:
28% of adults in the age group of 26-30 in hot compression, 33% of adults in the age group of 20-25 in cold compression. Majority of 57% of the females receiving who received hot compression, majority of 63% of the females who received cold compression. The duration of hospital staying, majority of 40% of the 1-3 days in hot compression, the duration of hospital staying, majority of 27% of the above 10 days in cold compression, the cause of hospitalization, majority of the adults in both groups 37% adults had diarrhea who received hot compression and 33% had cholecystectomy who received cold compression. Majority of 40 % of adults had received normal saline who received hot compression. Majority of 40 % of adults had received Ringer lactate who received cold compression. Majority of 57% adults had duration of intravenous medicine 9-12 hours who received hot compression. Majority of 57% adults had duration of intravenous medicine 9-12 hours who received cold compression. Majority of hot compression 13(43%) adult had grade 2 phlebitis. Whereas before receiving the cold compression 13(43%) of adult have grade 1 phlebitis. After receiving of hot compression 60% of adult have grade one score, whereas after receiving the cold compression 74% of adult have grade 0 score. Comparison of mean of post test of grade of phlebitis score is lower than the pretest score. This was compared by using paired t test which project t value is 1.69. Which was statically significant at p <.00 levels. The computed t value shows that there was a significant decrease in level of phlebitis score after the application of hot compression. comparison of mean of post test of grade of phlebitis score is lower than the pretest score. This was compared by using paired t test which project t value is 1.69. Which was statically significant at p <. 00 levels. The computed t value shows that there was a significant decrease in level of phlebitis score after the application of hot compression. comparison of mean, SD, of post -test phlebitis score between both groups1 and II who received hot compression and cold compression. Data depicts in that study group I, the post test mean score and SD of hot compression and cold compression (.8677±.628 ;.3000±. 534).This was compared by independent t test which project t value is 1.672 which was statically significant at p>o.oo1 level. The computed t value shows that there was a significant decrease in level grade of phlebitis score after the application of cold compression
Conclusion: Hot compression and cold compression are both effective but cold compression is highly effective to reduce phlebitis. By practicing this technique routinely nurses can contribute to improve patients comfort level by reducing the intervention phlebitis.
Effectiveness, Hot compression, Cold compression, Phlebitis
