{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T15:26:41Z","timestamp":1777303601795,"version":"3.51.4"},"reference-count":26,"publisher":"Wiley","issue":"23-24","license":[{"start":{"date-parts":[[2014,4,3]],"date-time":"2014-04-03T00:00:00Z","timestamp":1396483200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To investigate the effects of local heat therapy on chest pain in patients with acute coronary syndrome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Chest pain is a very common complaint in patients with acute coronary syndrome. It is managed both pharmacologically and nonpharmacologically. Pharmacological pain management is associated with different side effects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This was a randomised double\u2010blind placebo\u2010controlled clinical trial conducted in 2013.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A convenience sample of 66 patients with acute coronary syndrome was selected from a coronary care unit of a local teaching hospital affiliated to Gonabad University of Medical Sciences, Gonabad, Iran. Patients were randomly assigned to either the experimental or the placebo group. Patients in the experimental and the placebo groups received local heat therapy using a hot pack warmed to 50 and 37\u00a0\u00b0C, respectively. We assessed chest pain intensity, duration and frequency as well as the need for opioid analgesic therapy both before and after the study. The study instrument consisted of a demographic questionnaire, the McGill Pain Questionnaire, and a data sheet for documenting pain frequency and duration as well as the need for analgesic therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>The placebo heat therapy did not significantly decrease the intensity, the duration and the frequency of pain episodes. However, pain intensity, duration and frequency in the experimental group decreased significantly after the study. Moreover, the groups differed significantly in terms of the need for opioid analgesic therapy neither before nor after the intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Local heat therapy is an effective intervention for preventing and relieving chest pain in patients with acute coronary syndrome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Effective pain management using local heat therapy could help nurses play an important role in providing effective care to patients with acute coronary syndrome and in minimising adverse effects associated with pain medications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.12595","type":"journal-article","created":{"date-parts":[[2014,4,3]],"date-time":"2014-04-03T07:35:01Z","timestamp":1396510501000},"page":"3460-3467","source":"Crossref","is-referenced-by-count":11,"title":["The effects of topical heat therapy on chest pain in patients with acute coronary syndrome: a randomised double\u2010blind placebo\u2010controlled clinical trial"],"prefix":"10.1111","volume":"23","author":[{"given":"Ali","family":"Mohammadpour","sequence":"first","affiliation":[{"name":"Social Determinates of Health Research Center Department of Nursing Faculty of Nursing and Midwifery Gonabad University of Medical Science Gonabad Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Batol","family":"Mohammadian","sequence":"additional","affiliation":[{"name":"Faculty of Nursing and Midwifery Gonabad University of Medical Science Gonabad Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehdi","family":"Basiri Moghadam","sequence":"additional","affiliation":[{"name":"Department of Nursing Faculty of Nursing and Midwifery Gonabad University of Medical Science Gonabad Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahmoud Reza","family":"Nematollahi","sequence":"additional","affiliation":[{"name":"Gonabad University of Medical Science Gonabad Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,4,3]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Intensive Nursing Care in ICU, CCU and Dialysis Wards Book","author":"Asgari MR","year":"2006"},{"key":"e_1_2_12_3_1","first-page":"48","article-title":"Effect of heat therapy on pain severity and duration of labor in primigravida women","volume":"10","author":"Behmanesh F","year":"2008","journal-title":"Journal of Babol University of Medical Sciences"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2005.06.004"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1152\/ajpendo.2000.279.1.E11"},{"key":"e_1_2_12_6_1","first-page":"119","article-title":"The evaluation of pain in neurosurgical patients before and after operation in Kerman Shahid Bahonar Hospital according to the McGill pain questionnaire","volume":"11","author":"Ebrahimi Nejad G","year":"2004","journal-title":"Journal of Kerman University of Medical Sciences"},{"key":"e_1_2_12_7_1","volume-title":"Harrison's Principles of Internal Medicin","author":"Fauci AS","year":"2012"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1155\/2002\/509120"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2006\/876920"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(98)00117-9"},{"key":"e_1_2_12_11_1","first-page":"194","article-title":"Nonpharmacological pain relief in labour","volume":"87","author":"Habananda T","year":"2004","journal-title":"Journal of the Medical Association of Thailand"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2005.7.204"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(01)01467-X"},{"key":"e_1_2_12_14_1","first-page":"57","article-title":"Comparison of nurse and patient perceptions of pain and its relationship with of analgesic drugs in patients undergoing surgery CABG","volume":"10","author":"Karampurian A","year":"2003","journal-title":"Journal of Hamedan University of Medical Science"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(01)01824-1"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1253\/circj.68.1146"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2003.10.016"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-09-0939"},{"key":"e_1_2_12_19_1","volume-title":"Acute Coronary Syndromes","author":"Monro N","year":"2009"},{"key":"e_1_2_12_20_1","first-page":"45","article-title":"Comparing clinical manifestations of myocardial infarction (MI) between men and women at CCUs of hospitals affiliated to Shaheed Beheshti Medical University","volume":"16","author":"Nikravan M","year":"2009","journal-title":"Journal of Shahid Beheshti University of Medical Science"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.09.071"},{"key":"e_1_2_12_22_1","first-page":"46","article-title":"Relationship of risk factors and ST segment changes with symptoms of acute coronary syndrome","volume":"15","author":"Sharifnia H","year":"2013","journal-title":"Koomesh Journal"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1152\/ajpheart.00103.2011"},{"key":"e_1_2_12_24_1","first-page":"163","article-title":"Successful thermal therapy for end\u2010stage peripheral artery disease","volume":"47","author":"Tei C","year":"2006","journal-title":"Journal of Cardiology"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2007.08.025"},{"key":"e_1_2_12_26_1","first-page":"72","article-title":"Comparison of effects infrared and hot pack on pain of lumbar disc herniation","volume":"17","author":"Yaghobi M","year":"2012","journal-title":"Journal of Hamedan University of Medical Science"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2009.03070.x"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjocn.12595","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjocn.12595","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.12595","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T22:47:15Z","timestamp":1696200435000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.12595"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4,3]]},"references-count":26,"journal-issue":{"issue":"23-24","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["10.1111\/jocn.12595"],"URL":"https:\/\/doi.org\/10.1111\/jocn.12595","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,4,3]]}}}