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Published on: January 16, 2014
The effects of cold application on blood pressure in patients with hypertension: A randomized placebo-controlled
Yavuz Uren1, Emine Kiyak2, Sevdegul Karadas3
1Faculty of Health Sciences, Van Yuzuncu Yil Universty, Van, Turkiye.
Aim:
This study evaluated the effects of cold application to the back of the neck on blood pressure in hypertensive patients.
Background:
The back of the neck is an area rich in muscles, nerves, and acupuncture points. Cold application is used as an independent nursing intervention to manage hypertension.
Methods:
This randomized placebo-controlled study was conducted with a total of 72 hypertensive patients (24 experimental, 24 placebo, and 24 control subjects) admitted to the emergency department of a hospital. After their baseline measurements were carried out, the patients were given sublingual captopril; next, a cold gel pack was applied to the experimental group for three minutes.
Results:
There was a significant decrease in systolic blood pressure in the experimental group during the first 27 min following cold application compared to the placebo and control group (p < 0.05). Further, there was a significant decrease in diastolic blood pressure during the first 17 min following cold application in the experimental group compared to the placebo and control group (p < 0.05). Furthermore, a significant decrease in headache severity was observed in the experimental group compared to the control group during 12 min after application.
Conclusions:
It was found that cold application to the back of the neck reduced blood pressure in patients with hypertension.
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Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Decreased Body Temperature
Pre-Procedural Guidelines for Assessing Blood Pressure
Measurement of Blood Pressure
Factors affecting Blood pressure
Physiological Factors:
Alterations in Blood Pressure
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...

