Evaluation of the Effect of Respiratory Relaxation on the Severity of Pain Resulting from the Removal of the Chest Tube After CABG

Introduction: Patients admitted to the intensive care unit express the chest tube removal as one of their worst experiences. In spite of scientific advances, no effective action is taken to reduce the pain due to it. Therefore, the aim of this study was to investigate the effect of respiratory relax...

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Main Authors: Mitra Ayyasi, Mohamad Ali Heydari Georgia, Masoumeh Bagheri-Nesami, Somayeh Rezaie
Format: Article
Language:fas
Published: Hamadan University of Medical Sciences 2019-08-01
Series:مراقبت پرستاری و مامایی ابن سینا
Subjects:
Online Access:http://nmj.umsha.ac.ir/article-1-1879-en.html
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author Mitra Ayyasi
Mohamad Ali Heydari Georgia
Masoumeh Bagheri-Nesami
Somayeh Rezaie
author_facet Mitra Ayyasi
Mohamad Ali Heydari Georgia
Masoumeh Bagheri-Nesami
Somayeh Rezaie
author_sort Mitra Ayyasi
collection DOAJ
description Introduction: Patients admitted to the intensive care unit express the chest tube removal as one of their worst experiences. In spite of scientific advances, no effective action is taken to reduce the pain due to it. Therefore, the aim of this study was to investigate the effect of respiratory relaxation on the severity of pain resulting from the removal of chest tube after coronary artery bypass graft.  Methods: This single blind randomized trial was performed in 2016 on 80 patients with open heart surgery with only one mediastinal chest tube. Patients were randomly divided into case and control groups. In the case group, relaxation and relaxation breathing exercises were used for 5 minutes before the tube was exhausted. The severity of pain was measured by visual analog scale before, immediately and 15 minutes after the removal of the chest tube. Data analysis was performed using common tests. Results: The results showed that there was no significant difference between the severity of pain in both groups before the removal of the chest tube (P=0.84). It was also found that there was a significant difference between the severity of pain immediately after the discharge of the tube in the case group (P=0.0001), but there was no significant difference between the intensity of pain 15 minutes after the withdrawal of the tubes in the case and control groups (P=0.21). Conclusion: Respiratory relaxation is an effective technique for the pain intensity of postoperative chest tube after open heart surgery. It is recommended to use this method before tubing, due to lack of cost, ease of use and effectiveness.
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spelling doaj.art-71deb0f6bebc460fada37b0385835af52022-12-21T21:46:20ZfasHamadan University of Medical Sciencesمراقبت پرستاری و مامایی ابن سینا2676-57482676-57482019-08-01273141148Evaluation of the Effect of Respiratory Relaxation on the Severity of Pain Resulting from the Removal of the Chest Tube After CABGMitra Ayyasi0Mohamad Ali Heydari Georgia1Masoumeh Bagheri-Nesami2Somayeh Rezaie3 Critical Care Nursing, School of Nursing, Behshahr, Mazandaran University of Medical Sciences, Sari, Iran Assistant Professor, Department of Medical Surgical Nursing, Nasibeh Nursing and Midwifery Faculty, Mazandaran University of Medical Sciences, Sari, Iran Associate Professor, Infectious Diseases Research Center with Focus on Nosocomial Infection, Mazandaran University of Medical Sciences, Sari, Iran Critical Care Nursing, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran Introduction: Patients admitted to the intensive care unit express the chest tube removal as one of their worst experiences. In spite of scientific advances, no effective action is taken to reduce the pain due to it. Therefore, the aim of this study was to investigate the effect of respiratory relaxation on the severity of pain resulting from the removal of chest tube after coronary artery bypass graft.  Methods: This single blind randomized trial was performed in 2016 on 80 patients with open heart surgery with only one mediastinal chest tube. Patients were randomly divided into case and control groups. In the case group, relaxation and relaxation breathing exercises were used for 5 minutes before the tube was exhausted. The severity of pain was measured by visual analog scale before, immediately and 15 minutes after the removal of the chest tube. Data analysis was performed using common tests. Results: The results showed that there was no significant difference between the severity of pain in both groups before the removal of the chest tube (P=0.84). It was also found that there was a significant difference between the severity of pain immediately after the discharge of the tube in the case group (P=0.0001), but there was no significant difference between the intensity of pain 15 minutes after the withdrawal of the tubes in the case and control groups (P=0.21). Conclusion: Respiratory relaxation is an effective technique for the pain intensity of postoperative chest tube after open heart surgery. It is recommended to use this method before tubing, due to lack of cost, ease of use and effectiveness.http://nmj.umsha.ac.ir/article-1-1879-en.htmlrelaxation therapychest tubespaincoronary artery bypass graft
spellingShingle Mitra Ayyasi
Mohamad Ali Heydari Georgia
Masoumeh Bagheri-Nesami
Somayeh Rezaie
Evaluation of the Effect of Respiratory Relaxation on the Severity of Pain Resulting from the Removal of the Chest Tube After CABG
مراقبت پرستاری و مامایی ابن سینا
relaxation therapy
chest tubes
pain
coronary artery bypass graft
title Evaluation of the Effect of Respiratory Relaxation on the Severity of Pain Resulting from the Removal of the Chest Tube After CABG
title_full Evaluation of the Effect of Respiratory Relaxation on the Severity of Pain Resulting from the Removal of the Chest Tube After CABG
title_fullStr Evaluation of the Effect of Respiratory Relaxation on the Severity of Pain Resulting from the Removal of the Chest Tube After CABG
title_full_unstemmed Evaluation of the Effect of Respiratory Relaxation on the Severity of Pain Resulting from the Removal of the Chest Tube After CABG
title_short Evaluation of the Effect of Respiratory Relaxation on the Severity of Pain Resulting from the Removal of the Chest Tube After CABG
title_sort evaluation of the effect of respiratory relaxation on the severity of pain resulting from the removal of the chest tube after cabg
topic relaxation therapy
chest tubes
pain
coronary artery bypass graft
url http://nmj.umsha.ac.ir/article-1-1879-en.html
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AT masoumehbagherinesami evaluationoftheeffectofrespiratoryrelaxationontheseverityofpainresultingfromtheremovalofthechesttubeaftercabg
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