The effect of slow deep breathing relaxation exercise on pain levels during and post chest tube removal after coronary artery bypass graft surgery

Objectives: This study aimed to evaluate the effectiveness of slow deep breathing relaxation exercise (SDBRE) in reducing patients’ pain levels during chest tube removal (CTR) post coronary artery bypass grafting (CABG) surgery. Methods: In 2019, fifty post-CABG patients were conveniently selected f...

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Main Authors: Mohamad I. Jarrah, Issa M. Hweidi, Sirin A. Al-Dolat, Hossam N. Alhawatmeh, Salwa M. Al-Obeisat, Lama I. Hweidi, Aysam I. Hweidi, Osama A. Alkouri
Format: Article
Language:English
Published: Elsevier 2022-04-01
Series:International Journal of Nursing Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352013222000072
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author Mohamad I. Jarrah
Issa M. Hweidi
Sirin A. Al-Dolat
Hossam N. Alhawatmeh
Salwa M. Al-Obeisat
Lama I. Hweidi
Aysam I. Hweidi
Osama A. Alkouri
author_facet Mohamad I. Jarrah
Issa M. Hweidi
Sirin A. Al-Dolat
Hossam N. Alhawatmeh
Salwa M. Al-Obeisat
Lama I. Hweidi
Aysam I. Hweidi
Osama A. Alkouri
author_sort Mohamad I. Jarrah
collection DOAJ
description Objectives: This study aimed to evaluate the effectiveness of slow deep breathing relaxation exercise (SDBRE) in reducing patients’ pain levels during chest tube removal (CTR) post coronary artery bypass grafting (CABG) surgery. Methods: In 2019, fifty post-CABG patients were conveniently selected from a cardiac intensive care unit in Jordan’s major referral heart institute. The patients were randomly assigned to either an intervention group or a control group. A total of 25 patients were assigned into the experimental group who received slow deep breathing relaxation Exercise (SDBRE) alongside the conventional care before CTR. The remaining 25 patients constituted the control group (50%) that had CTR following conventional care. The Visual Analogue Scale (VAS) was used to measure the participants’ pain levels during three phases: before CTR (Time 1), 5-min post CTR (Time 2), and 15-min post CTR (Time 2) to compare the intervention effect between the two groups. Results: The data analysis findings for the control and intervention group of patients showed that there was a statistically significant decline in their pain level across time for both groups (H = 32.71, P < 0.01; H = 47.23, P < 0.01) respectively. The intervention group had significantly lower pain levels than the control group at Time 2 (3.50 [1.20, 5.30] vs. 7.90 [7.00, 9.00], P < 0.01) and Time 3 (0.00 [0.00, 1.30] vs. 3.60 [2.40, 4.10] P < 0.01). Conclusions: Using SDBRE during CTR is an effective technique for reducing pain which can minimize the need for analgesics and their associated adverse effects.
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spelling doaj.art-f653a6b2274743488ad95b5ff52067dc2022-12-21T19:00:14ZengElsevierInternational Journal of Nursing Sciences2352-01322022-04-0192155161The effect of slow deep breathing relaxation exercise on pain levels during and post chest tube removal after coronary artery bypass graft surgeryMohamad I. Jarrah0Issa M. Hweidi1Sirin A. Al-Dolat2Hossam N. Alhawatmeh3Salwa M. Al-Obeisat4Lama I. Hweidi5Aysam I. Hweidi6Osama A. Alkouri7Faculty of Medicine, Jordan University of Science &amp; Technology, Irbid, JordanFaculty of Nursing, Jordan University of Science &amp; Technology, Irbid, Jordan; Corresponding author.Faculty of Nursing, Jordan University of Science &amp; Technology, Irbid, JordanFaculty of Nursing, Jordan University of Science &amp; Technology, Irbid, JordanFaculty of Nursing, Jordan University of Science &amp; Technology, Irbid, JordanFaculty of Medicine, Jordan University of Science &amp; Technology, Irbid, JordanFaculty of Medicine, Jordan University of Science &amp; Technology, Irbid, JordanFaculty of Nursing, Al-Ahliyya Amman University, Amman, JordanObjectives: This study aimed to evaluate the effectiveness of slow deep breathing relaxation exercise (SDBRE) in reducing patients’ pain levels during chest tube removal (CTR) post coronary artery bypass grafting (CABG) surgery. Methods: In 2019, fifty post-CABG patients were conveniently selected from a cardiac intensive care unit in Jordan’s major referral heart institute. The patients were randomly assigned to either an intervention group or a control group. A total of 25 patients were assigned into the experimental group who received slow deep breathing relaxation Exercise (SDBRE) alongside the conventional care before CTR. The remaining 25 patients constituted the control group (50%) that had CTR following conventional care. The Visual Analogue Scale (VAS) was used to measure the participants’ pain levels during three phases: before CTR (Time 1), 5-min post CTR (Time 2), and 15-min post CTR (Time 2) to compare the intervention effect between the two groups. Results: The data analysis findings for the control and intervention group of patients showed that there was a statistically significant decline in their pain level across time for both groups (H = 32.71, P < 0.01; H = 47.23, P < 0.01) respectively. The intervention group had significantly lower pain levels than the control group at Time 2 (3.50 [1.20, 5.30] vs. 7.90 [7.00, 9.00], P < 0.01) and Time 3 (0.00 [0.00, 1.30] vs. 3.60 [2.40, 4.10] P < 0.01). Conclusions: Using SDBRE during CTR is an effective technique for reducing pain which can minimize the need for analgesics and their associated adverse effects.http://www.sciencedirect.com/science/article/pii/S2352013222000072Breathing exercisesChest tubes removalCoronary artery bypass graftingPainPatientsJordan
spellingShingle Mohamad I. Jarrah
Issa M. Hweidi
Sirin A. Al-Dolat
Hossam N. Alhawatmeh
Salwa M. Al-Obeisat
Lama I. Hweidi
Aysam I. Hweidi
Osama A. Alkouri
The effect of slow deep breathing relaxation exercise on pain levels during and post chest tube removal after coronary artery bypass graft surgery
International Journal of Nursing Sciences
Breathing exercises
Chest tubes removal
Coronary artery bypass grafting
Pain
Patients
Jordan
title The effect of slow deep breathing relaxation exercise on pain levels during and post chest tube removal after coronary artery bypass graft surgery
title_full The effect of slow deep breathing relaxation exercise on pain levels during and post chest tube removal after coronary artery bypass graft surgery
title_fullStr The effect of slow deep breathing relaxation exercise on pain levels during and post chest tube removal after coronary artery bypass graft surgery
title_full_unstemmed The effect of slow deep breathing relaxation exercise on pain levels during and post chest tube removal after coronary artery bypass graft surgery
title_short The effect of slow deep breathing relaxation exercise on pain levels during and post chest tube removal after coronary artery bypass graft surgery
title_sort effect of slow deep breathing relaxation exercise on pain levels during and post chest tube removal after coronary artery bypass graft surgery
topic Breathing exercises
Chest tubes removal
Coronary artery bypass grafting
Pain
Patients
Jordan
url http://www.sciencedirect.com/science/article/pii/S2352013222000072
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