Comparison of two pain-management strategies during chest tube removal: relaxation exercise with opioids and opioids alone.

Full Abstract

PURPOSE:
The purpose of this study was to determine whether the use of a slow deep-breathing relaxation exercise, when used as an adjunct to opioid analgesia, decreases pain during chest tube removal (CTR) after coronary bypass surgery.

DESIGN:
A two-group quasi-experimental pretest/posttest design was used.

SAMPLE:
A convenience sample of 40 adults who had undergone coronary artery bypass graft surgery and met all inclusion criteria were recruited before CTR.

SETTING:
Data were collected in the Cardiothoracic Surgical Intensive Care Units of three acute care facilities in the Midwestern United States.

METHOD:
A 10-cm vertical Visual Analog Scale was used to measure pain at three points:
before CTR, immediately after CTR, and 15 minutes after CTR. The experimental group received slow breathing relaxation exercises in addition to the usual opioid doses administered.

FINDINGS:
Data were analyzed using analysis of variance, and multivariate analysis of covariance yielded a significant difference in pain ratings immediately after CTR and 15 minutes after CTR for the group receiving relaxation exercise as an adjunct to opioid analgesic.

CONCLUSIONS:
This study supports the use of a slow deep-breathing relaxation exercise as an adjunct to the use of opioids for pain management during CTR among patients who have undergone coronary bypass surgery.

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Author information

Author/s: Friesner, Stacy A (SA); Curry, Donna Miles (DM); Moddeman, Gail R (GR);

Affiliation: College of Nursing and Health, Wright State University, Dayton, Ohio 45435, USA.

Journal and publication information

Publication Type: Comparative Study; Journal Article

Journal: Heart & lung : the journal of critical care (Heart Lung), published in United States. (Language: eng)

Reference: -2006 Jul-Aug; vol 35 (issue 4) : pp 269-76

Dates: Created 2006/07/25; Completed 2006/08/31; Revised 2007/09/20;

PMID: 16863899, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

Comments and Corrections

CommentIn: Heart Lung. 2007 May-Jun;36(3):232-3. (PMID: 17509431)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adult
Aged
Aged, 80 and over
Chest Tubes
Coronary Artery Bypass - instrumentation
Device Removal
Exercise Therapy - methods
Female
Humans

Humans
Male
Middle Aged
Narcotics - therapeutic use
Pain - therapy
Pain Measurement
Postoperative Care
Relaxation
Treatment Outcome

Associated Chemicals: Narcotics (0)

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