Jarrah Mohamad I, Hweidi Issa M, Al-Dolat Sirin A, Alhawatmeh Hossam N, Al-Obeisat Salwa M, Hweidi Lama I, Hweidi Aysam I, Alkouri Osama A
Faculty of Medicine, Jordan University of Science & Technology, Irbid, Jordan.
Faculty of Nursing, Jordan University of Science & Technology, Irbid, Jordan.
Int J Nurs Sci. 2022 Mar 15;9(2):155-161. doi: 10.1016/j.ijnss.2022.03.001. eCollection 2022 Apr.
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.
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.
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 ( = 32.71, < 0.01; = 47.23, < 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], < 0.01) and Time 3 (0.00 [0.00, 1.30] vs. 3.60 [2.40, 4.10] < 0.01).
Using SDBRE during CTR is an effective technique for reducing pain which can minimize the need for analgesics and their associated adverse effects.
本研究旨在评估慢深呼吸放松练习（SDBRE）在降低冠状动脉旁路移植术（CABG）后拔除胸管（CTR）期间患者疼痛水平方面的有效性。
2019年，从约旦主要转诊心脏研究所的心脏重症监护病房方便选取了50例CABG术后患者。患者被随机分为干预组或对照组。共有25例患者被分配到实验组，他们在CTR前接受慢深呼吸放松练习（SDBRE）以及常规护理。其余25例患者构成对照组（50%），其接受常规护理后进行CTR。采用视觉模拟量表（VAS）在三个阶段测量参与者的疼痛水平：CTR前（时间1）、CTR后5分钟（时间2）和CTR后15分钟（时间3），以比较两组之间的干预效果。
对照组和干预组患者的数据分析结果显示，两组患者的疼痛水平随时间均有统计学显著下降（分别为=32.71，<0.01；=47.23，<0.01）。干预组在时间2（3.50[1.20,5.30]对7.90[7.00,9.00]，<0.01）和时间3（0.00[0.00,1.30]对3.60[2.40,4.10]<0.01）时的疼痛水平显著低于对照组。
在CTR期间使用SDBRE是一种减轻疼痛的有效技术，可最大限度减少对镇痛药及其相关不良反应的需求。
