Bahramian Zainab, Kazemi Majid, Vazirinejad Reza, Hasani Hadi
Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Non- Communicable Disease Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
J Cardiothorac Surg. 2025 Jan 10;20(1):55. doi: 10.1186/s13019-024-03254-0.
Removing the chest tube in cardiac patients after surgery is one of the worst experiences of hospitalization in the intensive care units. Various pharmacological and non-pharmacological methods are available to control pain in these patients. This study aimed to investigate the combined effect of reflexology massage and respiratory relaxation on pain following chest tube removal in cardiac surgery patients of Shahid Beheshti Hospital in Shiraz, Iran, in 2023.
This was a double-blind randomized clinical trial performed on 140 patients who underwent heart surgery and had a chest tube in Shiraz, Iran. The samples were randomly divided into four groups: 1- control group, 2- respiratory relaxation group, 3- foot reflex massage group, and 4- a combination of respiratory relaxation and reflexology massage. To collect data, two demographic questionnaires, and a visual analog scale were used.
The participants of the four groups were not meaningfully different in terms of age, BMI, duration of surgical operation, gender, job, education, place of residency, number of chest tubes, history of operation (P = 0.99, 0.31, 0.06, 0.81, 0.97, 0.96, 0.17, 0.10, 0.89 respectively). The mean scores of pain intensity during chest tube removal, and 15 min after chest tube removal were not statistically different among the four groups of study (P = 0.15, 0.54 respectively); However, just after chest tube removal, the mean scores of pain intensity differed meaningfully among four groups (P = 0.008).
The results showed that reflexology massage and respiratory relaxation both reduce pain immediately after chest tube removal in heart surgery patients. Also, the combination of these two techniques was more effective in reducing patients' average pain.
心脏手术后拔除胸管是重症监护病房住院期间最糟糕的经历之一。有多种药物和非药物方法可用于控制这些患者的疼痛。本研究旨在调查反射疗法按摩与呼吸放松相结合对2023年伊朗设拉子沙希德·贝赫什提医院心脏手术患者拔除胸管后疼痛的综合影响。
这是一项双盲随机临床试验，对140名在伊朗设拉子接受心脏手术并留置胸管的患者进行。样本被随机分为四组：1-对照组，2-呼吸放松组，3-足部反射按摩组，4-呼吸放松与反射疗法按摩结合组。为收集数据，使用了两份人口统计学问卷和一个视觉模拟量表。
四组参与者在年龄、体重指数、手术持续时间、性别、工作、教育程度、居住地点、胸管数量、手术史方面无显著差异（P分别为0.99、0.31、0.06、0.81、0.97、0.96、0.17、0.10、0.89）。四组研究对象在拔除胸管期间及拔除胸管后15分钟的疼痛强度平均得分无统计学差异（P分别为0.15、0.54）；然而，在拔除胸管后即刻，四组的疼痛强度平均得分有显著差异（P = 0.008）。
结果表明，反射疗法按摩和呼吸放松均可降低心脏手术患者拔除胸管后即刻的疼痛。此外，这两种技术相结合在减轻患者平均疼痛方面更有效。
