Document Detail


Comparison of two pain-management strategies during chest tube removal: relaxation exercise with opioids and opioids alone.
MedLine Citation:
PMID:  16863899     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Stacy A Friesner; Donna Miles Curry; Gail R Moddeman
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Heart & lung : the journal of critical care     Volume:  35     ISSN:  0147-9563     ISO Abbreviation:  Heart Lung     Publication Date:    2006 Jul-Aug
Date Detail:
Created Date:  2006-07-25     Completed Date:  2006-08-31     Revised Date:  2007-09-20    
Medline Journal Info:
Nlm Unique ID:  0330057     Medline TA:  Heart Lung     Country:  United States    
Other Details:
Languages:  eng     Pagination:  269-76     Citation Subset:  AIM; IM    
Affiliation:
College of Nursing and Health, Wright State University, Dayton, Ohio 45435, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Chest Tubes*
Coronary Artery Bypass / instrumentation*
Device Removal*
Exercise Therapy / methods*
Female
Humans
Male
Middle Aged
Narcotics / therapeutic use*
Pain / therapy*
Pain Measurement
Postoperative Care
Relaxation*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Narcotics
Comments/Corrections
Comment In:
Heart Lung. 2007 May-Jun;36(3):232-3   [PMID:  17509431 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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