Background: Inserting chest tube following any chest trauma or Coronary Artery Bypass Grafting surgery is a frequent practice. This severe pain results due to chest endothelial tissue which is adhered to the tube tip and at the time of tube removal the pulling force will shear this adhesion and cause severe pain.1According to American Heart Association, annually more than 448,000 patients undergo cardiothoracic surgery annually including coronary artery bypass grafting (CABG), valve replacement or repair, or repair of structural defects. Insertion of chest tubes (CT) after CABG was done to maintain heart and lung functioning and essential to prevent from pleural effusion, pneumothorax and hemothorax. Objectives: 1. To compare the effect of cold application and breathing exercise on anxiety score after chest tube removal.2.To compare the effect of cold application and breathing exercise on pain score during chest tube removal.3.To compare the effect of cold application and breathing exercise on pain score after chest tube removal. Method: In this study the research approach was Quasi-experimental Three group pre-test, post-test design was applied. Total 60 samples selected by Non probability purposive sampling technique. The intervention was cold application therapy and breathing exercise therapy methods were given to experimental group and routine care to control group. Results: It is observed that after giving cold application therapy and breathing exercise therapy there was a significant (p<0.05) difference between anxiety scores among cold application group and breathing exercise group as compared to control group after chest tube removal, anxiety scores were significantly (p<0.05) lower among breathing exercise group as compared to cold application group, this reveals that anxiety was lower among patient who received breathing exercise than cold application. There was no significance (p>0.05) difference in pain scores during chest tube removal as measured by visual analogue scale. This shows that cold application is not effective on pain during chest tube removal. The pain was significantly (p<0.05) lower among the patient of cold application (1.60±0.50) and breathing exercise (2.40±0.51) than controls (3.55±1.05) after chest tube removal, this reveals that pain is was significantly lower in cold application and breathing exercise group as compared to control group. The pain was significantly (p<0.05) lower among cold application (1.60±0.50) than breathing exercise (2.50±0.51), this reveals that pain was lower among the patient who received cold application than breathing exercise. Conclusion: The study concluded that, cold application and breathing exercise therapy is an effective way to reduce pain and anxiety level in chest tube removal. The study recommended that Cold application and breathing exercise therapy is a safe, inexpensive nursing intervention that can be used as a pain relief technique during chest tube removal.
Chest Tube Removal; Pain; Anxiety; Breathing Exercises; Cold Application
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