Home > Medicine > Nursing > Volume-5 > Issue-2 > A Study to Assess the Effectiveness of Cold Application versus Breathing Exercises to Reduce Pain and Anxiety during Chest Tube Removal among Postoperative Cardiac Surgery Adult Patient in CTVS Ward KGMU Lucknow

A Study to Assess the Effectiveness of Cold Application versus Breathing Exercises to Reduce Pain and Anxiety during Chest Tube Removal among Postoperative Cardiac Surgery Adult Patient in CTVS Ward KGMU Lucknow

Call for Papers

Volume-5 | Issue-6

Last date : 26-Oct-2021

Best International Journal
Open Access | Peer Reviewed | Best International Journal | Indexing & IF | 24*7 Support | Dedicated Qualified Team | Rapid Publication Process | International Editor, Reviewer Board | Attractive User Interface with Easy Navigation

Journal Type : Open Access

Processing Charges : 700/- INR Only OR 25 USD (for foreign users)

First Update : Within 7 Days after submittion

Submit Paper Online

For Author

Research Area



A Study to Assess the Effectiveness of Cold Application versus Breathing Exercises to Reduce Pain and Anxiety during Chest Tube Removal among Postoperative Cardiac Surgery Adult Patient in CTVS Ward KGMU Lucknow


Akhilesh Chauhan | Rashmi P. John | S. K Singh



Akhilesh Chauhan | Rashmi P. John | S. K Singh "A Study to Assess the Effectiveness of Cold Application versus Breathing Exercises to Reduce Pain and Anxiety during Chest Tube Removal among Postoperative Cardiac Surgery Adult Patient in CTVS Ward KGMU Lucknow" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-2, February 2021, pp.868-873, URL: https://www.ijtsrd.com/papers/ijtsrd38473.pdf

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


IJTSRD38473
Volume-5 | Issue-2, February 2021
868-873
IJTSRD | www.ijtsrd.com | E-ISSN 2456-6470
Copyright © 2019 by author(s) and International Journal of Trend in Scientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (http://creativecommons.org/licenses/by/4.0)

International Journal of Trend in Scientific Research and Development - IJTSRD having online ISSN 2456-6470. IJTSRD is a leading Open Access, Peer-Reviewed International Journal which provides rapid publication of your research articles and aims to promote the theory and practice along with knowledge sharing between researchers, developers, engineers, students, and practitioners working in and around the world in many areas like Sciences, Technology, Innovation, Engineering, Agriculture, Management and many more and it is recommended by all Universities, review articles and short communications in all subjects. IJTSRD running an International Journal who are proving quality publication of peer reviewed and refereed international journals from diverse fields that emphasizes new research, development and their applications. IJTSRD provides an online access to exchange your research work, technical notes & surveying results among professionals throughout the world in e-journals. IJTSRD is a fastest growing and dynamic professional organization. The aim of this organization is to provide access not only to world class research resources, but through its professionals aim to bring in a significant transformation in the real of open access journals and online publishing.

Thomson Reuters
Google Scholer
Academia.edu

ResearchBib
Scribd.com
archive

PdfSR
issuu
Slideshare

WorldJournalAlerts
Twitter
Linkedin