{"title":"Effect of breathing relaxation exercises on reducing pain during chest tube removal: A meta-analysis","authors":"Murat Akbalık , Seçil Taylan , Fatma Eti Aslan","doi":"10.1016/j.pcorm.2024.100400","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Chest tube removal (CTR) is perceived as a distressing experience by patients due to moderate or severe pain. Pain management is considered to be the primary nursing role. Relaxation takes the patient away from the thought of pain and increases the release of endorphins, further reducing pain</p></div><div><h3>Purpose</h3><p>The aim of this study is to provide evidence of the effectiveness of breathing relaxation exercises in reducing pain during chest tube removal.</p></div><div><h3>Design</h3><p>A meta-analysis.</p></div><div><h3>Methods</h3><p>Database searches were carried out in Pub med, Complementary Index, MEDLINE, Academic Search Ultimate, CINAHL Complete, OpenAIRE, Directory of Open Access Journals, Supplemental Index, Science Direct without restriction of year up to September 2023. The study was carried out in accordance with PRISMA 2020 and Cochrane 2021 recommendations. The intervention effects were pooled using the random effects model. The Risk of Bias 2 tool was' used to assess the risk of bias.</p><p>Heterogeneity and publication bias were also assessed.</p></div><div><h3>Findings</h3><p>A total of 6 randomised controlled trials were included. Breathing relaxation exercises was determined to have an excellent and negative effect on pain intensity assessed immediately after chest tube removal (Hedge's <em>g</em>=-1,557,%95 GA=-1,841- -1,274, 280 hasta (n<sub>egzersiz</sub>=139; n<sub>kontrol</sub>=141), <em>p</em> = 0.000). Breathing relaxation exercises was determined to have a high and negative impact on pain intensity assessed 15 min after chest tube removal ((Hedge's <em>g</em>=-0.816, 95 % CI=-1.299–0.333, 320 patients (n<sub>exercise</sub>=159; n<sub>control</sub>=161). , <em>p</em> = 0.000).</p></div><div><h3>Conclusions</h3><p>Breathing relaxation exercises were found to be effective in reducing pain immediately after chest tube removal and 15 min after chest tube removal.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"35 ","pages":"Article 100400"},"PeriodicalIF":0.0000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Perioperative Care and Operating Room Management","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2405603024000347","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Nursing","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Chest tube removal (CTR) is perceived as a distressing experience by patients due to moderate or severe pain. Pain management is considered to be the primary nursing role. Relaxation takes the patient away from the thought of pain and increases the release of endorphins, further reducing pain
Purpose
The aim of this study is to provide evidence of the effectiveness of breathing relaxation exercises in reducing pain during chest tube removal.
Design
A meta-analysis.
Methods
Database searches were carried out in Pub med, Complementary Index, MEDLINE, Academic Search Ultimate, CINAHL Complete, OpenAIRE, Directory of Open Access Journals, Supplemental Index, Science Direct without restriction of year up to September 2023. The study was carried out in accordance with PRISMA 2020 and Cochrane 2021 recommendations. The intervention effects were pooled using the random effects model. The Risk of Bias 2 tool was' used to assess the risk of bias.
Heterogeneity and publication bias were also assessed.
Findings
A total of 6 randomised controlled trials were included. Breathing relaxation exercises was determined to have an excellent and negative effect on pain intensity assessed immediately after chest tube removal (Hedge's g=-1,557,%95 GA=-1,841- -1,274, 280 hasta (negzersiz=139; nkontrol=141), p = 0.000). Breathing relaxation exercises was determined to have a high and negative impact on pain intensity assessed 15 min after chest tube removal ((Hedge's g=-0.816, 95 % CI=-1.299–0.333, 320 patients (nexercise=159; ncontrol=161). , p = 0.000).
Conclusions
Breathing relaxation exercises were found to be effective in reducing pain immediately after chest tube removal and 15 min after chest tube removal.
期刊介绍：
The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.
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