Effectiveness of breathing relaxation exercises on pain due to chest tube removal: a systematic review-meta-analysis.

IF 1.5 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Cardiothoracic Surgery Pub Date : 2025-07-02 DOI:10.1186/s13019-025-03444-4

Ayşe Yacan Kök, Ezgi Eyiler

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引用次数: 0

Abstract

Background: Chest tube placement is essential for draining air or fluid from the pleural cavity, often performed after cardiothoracic surgeries to prevent complications. However, chest tube removal (CTR) can be painful and stressful for patients. Proper pain management is crucial to enhancing patient comfort.

Aim: The aim of this systematic review and meta-analysis was to asssess the effectiveness of breathing and relaxation exercises for pain associated with CTR.

Methods: Database searches were carried out in Pub med, Web of Science, MEDLINE, Academic Search Ultimate, CINAHL Complete, Cochrane Library, Science Direct to December 2024. 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 8 randomized controlled trials were included. Findings indicated that breathing relaxation exercises had a negative effect on chest tube removal. The mean effect size for the effect of breathing relaxation exercises on CTR was - 1.46 Three of the studies included in the meta-analysis assessed outcomes before CTR procedure. The mean effect size is 0.070 with a 95% confidence interval of -0.208 to 0.348. Also, four of the studies included in the meta-analysis assessed outcomes immediately after the procedure. The mean effect size is -1.403 with a 95% confidence interval of -2.337 to -0.469. The mean effect size in the universe of comparable studies could fall anywhere in this interval. Q-value is 30.826 with 3 degrees of freedom and p < 0.001.

Conclusions: The results of this meta-analysis indicated that breathing and relaxation exercises can be effective in reducing pain associated with the CTR procedure.

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呼吸放松练习对胸管拔除引起疼痛的有效性：一项系统回顾-荟萃分析。

背景：胸腔置管是胸腔引流空气或液体的必要条件，通常在心胸外科手术后进行，以防止并发症。然而，胸管取出（CTR）对患者来说可能是痛苦和压力的。适当的疼痛管理是提高患者舒适度的关键。目的：本系统综述和荟萃分析的目的是评估呼吸和放松练习对与CTR相关的疼痛的有效性。方法：检索Pub med、Web of Science、MEDLINE、Academic Search Ultimate、CINAHL Complete、Cochrane Library、Science Direct等数据库至2024年12月。偏倚风险2 （Risk of Bias 2）工具用于评估偏倚风险。异质性和发表偏倚也被评估。结果：共纳入8项随机对照试验。研究结果表明，呼吸放松练习对胸管拔除有负面影响。呼吸放松练习对CTR影响的平均效应大小为- 1.46，meta分析中包括的三项研究在CTR程序前评估了结果。平均效应值为0.070,95%置信区间为-0.208 ~ 0.348。此外，荟萃分析中包括的四项研究评估了手术后立即的结果。平均效应大小为-1.403,95%置信区间为-2.337 ~ -0.469。可比较研究的平均效应大小可能落在这个区间的任何地方。q值为30.826，具有3个自由度和p。结论：本荟萃分析的结果表明，呼吸和放松练习可以有效减轻与CTR手术相关的疼痛。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Cardiothoracic Surgery 医学-心血管系统

CiteScore

2.50

自引率

6.20%

发文量

286

审稿时长

4-8 weeks

期刊介绍： Journal of Cardiothoracic Surgery is an open access journal that encompasses all aspects of research in the field of Cardiology, and Cardiothoracic and Vascular Surgery. The journal publishes original scientific research documenting clinical and experimental advances in cardiac, vascular and thoracic surgery, and related fields. Topics of interest include surgical techniques, survival rates, surgical complications and their outcomes; along with basic sciences, pediatric conditions, transplantations and clinical trials. Journal of Cardiothoracic Surgery is of interest to cardiothoracic and vascular surgeons, cardiothoracic anaesthesiologists, cardiologists, chest physicians, and allied health professionals.