呼吸放松练习对减轻拔除胸管时疼痛的效果：荟萃分析

Q2 Nursing

Perioperative Care and Operating Room Management Pub Date : 2024-06-01 DOI:10.1016/j.pcorm.2024.100400

Murat Akbalık , Seçil Taylan , Fatma Eti Aslan

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引用次数: 0

摘要

背景由于中度或重度疼痛，胸管拔除术（CTR）被患者视为一种痛苦的经历。疼痛管理被认为是护理工作的首要任务。本研究旨在提供证据，证明呼吸放松练习对减轻胸管拔除过程中的疼痛有一定的效果。方法在 Pub med、Complementary Index、MEDLINE、Academic Search Ultimate、CINAHL Complete、OpenAIRE、Directory of Open Access Journals、Supplemental Index、Science Direct 等数据库中进行检索，检索年份不限，直至 2023 年 9 月。研究按照 PRISMA 2020 和 Cochrane 2021 建议进行。采用随机效应模型对干预效果进行了汇总。研究结果共纳入了 6 项随机对照试验。经测定，呼吸放松练习对胸管拔除后立即评估的疼痛强度具有极好的负面影响（Hedge's g=-1,557,%95 GA=-1,841- -1,274, 280 hasta (negzersiz=139; nkontrol=141), p = 0.000）。呼吸放松练习对胸管拔出 15 分钟后的疼痛强度评估具有较高的负面影响（Hedge's g=-0.816，95 % CI=-1.299-0.333，320 名患者（nxercise=159；ncontrol=161），P = 0.000）。结论发现呼吸放松练习能有效减轻胸管拔出后立即和拔出胸管 15 分钟后的疼痛。

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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Effect of breathing relaxation exercises on reducing pain during chest tube removal: A meta-analysis

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 (n_egzersiz=139; n_kontrol=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 (n_exercise=159; n_control=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.

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来源期刊

Perioperative Care and Operating Room Management Nursing-Medical and Surgical Nursing

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

56 days

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.