The effect of acupressure on pain severity of chest tube removal in patients with open heart surgery in intensive care unit

Authors

Abstract

 Background and Objective: Pain due to chest tube removal (CTR) is a major
complaint among patients who undergo open heart surgery. This study was carried
out to investigate the effect of acupressure on pain intensity after chest tube
removal in patients with open heart surgery in intensive care unit (ICU).   Materials and Methods: This research study was a randomized controlled
clinical trial. The subjects consisted of 100 patients with open heart surgery
and two or more chest tubes, hospitalized in the intensive care unit of
Shariati Hospital in Tehran. The sampling method was consecutive and the
patients were randomly allocated to two groups, i.e. the control and
experimental groups. Experimental group received acupressure and control group
received touch on the same point. The tool for data collection was composed of
demographic data and pain intensity of the participants. Pain intensity was
measured 10 minutes before (baseline), immediately and 15 minutes following
chest tube removal by using the 0-10 numeric Visual Analogue rating scale. Data
were analyzed with descriptive and inferential statistics using SPSS software
(Version 15).   Results: One
hundred patients participated in the study and no differences were found
regarding the participants' personal characteristics and intensity of
pre-intervention pain. There was also a significant difference between the two
groups regarding pain intensity (p = 0.01) immediately after the chest tube
removal.  Conclusion: The obtained
results indicated that acupressure is an effective non-pharmacologic method for control of the immediate pain due to
chest tube removal in post-cardiac surgery patients.   

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