Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
Effects of Progressive Muscle Relaxation Exercise, Cold Application and Local Anesthesia Performed Before Chest Tube Removal on Pain and Comfort Levels and Vital Sings of the Patient
Göğüs Tüpü Çıkarılmadan Önce Yapılan Progresif Kas Gevşeme Egzersizi, Soğuk Uygulama ve Lokal Anestezinin Hastanın Ağrı ve Konfor Düzeyleri ile Hayati Bulguları Üzerine Etkileri
Nurdan ÖZCANa,b, Şerife KARAGÖZOĞLUc
aDepartment of Nursing, Sivas Cumhuriyet University Institute of Health Sciences, Sivas, TURKEY
bDepartment of Thoracic Surgery, Sivas Cumhuriyet University Faculty of Medicine, Sivas, TURKEY
cDivision of Nursing, Department of Fundamentals of Nursing, Sivas Cumhuriyet University Faculty of Health Sciences, Sivas, TURKEY
Turkiye Klinikleri J Med Sci. 2020;40(3):285-96
doi: 10.5336/medsci.2019-72505
Article Language: EN
Full Text
ABSTRACT
 Objective: This study was conducted to examine the effect of progressive muscle relaxation exercise, cold application and local anaesthesia before chest tube removal on pain, comfort level and life findings of the patient. Material and Methods: In the sample of the controlled experimental study, 160 patients in whom a chest tube was placed in the chest surgery service of a university hospital for any reason and who met the inclusion criteria were included. In the study, three intervention groups (progressive muscle relaxation exercise, cold application and local anaesthesia) and a control group were constituted and 40 individuals were assigned to each group. Pain intensity and comfort level were measured in 5 minutes before chest tube removal, immediately after tube removal and 15 minutes after tube removal in all groups and hemodynamic indicators were recorded as well. Patient Information Form, Visual Analogue Scale (VAS), Comfort Scale and Vital Signs Monitoring Form were used to collect the data. Results: Immediately after removing the chest tube, it was found that the pain in the relaxation exercise and control group increased compared to before, the comfort decreased; the pain in the cold application and local anaesthesia group significantly decreased (p

Keywords: Chest tube; pain; comfort; cold application; progressive relaxation exercise
ÖZET
 Amaç: Bu çalışma göğüs tüpü çıkarılması işlemi öncesinde uygulanan progresif kas gevşeme egzersizi, soğuk uygulama, lokal anestezinin hastanın ağrı, konfor düzeyi ve yaşam bulguları üzerine etkisini incelenmek amacıyla yapılmıştır. Gereç ve Yöntemler: Kontrollü deneysel nitelikteki çalışmanın örneklemine bir üniversite hastanesinin göğüs cerrahi servisinde herhangi bir nedenle göğüs tüpü yerleştirilmiş, çalışma kriterlerine uyan 160 hasta alınmıştır. Çalışmada üç müdahale (progresif kas gevşeme egzersizi grubu, soğuk uygulama grubu, lokal anestezi grubu) ve bir kontrol grubu oluşturulmuş, her bir gruba 40 birey atanmıştır. Tüm gruplarda göğüs tüpü çıkarılma işlemi başlamadan 5 dakika önce, tüp çıkarıldıktan hemen sonra ve 15 dakika sonrasında ağrı şiddeti, konfor düzeyi ölçülmüş ve hemodinamik göstergeler kaydedilmiştir. Verilerin toplanmasında Hasta Tanıtım Formu, Visüel Analog Skala (VAS), Konfor Skalası ve Yaşam Bulguları İzlem Formu kullanılmıştır. Bulgular: Göğüs tüpü çıkartıldıktan hemen sonra gevşeme egzersizi ve kontrol grubunda öncesine göre ağrının artış gösterdiği, konforun azaldığı, soğuk uygulama ve lokal anestezi grubunda ise ağrının önemli düzeyde (p

Anahtar Kelimeler: Göğüs tüpü; ağrı; konfor; soğuk uygulama; progresif gevşeme egzersizi
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