Comparison, of two pain-management strategies during chest tube removal: Relaxation exercise with opioids and opioids alone
Comparison, of two pain-management strategies during chest tube removal: Relaxation exercise with opioids and opioids alone
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DOI：
10.1016/j.hrtlng.2005.10.005
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发表时间：
2006-07-01
期刊：
影响因子：
2.8
通讯作者：
Moddeman, Gail R.
中科院分区：
文献类型：
--
作者：
Friesner, Stacy A.;Curry, Donna Miles;Moddeman, Gail R.
目得：本研究的目的是确定当使用缓慢的深呼吸放松练习作为阿片类镇痛的辅助手段时，是否可以减少冠状动脉搭桥手术后胸管拔除（CTR）期间的疼痛。设计：采用两组准实验预测试/正测试设计。样本：在CTR之前，招募了40名接受过冠状动脉旁路移植术并符合所有入选标准的成年人作为便利样本。数据收集在心胸外科重症监护病房的三个急性护理设施在美国中西部。方法：一个10厘米的垂直视觉模拟量表被用来衡量疼痛在三个点：CTR前，CTR后立即，CTR后15分钟。实验组接受缓慢呼吸放松练习除了通常的阿片类administration. FININGS剂量：数据进行了方差分析，和多变量分析的协方差分析得出了显着差异的疼痛评级后立即CTR和CTR后15分钟的一组接受放松练习作为阿片类镇痛药的辅助。结论：这项研究支持使用缓慢的深呼吸放松运动作为辅助使用阿片类药物进行疼痛管理在CTR期间谁经历了冠状动脉搭桥手术的患者。
PURPOSE: The purpose of this study was to determine whether the use of a slow deep-breathing relaxation exercise, when used as an adjunct to opioid analgesia, decreases pain during chest tube removal (CTR) after coronary bypass surgery.DESIGN: A two-group quasi-experimental pretest/posuest design was used.SAMPLE: A convenience sample of 40 adults who had undergone coronary artery bypass graft surgery and met all inclusion criteria were recruited before CTR.SETTING: Data were collected in the Cardiothoracic Surgical Intensive Care Units of three acute care facilities in the Midwestern United States.METHOD: A 10-cm vertical Visual Analog Scale was used to measure pain at three points: before CTR, immediately after CTR, and 15 minutes after CTR. The experimental group received slow breathing relaxation exercises in addition to the usual opioid doses administered.FINDINGS: Data were analyzed using analysis of variance, and multivariate analysis of covariance yielded a significant difference in pain ratings immediately after CTR and 15 minutes after CTR for the group receiving relaxation exercise as an adjunct to opioid analgesic.CONCLUSIONS: This study supports the use of a slow deep-breathing relaxation exercise as an adjunct to the use of opioids for pain management during CTR among patients who have undergone coronary bypass surgery.