The Effect of Distraction with a Loved One’s Voice on Pain Reduction While Extracting the Chest Tube after Open Heart Surgery



Hakimeh Sheykhasadi1, Abbas Abbaszadeh2, *, Homira Bonakdar3, Fatemeh Salmani4, Asghar Tavan5, Nadia Sedri6
1 Critical Care Nurse, Kerman University of Medical Sciences, Kerman, Iran
2 Department of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Department of Anesthesia and Operating Room, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 Department of Epidemiology and Biostatistics, Faculty of Health, Birjand University of Medical Sciences, Birjand, Iran
5 Shahid Sadughi University of Medical Sciences, Yazd, Iran
6 Zarand Nursing Faculty, Kerman University of Medical Sciences, Kerman, Iran


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© 2019 Sheykhasadi et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at Department of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran;
Tel: +09131444119; E-mail: aabaszadeh@hotmail.com


Abstract

Background:

One of the forms of ost-operative care after open heart surgery is controlling the pain resulting from chest tube insertion. Management of pain is considered vital and requires the awareness of health care providers. One of the main responsibilities of nurses is to prepare patients for invasive procedures such as the removal of the chest tube. This study was designed to analyze the impact of a loved one’s voice for distraction in patients undergoing open heart surgery.

Methods:

This study was a clinical trial. The research sample was randomly selected from patients undergoing open heart surgery. In this study, the number of samples for each group was considered to be 64 people, where the total number of samples was 128 people. The data collection tools included Visual Analog Scale (VAS) assessment tool and a researcher-made questionnaire. After selecting the eligible samples and obtaining the informed consent, each patient was randomly assigned to one of the two groups (intervention group and control group). The pain was measured before, immediately, and 10 minutes after removing the chest tube.

Results:

The findings of this study indicated that the two groups had no statistically significant differences in pain before chest tube removal. The mean pain during chest tube removal and 10 minutes later in both groups indicated a significant difference based on Mann-Whitney test (P<0.001).

Conclusion:

This study showed that a loved one’s voice is effective in reducing pain during chest tube removal after open heart surgery.

Keywords: Distraction, Pain, Chest tube, Open heart surgery, Visual Analog Scale (VAS), Mann-Whitney.