ผลของโปรแกรมการผ่อนคลายร่วมกับการให้ข้อมูลต่อความวิตกกังวลและความปวดในผู้ป่วยที่ได้รับการถอดท่อระบายทรวงอก

Abstract

This quasi-experimental study aimed to examine the effect of relaxation program with giving information on anxiety and pain in patients with chest drain removal, Melzack and Wall's concept of gate control theory, Lader and Marks concept of anxiety with pain management by non-pharmacological method and the concept of pain management in medical procedure developed by the American Society for Nursing in Pain Management Nursing were used as the conceptual framework in this study. Pain management was divided into three stages: before, during and after chest drain removal. The relaxation program in conjunction with information included giving information before chest drain removal and using relaxation techniques before, during and after chest drain removal. The sample comprised 52 patients with chest drain removal admitted in regional hospitals. They were randomly divided an experimental group (n=26) and a control group (n = 26). The control group received usual care, whereas the experimental group received the relaxation program with giving information and usual care. The relaxation program with giving information was examined for content validity by three experts. Numeric Rating Pain Scale and Anxiety Assessment for Physical Activity were examined for reliabilities by test-retest method yielding a Cronbach's alpha coefficient of .97 and 98, respectively. Demographic and relevant clinical data were analyzed by descriptive statistics and inferential statistics as appropriate. The recovery outcomes of anxiety pain management were compared between control group and experimental group using independent t-test and repeated measures analysis of variance. Results showed that after participating in the relaxation program with giving information, the experimental group had (1) anxiety scores before chest drain removal significantly lower than that in the control group (t = 3.43, p<.001), and (2) pain scores before, during and after chest drain removal significantly lower than those in the control group (F(1, 0) = 202.20, p<.001). This study revealed that the relaxation program with giving information can reduce anxiety and pain in the patients before, during, and after chest drain removal. Therefore, nurses are suggested to apply this program to care for patients who have received chest drain removal to reduce their anxiety and pain before, during, and after chest drain removal.