The Effect of Foot Reflexology on Pain Severity Associated with Mediastinal Chest Drain Removal in Patients Undergoing Open- Heart Surgery | ||||
Mansoura Nursing Journal | ||||
Volume 11, Issue 1, January 2024, Page 171-188 PDF (575.45 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/mnj.2024.350310 | ||||
View on SCiNiTO | ||||
Authors | ||||
Afnan Attia Ibrahim 1; Amina Mohamed Abd El-Fatah 2; Amr Abdellateef Hassan 3; Asmaa Abo-saeda4 | ||||
1Critical Care and Emergency Nursing , Faculty of Nursing, Mansoura University, Egypt | ||||
2Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt. | ||||
3Cardiothoracic Surgery, Faculty of Medicine, Mansoura University, Egypt. | ||||
4Assist. Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt | ||||
Abstract | ||||
Background: Mediastinal chest drain removal (MCDR) has been described as one of the worst experiences for patients after cardiac surgery. However, patients report MCDR as an unpleasant and painful procedure that is poorly controlled. Untreated pain may lead to several negative effects, longer rehabilitation, limited mobility, and other complications. Therefore, introducing new modalities such as reflexology became an issue of concern for nursing. Aim: This study aimed to investigate the effect of foot reflexology on pain severity associated with mediastinal chest drain removal in patients undergoing open-heart surgery. Method: A quasi-experimental design was used to conduct this study in the cardiothoracic intensive care unit at the cardiothoracic and vascular surgery center of Mansoura University. A convenience sample of 80 patients was randomly assigned to foot reflexology group who received 45 minutes reflexology session for both feet before and throughout MCDR procedure and control group who received the routine intensive care unit care. Data were collected using numerical rating scale and critical care observation tool. Results: The findings showed statistical significant differences between the studied groups concerning all physiological indicators (P < 0.05). Moreover, a statistical significant decrease in pain level was observed in foot reflexology group compared to the control group (P < 0.05). Conclusion: Foot reflexology is a safe technique and can significantly be used to reduce pain associated with MCDR in patients undergoing open heart surgery. Recommendations: Nurses should incorporate foot reflexology into their nursing practices to reduce pain associated with MCDR, achieve better outcomes, and improve quality of care. | ||||
Keywords | ||||
Foot reflexology; Pain; Mediastinal chest drain; Open heart surgery | ||||
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