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IRCT20131228015965N22 IRCT 2023-11-28 Rafsanjan University of Medical Sciences Evaluation of the combined effects of two methods of reflexology massage and respiratory relaxation on pain following chest tube removal in heart surgery patients Investigating the combined effect of reflex massage and respiratory relaxation on pain following chest tube removal in heart surgery patients 2023-04-15 anticipated 140 Complete https://irct.ir/trial/69158 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Factorial, Purpose: Health service research, Randomization description: This study was a randomized clinical trial with the participation of 140 patients undergoing open heart surgery, using the block randomization method (blocks of four), who were assigned to four intervention and control groups of 35 patients by the software, Blinding description: This research is This research is a randomized clinical trial with a control group and a blind side; in which the evaluator of pain intensity will be unaware of the type of intervention. N/A Coronary Artery Disease. Intervention 1: Control group: In this group, chest tube removal will be done in a routine way. Intervention 2: Intervention group 1: Respiratory relaxation group, in which 5 minutes before the removal of the chest tube, slow and deep breathing exercises will be performed, in such a way that the patient closes his eyes, slow and deep breath through the nose and slow exhalation. will do with bud lips. Intervention 3: Intervention group 2: Foot reflex massage group, in which the center of the anterior third of the patient's left foot between the arch of the foot and the toes, a knuckle under the second toe and the thumb moments before the chest tube exits for ten minutes in a circular manner (like crushing a sugar cube with your thumb) will be massaged with gentle pressure. Intervention 4: Intervention group 3: The combination group of respiratory relaxation and reflex massage, which in this group will be performed together to control pain during chest tube removal before performing the procedure of respiratory relaxation + foot reflex massage. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information
public Majid Kazemi
Imam Ali Blvd
Rafsanjan Iran (Islamic Republic of) 7717933777 +98 34 3428 0038 maj_kaz@yahoo.com Rafsanjan University of Medical Sciences scientific Majid Kazemi
Imam Ali Blvd
Rafsanjan Iran (Islamic Republic of) 7717933777 +98 34 3428 0038 maj_kaz@yahoo.com Rafsanjan University of Medical Sciences Iran (Islamic Republic of) Consent to participate in the study Age 18 or older Patients who only have a pleural chest tube Awareness of time, place and person The ability to understand the visual scale of pain Absence of severe vision and hearing impairment Not having neuropathy and sensory disorders caused by diabetes Not addicted to drugs and alcohol 18 years no limit Both Unwillingness to continue participating in the study Being connected to a ventilator Receive narcotic pain medication less than 4 hours I25.1 Atherosclerotic heart disease of native coronary artery Other Other Other Other Control group: In this group, chest tube removal will be done in a routine way. Intervention group 1: Respiratory relaxation group, in which 5 minutes before the removal of the chest tube, slow and deep breathing exercises will be performed, in such a way that the patient closes his eyes, slow and deep breath through the nose and slow exhalation. will do with bud lips. Intervention group 2: Foot reflex massage group, in which the center of the anterior third of the patient's left foot between the arch of the foot and the toes, a knuckle under the second toe and the thumb moments before the chest tube exits for ten minutes in a circular manner (like crushing a sugar cube with your thumb) will be massaged with gentle pressure. Intervention group 3: The combination group of respiratory relaxation and reflex massage, which in this group will be performed together to control pain during chest tube removal before performing the procedure of respiratory relaxation + foot reflex massage. Intensity of pain. Timepoint: Before, immediately, 15 minutes after the intervention. Method of measurement: Visual Analogue Scale. Rafsanjan University of Medical Sciences Approved 2023-03-06 Ethics Committee of Rafsanjan University of Medical Sciences Imam Ali Boulevard, Central Organization Rafsanjan Kerman Iran (Islamic Republic of)