CompletedNot Applicable

The Effect of Vibration and Cold on Pain and Anxiety Associated With Chest Tube Removal Following CABG

Turkey (Türkiye)93 participantsStarted 2024-09-30

Plain-language summary

Removal of chest tubes after coronary artery bypass graft (CABG) surgery can cause severe pain and anxiety, which may negatively affect the recovery process. Integrating non-pharmacological methods into nursing care can help manage pain and anxiety safely and effectively. This study was conducted to examine the effects of vibration therapy and vibration combined with cold application on pain and anxiety during chest tube removal. The study used a partial single-blind, randomized controlled experimental design. The research was carried out between September 2024 and June 2025 in a Cardiovascular Surgery Training and Research Hospital. A total of 93 patients who met the study criteria and agreed to participate were included. Patients were randomly assigned to one of three groups: a vibration group, a vibration plus cold application group, or a control group that received standard care. Pain levels were measured using the Visual Analog Scale (VAS), and anxiety levels were measured using the State Anxiety Inventory (STAI-I). Measurements were taken six times: before chest tube removal, during the procedure, and after removal. The results showed that vibration therapy significantly reduced pain and anxiety during chest tube removal. Patients who received vibration combined with cold application experienced further reductions in pain and anxiety and showed more stable vital signs. Patients in the vibration-only group reported higher satisfaction with the intervention. In conclusion, vibration therapy is a safe, effective, and feasible nursing intervention for reducing pain and anxiety during chest tube removal after CABG surgery. Adding cold application to vibration enhances the effectiveness of the intervention. Based on these findings, integrating vibration therapy into nursing care is recommended, and combining it with cold application may be considered when clinically appropriate.

Who can participate

Age range40 Years – 65 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: Patients who had a chest tube placed for the first time, who already had mediastinal and thoracic chest tubes, who were classified as ASA (American Society of Anesthesiologists) III or below, who were between 40 and 65 years of age, and who were conscious, oriented, and cooperative were included in the study. Exclusion Criteria: Patients with a chest tube in place for more than 72 hours, skin integrity issues around the chest tube or in the area where the procedure will be performed (scarring, laceration, erythema, inflammation, burns, infection), a history of coronary artery bypass graft surgery, a diagnosis of diabetes, a history of thoracotomy, being under the influence of anesthesia or analgesia, the development of complications during or after the surgical procedure, being intubated, presence of cold urticaria, inability to speak Turkish, hearing or vision problems, history of diagnosed psychiatric or mental illness, body mass index of 30 or above, and participation in another clinical trial during the same period were among the exclusion criteria.

What they're measuring

Mediastinal Chest Tube Pain

Timeframe: T0: 20 minutes before chest tube removal; T1: immediately before chest tube removal; T2: during chest tube removal; T3: 5 minutes after chest tube removal; T4: 10 minutes after chest tube removal; T5: 15 minutes after chest tube removal

Thoracic Chest Tube Pain

Anxiety

Timeframe: T0: 20 minutes before chest tube removal; T5: 15 minutes after chest tube removal; change score calculated as T5-T0

Trial details

NCT IDNCT06217263

SponsorIstanbul University - Cerrahpasa

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2025-06-30

Results submitted2025-12-15

View on ClinicalTrials.gov More Pain, Procedural trials