CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2013; 03(04): 034-039
DOI: 10.1055/s-0040-1703699
Original Article

EFFECTIVENESS OF TWIN THERAPEUTIC APPROACHES ON PAIN AND ANXIETY AMONG PATIENTS FOLLOWING CARDIAC SURGERY

Ramesh C.
1   Assistant Professor, Noor College of Nursing, Bengaluru, Karnataka, India
,
Gayathri Priya
2   Associate Professor, Sri Ramachandra College of Nursing, Sri Ramachandra University, Porur, Chennai, India
,
Jyothi K.
3   Lecturer, Noor College of Nursing, Bengaluru, Karnataka, India
,
Eilean Victoria L.
4   Associate Professor, Sri Ramachandra College of Nursing, Sri Ramachandra University, Porur, Chennai, India
› Author Affiliations

Abstract

The study was conducted to assess the effectiveness of twin therapeutic approaches on pain and anxiety among patients following cardiac surgery. An evaluative approach with quasi experimental design was used for the study. 40 samples were selected by non probability convenience sampling technique. Intervention of Naadichudhi Pranayams and Instrumental music was given as twin therapeutic approaches for the samples in the study group. The present study was conducted in Sri Ramachandra Hospital, Chennai, India. The collected data were analyzed using descriptive and inferential statistics. A significant difference was found between pre test and post test in level of pain and anxiety (P<0.001). The study findings showed that the twin therapeutic approaches were very effective in reducing the pain and anxiety. There was no association found between level of pain and anxiety with demographic variables.



Publication History

Article published online:
26 April 2020

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Thieme Medical and Scientific Publishers Private Ltd.
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  • References

  • 1 Aiten and Smith, Text book of anesthesia, 3rd edition, 1996; pp.31-32, Churchill Livingstone, New York
  • 2 An Marriner Tomey, Text book of Nursing theorist and their work, 4th edition, 1998; pp. 351-363,Mosby publication, Missouri.US
  • 3 Ash Burn and Rice, The management of pain, 1998); pp:66-67, Churchill Livingstone, New York
  • 4 Barnason, S,The effects of music intervention on anxiety in the patient after undergoing coronary artery bypass grafting. Journal of heart lung, 1995; Vol 24(2), pp124-32.Mosby
  • 5 Bezet Scroll, Level of pain and anxiety among patients following cardiac surgery. Journal of cardiac critical care nursing, 2003; Vol 32(3), pp56-58.
  • 6 Bregual, M.A, Relationship of pre operative anxiety to post operative pain. Journal of nursing research, 1971; Vol 20(2) pp57-8.
  • 7 Broscious, S.K, An intervention for pain during chest tube removal after open heart surgery. American journal of critical care nursing, 1999; Vol 54(6),pp 410-5.
  • 8 Braunwald, Text book of heart disease, 5th edition, 2000; pp22-24. Prism books ltd, Bangalore
  • 9 Buffum, M.D, A music intervention to reduce anxiety before vascular angiography procedures. Journal of American Heart Association, 2006; Vol 24(3), pp68-73.
  • 10 Christianson, P.J. and Kennedy, J.C., Theoritical framework and conceptual models. Nursing process application of conceptual model, 4th edition, 1992; Mosby publication. Philahedhepia
  • 11 Desmond, Text book of cardiology, 8th edition, 2004; Elsevier publication, Philahedhepia
  • 12 Enas, K. J, Relative risk of hospitalization for CAD in India Vs other Asians and whites in the U.S.A. Indian heart journal, 1997; Vol14(3), pp105-113
  • 13 Gaillard, P, Effects of music therapy on physiological and psychological outcomes of patients undergoing cardiac surgery. Journal of cardiovascular nurse, 2006; Vol 21(3), pp194-200
  • 14 Good, M. Effects of relaxation and music on post operative pain, a review. Journal of advanced nursing, 2001; Vol 24(5), pp905-14.
  • 15 Hamel, W.J, The effects of music intervention on anxiety in the patient waiting for cardiac catheterization. Journal of intensive critical care unit, 2001; Vol17(5),pp 279-85
  • 16 Hertzog, M. Sedative music reduces anxiety and pain during chair rest after open heart surgery. Journal of pain, 2004; Vol 12(1-2), pp197-203.
  • 17 Ikonomidou, E. Effects of music on vital signs and post operative pain. Journal of advanced clinical nursing, 2004, Vol 80(2), pp269-74.
  • 18 Jyostna, Evaluation of patient with pain hospital today. Journal of advanced clinical nursing, 2000; Vol 66(4) pp23-4.
  • 19 Joachim, Incidence of coronary by bass procedures in every year worldwide. Journal of heart lung, 2006; Vol 37(5) pp22-24
  • 20 Kasliwal, Incidence of open heart surgeries in india, Indian heart journal, 2006; Vol 22(3) pp34-35
  • 21 Kirkilin and Baratt, Text book of cardiac surgery, 3rd edition, 2001; pp34-36. Churchill Livingstone, Birmingham
  • 22 Locsin, G. The effect of music on the pain of selected post operative patients. Journal of advanced clinical nursing,1981 Vol 6(1), pp19-25.
  • 23 Marica, Managing pain the fifth vital sign, Nursing Journal of north America, 2000; Vol 35(2), pp 375-76
  • 24 Miller & Perry, P.A. Relaxation technique pain in patients undergoing heart surgery. Journal of heart lung, 1995; Vol 26(3), pp112-4.
  • 25 Smyth, K.A, Effect of music intervention on noise annoyance, heart rate, and blood pressure in cardiac surgery patients. Journal of critical care nursing, 1997; Vol 6(3), pp183-91.