RecruitingNot ApplicableNCT07528482

Effects of Reflexology and Cold Application Before Chest Tube Removal in CABG Patients

Determining the Effects of Reflexology and Cold Application Before Chest Tube Removal on Pain, Anxiety, and Physiological Parameters in Patients Undergoing Coronary Artery Bypass Grafting: A Randomized Controlled Study

Sponsor

Ankara University

Enrollment

108 participants

Start Date

Dec 15, 2025

Study Type

INTERVENTIONAL

Conditions

Anxiety Coronary Artery Bypass Chest Tube Removal Pain, Acute Post-Operative

Summary

This study aims to evaluate the effects of combined reflexology and cold application on pain, anxiety, and physiological parameters in patients undergoing chest tube removal (CTR) after coronary artery bypass grafting (CABG) surgery. Chest tube removal is an invasive procedure that often causes significant pain and anxiety, which can negatively impact the recovery process. In this randomized controlled trial, patients will be assigned to a combined intervention group (reflexology and cold application) or a control group. The study seeks to provide evidence-based recommendations for non-pharmacological nursing interventions to improve patient comfort and reduce complications during the post-operative period.

Eligibility

Min Age: 18 Years

Inclusion Criteria5

Being 18 years of age or older
Not having undergone previous open heart surgery
Not having received analgesics within 4 hours prior to the procedure
Having a VAS pain score of 3 or higher
Voluntary participation in the study

Exclusion Criteria6

Being under 18 years of age
Using inotropic drugs
Having a history of chronic pain
Having a history of alcohol or drug use
Having a psychiatric illness
Having skin lesions, burns, or wounds on the feet that would prevent massage application

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Interventions

BEHAVIORALReflexology

A trained researcher will apply foot reflexology for 40 minutes (20 minutes per foot) prior to chest tube removal. The intervention focuses on specific reflex points on the soles, dorsum, and toes of both feet to reduce pain and anxiety

BEHAVIORALCryotherapy alone

A 13 cm x 13 cm cold pack, frozen for at least 2 hours at -20°C/-30°C, will be applied to the skin at the chest tube insertion site for 20 minutes before removal. The area will be covered with a gauze pad to prevent direct contact with the skin