Poster Presentation

Friday, July 13, 2007
9:30 AM - 10:15 AM

Friday, July 13, 2007
3:15 PM - 4:00 PM
This presentation is part of : Poster Presentation III
Therapeutic effect of visual stimulation for patient with chest drain
Mimi M.Y. Tse, RN, PhD, Nursing Therapeutics Group, School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China and Joanne W.Y. Chung, RN, PhD, School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
Learning Objective #1: 1). access patients' pain level when chest drain in-situ
Learning Objective #2: 2). evaluate visual stimulation as pain relief when chest drain in-situ and performing breathing exercises

Background
        Patients with chest drain in-situ will experience moderate to severe pain, pain may causes great discomfort and impairs the willingness to perform breathing exercises.               
       
Objectives
1). to access the pain level when chest drain in-situ;
2). to evaluate visual stimulation as pain relief when chest drain in-situ and performing breathing exercises.
 
Methodogy & Procedure

        It was an experimental study.  Patients who fulfil the inclusion criteria would be invited to participate in the study.  The inclusion criteria were adult patients with a normal and corrective eye-sight, no history of mental illness, and have a chest drain in-situ for the first time.  

        Patient was invited to perform breathing exercise using a spiromenter while watching video tape via an Olympic Eyetreck eyeglass that connected to a VCD.  Pain intensity and physiological parameters were assessed before (T0), during (T1) and after the procedure (T2).  

 Results
        Data from twenty patients were collected (all were male patients, age range from 18 to 76, mean age 45).  A significant reduction in pain scores was found from T0 to T1 and T2 (VRS 22.95 ± 20.6 vs. 22.4 ± 21.4 vs. 21.25 ± 21.2, with p<0.001).  Also, patients had a lower systolic blood pressure and heart rate in T2. 
               
Conclusion
        Providing visual stimulation to patients requires no prescription by physician, and is convenient to use and acceptable to patients, making the use of visual stimulation an appealing nonpharmacologic intervention for patients with chest drain in-situ.