To Determine how the Severity of Pain Relates to the Quality of Sleep Following Tube Thoracostomy

Authors

  • Tehreem Ahmed Dow University of Health Sciences Karachi Pakistan.
  • Mehreen Ansari Dow University of Health Sciences Karachi Pakistan.
  • Sidrah Masoom Dow University of Health Sciences Karachi Pakistan.
  • Saeed Ahmed Dow University of Health Sciences Karachi Pakistan.
  • Rafia Haleem Shaikh Dow University of Health Sciences Karachi Pakistan.
  • Sajida Qureshi Dow University of Health Sciences Karachi Pakistan.

DOI:

https://doi.org/10.61919/jhrr.v4i2.818

Keywords:

Tube Thoracostomy, Pain Management, Sleep Quality, Postoperative Care, Visual Analogue Scale, Richards-Campbell Sleep Questionnaire, Spearman Correlation, Thoracic Surgery

Abstract

Background: Tube thoracostomy (TT) is a prevalent procedure in the management of various thoracic conditions, including pneumothorax, pleural effusion, and chest trauma. Despite its widespread use, TT is associated with significant complications such as pain and impaired sleep quality, which can affect patient recovery and overall health outcomes.

Objective: This study aims to explore the relationship between pain severity and sleep quality following tube thoracostomy and to assess the impact of pain management on postoperative recovery.

Methods: A descriptive, prospective, cross-sectional study was conducted at Dr. Ruth K. M. Pfau Civil Hospital Karachi and Dow University of Health Sciences from September 28, 2022, to March 27, 2023. The study included adults aged 18 to 70 who underwent TT for any indication. Patients were excluded if they withheld consent, had a history of substance use, psychological disorders, or were victims of poly-trauma. Pain severity was assessed using a visual analogue scale (VAS) and sleep quality was evaluated using the Richards-Campbell Sleep Questionnaire (RCSQ). Data were analyzed using SPSS version 25, employing descriptive statistics and Spearman correlation tests.

Results: The study involved 77 participants with a mean age of 28.33 ± 10.50 years. The mean pain scores on postoperative days 1, 2, and 3 were 8.08 ± 0.66, 6.92 ± 0.99, and 4.92 ± 1.37, respectively. Corresponding sleep quality scores were 17.50 ± 7.53, 36.67 ± 9.84, and 57.50 ± 10.55. A significant negative correlation was found between pain scores and sleep quality scores on day 3 (r = -0.744, p < 0.001).

Conclusion: The findings suggest a significant association between lower pain scores and improved sleep quality among patients undergoing tube thoracostomy. Effective pain management may enhance sleep quality and facilitate recovery, highlighting the need for comprehensive postoperative care strategies in these patients.

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Author Biographies

Tehreem Ahmed, Dow University of Health Sciences Karachi Pakistan.

MBBS, FCPS Training, Department of Surgery, Dow Medical College & Dr. Ruth K. M. Pfau Civil Hospital, Karachi, Pakistan. Dow University of Health Sciences.

Mehreen Ansari, Dow University of Health Sciences Karachi Pakistan.

MBBS, FCPS Training, Department of Surgery, Dow Medical College & Dr. Ruth K. M. Pfau Civil Hospital, Karachi, Pakistan. Dow University of Health Sciences.

Sidrah Masoom, Dow University of Health Sciences Karachi Pakistan.

MBBS, FCPS, Senior Registrar, Department of Surgery, Dow Medical College & Dr. Ruth K. M. Pfau Civil Hospital, Karachi, Pakistan. Dow University of Health Sciences.

Saeed Ahmed, Dow University of Health Sciences Karachi Pakistan.

MBBS, FCPS, FRCS, Associate Professor of Surgery, Department of Surgery, Dow Medical College & Dr. Ruth K. M. Pfau Civil Hospital, Karachi, Pakistan. Dow University of Health Sciences.

Rafia Haleem Shaikh, Dow University of Health Sciences Karachi Pakistan.

MBBS, FCPS Training, Department of Surgery, Dow Medical College & Dr. Ruth K. M. Pfau Civil Hospital, Karachi, Pakistan. Dow University of Health Sciences.

Sajida Qureshi, Dow University of Health Sciences Karachi Pakistan.

MBBS, FCPS, FRCS, Professor of Surgery, Department of Surgery, Dow Medical College & Dr. Ruth K. M. Pfau Civil Hospital Karachi, Pakistan. Dow University of Health Sciences.

References

Ball CG, Lord J, Laupland KB, Gmora S, Mulloy RH, Ng AK, et al. Chest Tube Complications: How Well Are We Training Our Residents? Can J Surg. 2007;50(6):450-8.

Farooq U, Raza W, Zia N, Hanif M, Khan MM. Classification and Management of Chest Trauma. J Coll Physicians Surg Pak [Internet]. 2006 [cited 2024 Apr 20];16(2):101-3. Available from: https://www.semanticscholar.org/paper/a76a4a11f814289e97c1c3201e6dbb2e2b792f92

Saaiq M, Shah SA. Thoracic Trauma: Presentation and Management Outcome. J Coll Physicians Surg Pak [Internet]. 2008 [cited 2024 Apr 20];18(4):230-3. Available from: https://www.jcpsp.pk/archive/2008/Apr2008/09.pdf

Khan NA, Rehman A, Khan I, Samo KA, Memon AS. Role of Incentive Spirometry in Trauma Patients Managed with Tube Thoracostomy. J Dow Uni Health Sci. 2015;9(3):117-20.

Antunes G. BTS Guidelines for the Management of Malignant Pleural Effusions. Thorax [Internet]. 2003;58(90002):29ii-38. Available from: http://dx.doi.org/10.1136/thorax.58.suppl_2.ii29

Kwiatt M, Tarbox A, Seamon MJ, Swaroop M, Cipolla J, Allen C, et al. Thoracostomy Tubes: A Comprehensive Review of Complications and Related Topics. Int J Crit Illn Inj Sci [Internet]. 2014;4(2):143-55. Available from: http://dx.doi.org/10.4103/2229-5151.134182

Porcel JM. Chest Tube Drainage of the Pleural Space: A Concise Review for Pulmonologists. Tuberc Respir Dis (Seoul) [Internet]. 2018;81(2):106. Available from: http://dx.doi.org/10.4046/trd.2017.0107

Wojtyś ME, Wąsikowski J, Wójcik N, Wójcik J, Wasilewski P, Lisowski P, et al. Assessment of Postoperative Pain Management and Comparison of Effectiveness of Pain Relief Treatment Involving Paravertebral Block and Thoracic Epidural Analgesia in Patients Undergoing Posterolateral Thoracotomy. J Cardiothorac Surg [Internet]. 2019;14(1). Available from: http://dx.doi.org/10.1186/s13019-019-0901-3

Vanini G. Nucleus Accumbens: A Novel Forebrain Mechanism Underlying the Increase in Pain Sensitivity Caused by Rapid Eye Movement Sleep Deprivation. Pain [Internet]. 2018 [cited 2024 Apr 20];159(1):5-6. Available from: https://journals.lww.com/pain/citation/2018/01000/nucleus_accumbens__a_novel_forebrain_mechanism.3.aspx

Finan PH, Goodin BR, Smith MT. The Association of Sleep and Pain: An Update and a Path Forward. J Pain [Internet]. 2013;14(12):1539-52. Available from: http://dx.doi.org/10.1016/j.jpain.2013.08.007

Crivello A, Barsocchi P, Girolami M, Palumbo F. The Meaning of Sleep Quality: A Survey of Available Technologies. IEEE Access [Internet]. 2019;7:167374-90. Available from: http://dx.doi.org/10.1109/ACCESS.2019.2953835

Matricciani L, Bin YS, Lallukka T, Kronholm E, Wake M, Paquet C, et al. Rethinking the Sleep-Health Link. Sleep Health [Internet]. 2018;4(4):339-48. Available from: http://dx.doi.org/10.1016/j.sleh.2018.05.004

Baliga M, D’souza O, Alvares IR. Factors Affecting Quality of Sleep in Hospitalized Patients: A Cross-Sectional Survey in a Tertiary Care Hospital. Ind J Med Spec [Internet]. 2019 [cited 2024 Apr 20];10(4):201. Available from: https://www.semanticscholar.org/paper/fa94b1acc7741e41707b730b8cb2f37a57da9531

Akutay S, Yilmaz M. The Relationship Between Pain Severity and Sleep Quality: Posttube Thoracostomy. Nurs Forum [Internet]. 2021;56(4):860-8. Available from: http://dx.doi.org/10.1111/nuf.12630

Oren B. The Examination of Sleep Quality and Pain in the Early Post-Operative Period in Chest Surgery Patients [Internet]. Internationaljournalofcaringsciences.org. [cited 2024 Apr 20]. Available from: http://www.internationaljournalofcaringsciences.org/docs/5_oren_original_13_1.pdf

Yezierski RP. The Effects of Age on Pain Sensitivity: Preclinical Studies. Pain Med [Internet]. 2012;13(suppl 2):S27-36. Available from: http://dx.doi.org/10.1111/j.1526-4637.2011.01311.x

Eltumi HG, Tashani OA. Effect of Age, Sex and Gender on Pain Sensitivity: A Narrative Review. Open Pain J [Internet]. 2017;10(1):44-55. Available from: http://dx.doi.org/10.2174/1876386301710010044

Mao M, Hughes R, Papadimos TJ, Stawicki SP. Complications of Chest Tubes: A Focused Clinical Synopsis. Curr Opin Pulm Med [Internet]. 2015 [cited 2024 Apr 20];21(4):376-86. Available from: https://journals.lww.com/co-pulmonarymedicine/abstract/2015/07000/Complications_of_Chest_Tubes__A_Focused_Clinical.14.aspx

Alzahrani T. Pain Relief Following Thoracic Surgical Procedures: A Literature Review of the Uncommon Techniques. Saudi J Anaesth [Internet]. 2017 [cited 2024 Apr 20];11(3):327. Available from: https://journals.lww.com/sjan/fulltext/2017/11030/Pain_relief_following_thoracic_surgical.13.aspx

Smith TJ, Wilson M, Karl JP, Orr J, Smith C, Cooper A, et al. Impact of Sleep Restriction on Local Immune Response and Skin Barrier Restoration With and Without “Multinutrient” Nutrition Intervention. J Appl Physiol [Internet]. 2018;124(1):190-200. Available from: http://dx.doi.org/10.1152/japplphysiol.00547.2017

Stawicki SA, Kwiatt M, Tarbox A, Seamon M, Swaroop M, et al. Thoracostomy Tubes: A Comprehensive Review of Complications and Related Topics. Int J Crit Illn Inj Sci [Internet]. 2014;4(2):143. Available from: http://dx.doi.org/10.4103/2229-5151.134182

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Published

2024-05-03

How to Cite

Ahmed, T., Ansari, M., Masoom, S., Ahmed, S., Shaikh, R. H., & Qureshi, S. (2024). To Determine how the Severity of Pain Relates to the Quality of Sleep Following Tube Thoracostomy. Journal of Health and Rehabilitation Research, 4(2), 445–449. https://doi.org/10.61919/jhrr.v4i2.818