The relationship between pain severity and sleep quality: Posttube thoracostomy

Abstract

Background The presence of a chest tube is a factor significantly associated with pain and pain posttube thoracostomy that negatively affects sleep quality (SQ). Aim To determine the relationship between the pain severity and SQ of patients who underwent the tube thoracostomy (TT). Methods This was a descriptive and cross‐sectional survey conducted from May 1, 2018, to December 30, 2018, in the thoracic surgery department of Sivas Cumhuriyet University Hospital in Central Anatolia/Turkey. Data were collected using a questionnaire form, a Numerical Rating Scale to determine pain severity, and the Richard–Campbell Sleep Questionnaire to assess SQ. Results The study was carried out with 102 patients who underwent the TT. The mean age of the participants were 48.94 years. The mean scores for the scale items indicated that during the procedure and on the first day of post‐TT, the pain severity of the patients was very high, their SQ was low. Pain level decreased gradually in the following days, and the SQ increased. There was a positive, strong correlation between the post‐TT first day pain and first night SQ (r = 0.380, p = 0.000), second day pain and second night SQ (r = −0.537, p = 0.000), and third day pain and third night SQ (r = −0.507, p = 0.000). Conclusion The results of this study highlight that the pain severity of post‐TT significantly affect the quality of the patients’ night sleep.

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

“…The procedure itself, involving potential damage to the parietal pleura and intercostal nerves, underscores the origins of postoperative pain, which if unmanaged, leads to significant discomfort and poor sleep quality (19). This study's demographic findings align with broader research, showing a predominance of male patients undergoing tube thoracostomy, which is consistent with the gender distribution reported in related literature (14,15,21).…”

“…Our findings revealed a strong negative correlation between pain severity and sleep quality on the third day post-operation (r = -0.744) (P = 0.0001), emphasizing the intertwined nature of these factors. Similar studies, such as those by Akutay S. et al and Oren B. et al, have also observed correlations between pain and sleep post-thoracotomy, though their findings suggested variations in the pattern of this relationship across different postoperative days (14,15). Tube thoracostomy is frequently indicated for conditions such as pneumothorax, traumatic injuries, and pleural effusions, among others (18).…”

“…A non-probability consecutive sampling method was employed to recruit participants, with the sample size calculated using PASS version 15 software. The necessary sample size was determined to be 77 based on a predicted correlation of -0.48414 between pain severity and sleep quality, assuming a baseline correlation of 0.2, with a power of 80% and a confidence level of 95% (12)(13)(14). Data collection was initiated following approval from the CPSP and the Ethical Review Committee of Dow University of Health Sciences.…”

“…Sleep quality was assessed daily using the Richard-Campbell Sleep Questionnaire (RCSQ), where each item was scored from 0 to 100 mm, with higher scores indicating better sleep quality. Rescue analgesia was provided for patients experiencing moderate to severe pain (14). For data analysis, SPSS version 25 was utilized.…”

Evaluation of preventive tract embolization with standardized gelatin sponge slurry on chest tube placement rate after CT-guided lung biopsy: a propensity score analysis

“…Pneumothorax is the most common complication of PCTLB, with a rate ranging from 12 to 45% [ 3 , 5 ]. Pneumothorax is generally asymptomatic; however, chest tube placement can generate discomfort, pain, increased hospital stay, and altered patient quality of life [ 6 ]. In the literature, the rate of chest tube placement after PCTLB varies between 2 and 15% [ 3 , 5 ].…”