Position to Prevent Pleural Irritation (PPPI) for Pain and Sleep

The participants in the study group were positioned in bed the Position to Prevent Pleural Irritation (PPPI) in order to minimize pleural irritation caused by the contact of the chest tube with the pleura during sleep. Routine care was applied by the researcher in the clinic's prosedure for the participants in the control group. Position to Prevent Pleural Irritation (PPPI) 1. The participants were informed before the surgery and consent was obtained. The positioning and sleep measurement method were explained. Sleeping scale was filled out for information about the sleep routine before hospitalization. 2. When the participants were admitted to the thoracic surgery clinic, information about positioning and sleep measurement was given by the researcher. 3. The researcher questioned and evaluated the patient's pain before bedtime, and routine analgesic were applied. 4. It was checked that the participant's bed was in working order for the Position to Prevent Pleural Irritation (PPPI), and the positions that could be given with the bed's remote control were explained to the participant. 5. The position and working order of the chest drainage system and drainage tube were checked. 6. The participant was given an upright or dorsal recumbent position with the head of the bed at 30-45 degrees, according to participant's preference. Pillows were placed under the head, under the shoulder where the tube was located, and under the arms, according to the participant's preference. In order to keep the abdominal muscles relaxed, femur and knee flexion was provided. 7. PolySomnioGraph (PSG) was placed on the participant for sleep measurement. The participant's satisfaction about the position was questioned. The room lights were turned off, and noise-causing factors were removed. 8. In the morning, the PolySomnnioGraph (PSG) connections were removed from the participant and pain was questioned and rated again.