The Effect of Deep Breathing Relaxation Exercises on Pain Management During Chest Tube Removal in Children with Post-Cardiac Surgery

Objective: (1). To assess effect of non-pharmacological pain management techniques (cold application, deep breathing, relaxation exercises) in reduce pain during the removal of chest tube in children. Then, compare the outcomes with children who received standard care after heart surgery. (2). To explore the relationship between non- pharmacological pain management strategies and children's sociodemographic information. Study Design: Descriptive study Place and Duration of Study: This study was conducted at the Department of Pediatric Nursing, College of Nursing, University of Baghdad, Iraq from 1st December 2024 to 28th to 31st March 2025. Methods: Forty children equally divided into a control and exercise group. Data were collected using a questionnaire and the Wang-Baker pain scale.Results: Most of the children were 3–5 years old, female, living in urban areas, and did not receive analgesics. Pain was mild in the exercise group, while it ranged from moderate to severe in the control group. Conclusion: Exercise is effective as a non-pharmacological method for pain relief and recommended its inclusion in care protocols and training for nursing staff.