Inclusion Criteria:  Accepting to participate in the research, 18 years and older, Conscious, oriented and cooperative, Able to speak and understand Turkish, Does not have any psychiatric disease, Elective thoracotomy performed, Chest tube inserted, Patients who were followed up in the intensive care unit on the first day after surgery and admitted to the clinic the next day Patients without a history of metastatic disease  Exclusion Criteria:  Those who do not accepted to participate in the research, Under 18 years of age, Unconscious, without orientation and cooperation, Who cannot speak or understand Turkish, Having a psychiatric problem, Non thoracotomy Non chest tube, Metastatic disease, Emergency thoracotomy applied, Patients staying in the intensive care unit for more than one day.