Efficacy of a Religious-Based Slow Deep Breathing Technique in Reducing Postoperative Pain: A Quasi-Experimental Study 10.55131/jphd/2024/220320

Main Article Content

Efa Trisna
Musiana Musiana
Giri Udani
Almurhan Almurhan

Abstract

Non-pharmacological methods offer a noninvasive solution for postoperative pain reduction, enhancing patient quality of life, and expediting recovery post-surgery. The aim of this study was to analyze differences in pain scale reduction in postoperative patients after administering slow deep breathing distraction-relaxation techniques with a religious approach. The design was experimental with pre- and post-tests by providing treatment to respondents using slow deep breathing exercises with a religious approach (the activity related to relaxation using sentences and special treatment explained in the data collection section) to postoperative patients. Pain scale scores ranged from 0 to 10. The total number of participants was 60 (laparotomy, mastectomy, or fracture surgery). A dependent t-test was used to analyse data . The pain scale score for patients after slow deep breathing surgery with a religious approach ranged from 4 to 10 on a numerical rating scale. The average reduction in pain scale score for patients after slow deep breathing surgery with a religious approach was 2.17 with a standard deviation of 0.994. The results of the statistical tests with the dependent t-test obtained a p-value of 0.000. This shows a significant reduction in pain levels among postoperative patients who perform slow deep breathing exercises with a religious approach. These findings suggest that this method is an effective and accessible way to manage postoperative pain. In conclusion, slow deep breathing with a religious approach is effective in reducing postoperative pain

Article Details

How to Cite
1.
Trisna E, Musiana Musiana, Giri Udani, Almurhan Almurhan. Efficacy of a Religious-Based Slow Deep Breathing Technique in Reducing Postoperative Pain: A Quasi-Experimental Study: 10.55131/jphd/2024/220320. J Public Hlth Dev [Internet]. 2024 Sep. 9 [cited 2024 Dec. 31];22(3):243-55. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/270495
Section
Original Articles
Author Biographies

Efa Trisna, Department of Nursing, Poltekkes Kemenkes Tanjung karang, Bandar Lampung, Lampung, Indonesia

Department of Nursing, Poltekkes Kemenkes Tanjung karang, Bandar Lampung, Lampung, Indonesia

Musiana Musiana, Department of Nursing, Poltekkes Kemenkes Tanjung karang, Bandar Lampung, Lampung, Indonesia

Department of Nursing, Poltekkes Kemenkes Tanjung karang, Bandar Lampung, Lampung, Indonesia

Giri Udani, Department of Nursing, Poltekkes Kemenkes Tanjung karang, Bandar Lampung, Lampung, Indonesia

Department of Nursing, Poltekkes Kemenkes Tanjung karang, Bandar Lampung, Lampung, Indonesia

Almurhan Almurhan, Department of Nursing, Poltekkes Kemenkes Tanjung karang, Bandar Lampung, Lampung, Indonesia

Department of Nursing, Poltekkes Kemenkes Tanjung karang, Bandar Lampung, Lampung, Indonesia

References

doi: 10.1038/s41598-022-20870-9

Tadesse M, Ahmed S, Regassa T, Girma T, Hailu S, Mohammed A, et al. Effect of preoperative anxiety on postoperative pain on patients undergoing elective surgery: Prospective cohort study. Ann Med Surg (Lond). 2022;73:103190. doi: 10.1016/j.amsu.2021.103190

Sutrisno S, Nursalam. The Effect of Benson and Autogenic Relaxation Therapy on Sleep Quality, Blood Pressure and Anxiety of Hypertension Patients. J Nurs Pract. 2022;6(2):214–220. doi: 10.30994/jnp.v6i2.379

Sotudeh T, Hasanpoor-Azghady SB, Amiri-Farahani L. Relationship between Religious Coping, Pain Severity, and Childbirth Self-Efficacy in Iranian Primipara Women. Obstet Gynecol Int. 2022;2022:2338683. doi: 10.1155/2022/2338683.

Muchamad Toif Chasani. The Urgency of Zikir in Modern Life. FJMR. 2022;1(8):1663–1674. doi: https:// doi.org/10.55927/fjmr.v1i8.2082

Molazem Z, Alizadeh M, Rambod M. The Effect of Benson’s Relaxation Technique on Pain Intensity, Belief, Perception, and Acceptance in adult Hemophilia Patients: A Randomized Controlled Trial. Int J Community Based Nurs Midwifery. 2021;9(3):187–198. doi: 10.30476/ijcbnm.2021.87937. 1471

Craig KD, MacKenzie NE. What is pain: Are cognitive and social features core components?. Paediatr Neonatal Pain. 2021;3(3):106-118. doi: 10.1002/ pne2.12046

Yoo H, Cho Y, Cho S. Does past/current pain change pain experience? Comparing self-reports and pupillary responses. Front Psychol. 2023;14:1094903. doi: 10.3389/fpsyg. 2023.1094903.

Fadaee N, Huynh D, Khanmohammed Z, Mazer L, Capati I, Towfigh S. Patients With Systemic Reaction to Their Hernia Mesh: An Introduction to Mesh Implant Illness. J Abdom Wall Surg. 2023;2:10983. doi: 10.3389/ jaws.2023.10983

Raja S, Carr D, Cohen M, Finnerup N, Flor H, Gibson S, et al. The Revised IASP definition of pain: concepts, challenges, and compromises. Pain. 2021;161(9):1976–1982. doi: 10.1097/ j.pain.0000000000001939

Arefayne NR, Seid Tegegne S, Gebregzi AH, Mustofa SY. Incidence and associated factors of post-operative pain after emergency Orthopedic surgery: A multi-centered prospective observational cohort study. Int J Surg. 2020;27:103–113. doi: 10.1016/j.ijso. 2020.10.003

Gao L, Mu H, Lin Y, Wen Q, Gao P. Review of the Current Situation of Postoperative Pain and Causes of Inadequate Pain Management in Africa. J Pain Res. 2023;16:1767–1778. doi: 10.2147/JPR.S405574

Reaza-Alarcón A, Rodríguez-Martín B. Effectiveness of nursing educational interventions in managing post-surgical pain. Systematic review. Invest Educ Enferm. 2019;37(2):e10. doi: 10.17533/udea.iee.v37n2e10

Karacabay K, Savcı A, Kabu Hergül F. Investigating Relationships Between Pain, Comfort, Anxiety and Depression in Surgical Patients. Cyprus J Med Sci. 2022;7(7):40–47. doi: 10.4274/cjms. 2020.1758

Bentley TGK, D’Andrea-Penna G, Rakic M, Arce N, LaFaille M, Berman R, et al. Breathing Practices for Stress and Anxiety Reduction: Conceptual Framework of Implementation Guidelines Based on a Systematic Review of the Published Literature. Brain Sci. 2023;13(12):1612. doi: 10.3390/brainsci13121612

Malikul Mulki M, Sunarjo L. Effectiveness of Deep Breath Relaxation Techniques and Music Therapy on Reducing Anxiety Level among Pre-operative Patients. IJNHS. 2020;4(1):59–65.

Ünver S, Kıvanç G, Alptekin HM. Deep breathing exercise education receiving and performing status of patients undergoing abdominal surgery. Int J Health Sci (Qassim). 2018;12(4):35–38.

Yamada K, Adams H, Ellis T, Clark R, Sully C, Lariviere C, et al. The temporal relation between pain and fatigue in individuals receiving treatment for chronic musculoskeletal pain. BMC Musculoskelet Disord. 2022;23(1): 1219. doi: 10.1186/s12891-022-05162-7

Shi Y, Wu W. Multimodal non-invasive non-pharmacological therapies for chronic pain: mechanisms and progress. BMC Med. 2023;21(1): :372. doi: 10.1186/s12916-023-03076-2

Smith BE, Hendrick P, Bateman M, Holden S, Littlewood C, Smith TO, et al. Musculoskeletal pain and exercise - Challenging existing paradigms and introducing new. Br J Sports Med. 2019;53(14):907–912. doi: 10.1136/ bjsports-2017-098983

Cimpean A, David D. The mechanisms of pain tolerance and pain-related anxiety in acute pain. Health Psychol Open. 2019;6(2):2055102919865161. doi: 10.1177/2055102919865161

Diotaiuti P, Corrado S, Mancone S, Palombo M, Rodio A, Falese L, et al. Both Gender and Agonistic Experience Affect Perceived Pain during the Cold Pressor Test. Int J Environ Res Public Health. 2022;19(4):2336. doi: 10.3390/ ijerph19042336

Chen J, Abbod M, Shieh JS. Pain and stress detection using wearable sensors and devices—a review. Sensors (Basel). 2021;21(4):1030. doi: 10.3390/ s21041030

Mulugeta H, Ayana M, Sintayehu M, Dessie G, Zewdu T. Preoperative anxiety and associated factors among adult surgical patients in Debre Markos and Felege Hiwot referral hospitals, Northwest Ethiopia. BMC Anesthesiol. 2018;18(1):155. doi: 10.1186/s12871-018-0619-0

Bedaso A, Ayalew M. Preoperative anxiety among adult patients undergoing elective surgery: a prospective survey at a general hospital in Ethiopia. Patient Saf Surg. 2019; 13:18. doi: 10.1186/s13037-019-0198-0

Kassahun WT, Mehdorn M, Wagner TC, Babel J, Danker H, Gockel I. The effect of preoperative patient-reported anxiety on morbidity and mortality outcomes in patients undergoing major general surgery. Sci Rep. 2022;12(1): 6312. doi: 10.1038/s41598-022-10302-z

Ni K, Zhu J, Ma Z. Preoperative anxiety and postoperative adverse events: a narrative overview. APS. 2023;1(3):1–8. doi: 10.1007/s44254-023-00019-1

Pekcan YO, Tuncalı B, Erol V. Effect of preoperative anxiety level on postoperative pain, analgesic consumption in patients undergoing laparoscopic sleeve gastrectomy: an observational cohort study. Braz J Anesthesiol. 2023;73(1):85-90. doi: 10.1016/j.bjane.2021.11.003

Farzan R, Parvizi A, Haddadi S, Sadeh Tabarian M, Jamshidbeigi A, Samidoust P, et al. Effects of non-pharmacological interventions on pain intensity of children with burns: A systematic review and meta-analysis. Int Wound J. 2023;20(7):2898–2913. doi: 10.1111/iwj.14134

Wang R, Huang X, Wang Y, Akbari M. Non-pharmacologic Approaches in Preoperative Anxiety, a Comprehensive Review. Front Public Health. 2022; 10:854673. doi: 10.3389/fpubh.2022. 854673

Hyland SJ, Wetshtein AM, Grable SJ, Jackson MP. Acute Pain Management Pearls : A Focused Review for the Hospital Clinician. 2023;

Atthayasai J, Chatchumni M, Eriksson H, Mazaheri M. Surgical Nurses' Perceptions of Strategies to Enhance Pain Management Proficiency: A Qualitative Study. Nurs Rep. 2023 Jun 15;13(2):923-933. doi: 10.3390/ nursrep13020081

Obaya HE, Abdeen HA, Salem AA, Shehata MA, Aldhahi MI, Muka T, et al. Effect of aerobic exercise, slow deep breathing and mindfulness meditation on cortisol and glucose levels in women with type 2 diabetes mellitus: a randomized controlled trial. Front Physiol. 2023;14:1186546. doi: 10.3389/fphys.2023.1186546

Tavoian D, Craighead DH. Deep breathing exercise at work: Potential applications and impact. Front Physiol. 2023;14:1040091. doi: 10.3389/ fphys.2023.1040091

Anggun M, Kusumawinakhyu T, Wiharto W, Finurina Mustikawati I. The Effect Of Dhikr On Anxiety And Depression Level In Hemodialysis Patients At Purwokerto Islamic Hospital. IJICM. 2021;2(1):15–25.

Asefi Rad A, Wippert PM. Insights into pain distraction and the impact of pain catastrophizing on pain perception during different types of distraction tasks. Front Pain Res (Lausanne). 2024;5:1266974. doi: 10.3389/ fpain.2024.1266974

Jafari H, Gholamrezaei A, Franssen M, Van Oudenhove L, Aziz Q, Van den Bergh O, et al. Can Slow Deep Breathing Reduce Pain? An Experimental Study Exploring Mechanisms. J Pain. 2020;21(9-10): 1018-1030. doi: 10.1016/j.jpain. 2019.12.010

Jarrah MI, Hweidi IM, Al-Dolat SA, Alhawatmeh HN, Al-Obeisat SM, Hweidi LI, et al. The effect of slow deep breathing relaxation exercise on pain levels during and post chest tube removal after coronary artery bypass graft surgery. Int J Nurs Sci. 2022;9(2):155–161. doi: 10.1016/ j.ijnss.2022.03.001

Bahrololoomi Z, Sadeghiyeh T, Rezaei M, Maghsoudi N. The Effect of Breathing Exercise Using Bubble Blower on Anxiety and Pain during Inferior Alveolar Nerve Block in Children Aged 7 to 10 Years: A Crossover Randomized Clinical Trial. Pain Res Manag. 2022;2022:7817267. doi: 10.1155/2022/7817267

Sbaraglia F, Cuomo C, Della Sala F, Festa R, Garra R, Maiellare F, et al. State of the Art in Pediatric Anesthesia: A Narrative Review about the Use of Preoperative Time. J Pers Med. 2024;14(2):182. doi: 10.3390/ jpm14020182