Effectiveness of purse lip breathing and counting blood pressure in hypertensive urgency patients

Authors

  • นางนิภา ศรีมุกดา คณะแพทยศาสตร์ มหาวิทยาลับขอนแก่น

Keywords:

purse lip breathing, counting, hypertensive urgency

Abstract

          This experimental study aimed to compare blood pressure (BP) level before and after used purse lip breathing and counting therapy in hypertensive urgency patients, and to investigate trend of BP. The study was conducted at Emergency Room, 54 patients. Every hour, experimental group performed purse lip breathing and counting therapy for 15 minutes and measured BP level every hour until 4 hours. Control group received routine nursing care. Repeated Measures ANCOVA was used for data analysis. The results found that BP level of experimental group was deceased by treatment significantly (p <0.01). In the 1st hour, average of systolic BP and diastolic BP were decreased 20.48 and 16.27 mmHg, respectively. In addition, BP level trended to decrease every hour and some patients were discharged after the 2nd hour of treatment.

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References

1. Whelton PK, Carey RM, Aronow WS, Casey DE, Collins KJ, Dennison Himmelfarb C, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on clinical practice guidelines. Hypertension. 2018; 71(6): 1269 – 324.
2. Imsuwan I. Management of hypertension in emergency room. J Thammasat Medical. 2013; 13(1): 109 – 19. (in Thai)
3. Ouicharoenpong M, Thongthiengdee. Slow respiration could reduce blood pressure in hypertensive patients. J The Public Health of Burapha University. 2011; 6(2): 41 – 47. (in Thai)
4. Newberg AB, Wintering NA, Yaden DB, Waldman MR, Reddin J, Alavi A. A case series study of the neurophysiological effects of altered states of mind during intense Islamic prayer. J Physiol Paris. 2015;109(4–6):214 – 20.
5. Edmonds PM, Rogers A, Addington-Hall JM, McCoy A, Coats AJS, Gibbs JSR. Patient descriptions of breathlessness in heart failure. Int Cardiol 2005; 98(1): 61–6.
6. Khaicharoen S, Phithaksilp M, Jaidee W, Prueksaritanond S. Effect of slow breath training program on the blood pressure in Hypertensive patient, Randomized control trials. BJM. 2017; 4(1): 9 - 20. (in Thai)
7. Boonpasop S. Dyspnea: the role of a nurse. JHSR 2012; 6(2): 1 - 11. (in Thai)
8. Roy SC, Andrews HA. The Roy adaptation model. 2nded. Stamford, Conn: Appleton & Lange; 1999.
9. Imoun S, Mitsungnerm T, Techa-atik P. Effective of a praying therapy for blood pressure control of hypertensive patients. J Nursing and Health care. 2015; 32(2): 44 - 53. (in Thai)
10. Mucci N, Giorgi G, De Pasquale Ceratti S, Fiz-Pérez J, Mucci F, Arcangeli G. Anxiety, stress-related factors, and blood pressure in young adults. Front Psychol. 2016; 7:1682.
11. Guo X, Zhang X, Guo L, Li Z, Zheng L, Yu S, et al. Association between pre-hypertension and cardiovascular outcomes: a systematic review and meta-analysis of prospective studies. Curr Hypertens Rep. 2013;15(6): 703 – 16.
12. Huang Y, Wang S, Cai X, Mai W, Hu Y, Tang H, et al. Prehypertension and incidence of cardiovascular disease: a meta-analysis. BMC Med. 2013; 11(1):177.
13. Krishnakumar D, Hamblin MR, Lakshmanan S. Meditation and Yoga can modulate brain mechanisms that affect behavior and anxiety-A modern scientific perspective. Anc Sci. 2015; 2(1): 13 - 9.
14. Srimookda N, Ruaisungnoen W. Evidence-Based Nursing Intervention to Reduce Dyspnea and Anxiety among Patients with Acute Heart Failure at Emergency Department. Conference Management, literature, learning research and development innovations. 2016; 2(1), 157 - 168. (in Thai)
15. Wangsom A. Dyspnea management in patients with chronic obstructive pulmonary disease. Thai Journal of Cardio-Thoracic Nursing. 2016; 7(1), 2 - 12. (in Thai)

Published

2020-03-30

How to Cite

1.
ศรีมุกดา น. Effectiveness of purse lip breathing and counting blood pressure in hypertensive urgency patients. JNSH [Internet]. 2020 Mar. 30 [cited 2022 Jun. 27];43(1):87-96. Available from: https://he01.tci-thaijo.org/index.php/nah/article/view/205356