Effectiveness of diaphragmatic breathing combined number counting on blood pressure and anxiety levels among patients with hypertensive urgency

Authors

  • Nipa Srimookda Srinagarind Hospital, Faculty of Medicine, Khon Kaen University
  • Praew Kotruchin Srinagarind Hospital, Faculty of Medicine, Khon Kaen University
  • Thapanawong Mitsungnern Srinagarind Hospital, Faculty of Medicine, Khon Kaen University
  • Supap Imoun Srinagarind Hospital, Faculty of Medicine, Khon Kaen University
  • Sumana Sumritrin Srinagarind Hospital, Faculty of Medicine, Khon Kaen University

Keywords:

counting, diaphragmatic breathing, hypertensive urgency

Abstract

This experimental study aimed to compare blood pressure (BP) level and anxiety level before and after intervention by diaphragmatic breathing and counting therapy among patients with hypertensive urgency in an emergency room (ER). Sixty-six patients were purposive sampling enrolled at ER. The experimental group was received a training session of 10-minute length diaphragmatic breathing and counting therapy; then was encouraged to practice the technique one cycle per hour, ten minutes per cycle; and then had a rest. BP levels and anxiety levels were measured every hour for 3 hours. The control group received routine nursing care. Data were analyzed by using repeated measures ANOVA. The results found that after training, systolic BP levels, diastolic BP levels, and anxiety levels of experimental group were significantly decreased at .05 (mean 11.39, 4.36, and 2.56, respectively). The decrease of the experimental group was also greater than that of the control group. It might be concluded that the technique was effective in lowing blood pressure and anxiety levels, which can augment physician treatment plan in ER. Nurse and health care providers can use diaphragmatic breathing and counting therapy as a valuable technique to reduce BP in ER.

References

Kunanon S, Chattranukulchai P, Chotruangnapa C, Kositanurit W, Methavigul K, Boonyasirinant T, et al. 2019 Thai guidelines on the treatment of hypertension: Executive summary. J Med Assoc Thai 2021;104(10):1729–38. (in Thai)

Polychronopoulou E, Berney M, Wuerzner G, Tudor LP, Ribom G, Satrauskiene A, et al. Effects of slow deep breathing on short-term changes in blood pressure, heart rate and O2 saturation at altitude: Data from an experimental session at the ESH summer school 2018. J Hypertens 2019; 37:e94.

Srimookda N. Effectiveness of purse lip breathing and counting blood pressure in hypertensive urgency patients. J Nurs Sci Health 2020;43(1):87–96. (in Thai)

Mitsungnern T, Srimookda N, Imoun S, Wansupong S, Kotruchin P. The effect of pursed-lip breathing combined with number counting on blood pressure and heart rate in hypertensive urgency patients: A randomized controlled trial. J Clin Hypertens Greenwich Conn 2021;23(3):672–9. (in Thai)

Mehandiratta C, Gugnani A. Effect of diaphragmatic breathing and pursed lip breathing in improving dyspnea-a review study. Eur J Mol Clin Med 2020;7(6):2643–6.

Sangtongjaraskul S. All about cardiovascular reflexes: Anesthesiologists need to know. Thai J Anesthesiol 2021;47(1):57–63. (in Thai)

Miller J, McNaughton C, Joyce K, Binz S, Levy P. Hypertension management in emergency departments. Am J Hypertens 2020;33(10):927–34.

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. doi: 10.14259/as.v2i1.171.

Roy C, Whetsell MV, Frederickson K. The roy adaptation model and research: Global perspective. Nurs Sci Q 2009;22(3):209–11.

Imsuwan I. Management of hypertension in emergency room. J Thammasat Med 2013;13(1):109–19. (in Thai)

Sari NLPDY, Rekawati E. The effect of traditional music therapy on blood pressure among elderly with hypertension: A literature review. Int J Nurs Health Serv 2019;2(2):55–65.

Whelton PK, Carey RM. The 2017 American college of cardiology/American heart association clinical practice guideline for high blood pressure in adults. JAMA Cardiology 2018;3(4): 352–3.

Sanitlou N, Sartphet W, Naphaarrak Y. Sample size calculation using G*Power programe. J of Suvarnabhumi Tech 2019;5(1):496–507. (in Thai)

Mourya M, Mahajan AS, Singh NP, Jain AK. Effect of slow- and fast-breathing exercises on autonomic functions in patients with essential hypertension. J Altern Complement Med 2009;15(7): 711–7.

Khaicharoen S, Phithaksilp M, Jaidee W, Prueksaritanond S. Effect of slow breath training program on the blood pressure in hypertensive patient, randomized control trials. Burapha Journal of Medicine 2017;4(1):9-20. (in Thai)

Srimookda N, Saensom D, Mitsungnern T, Kotruchin P, Ruaisungnoen W. The effects of breathing training on dyspnea and anxiety among patients with acute heart failure at emergency department. Int Emerg Nurs 2021;56:101008. doi: 10.1016/j.ienj.2021.101008.

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Published

2023-12-28

How to Cite

1.
Udonjarut N, Kotruchin P, Mitsungnern T, Imoun S, Sumritrin S. Effectiveness of diaphragmatic breathing combined number counting on blood pressure and anxiety levels among patients with hypertensive urgency. JNSH [Internet]. 2023 Dec. 28 [cited 2024 May 11];46(4):88-104. Available from: https://he01.tci-thaijo.org/index.php/nah/article/view/264661

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Section

Research Article