The effect of modified relaxation breathing technique on pain anxiety in patients with second-degree burns: A clinical trial study

Abstract

Purpose: To determine the effect of modified relaxation breathing technique on pain anxiety in patients with second-degree burns. Methods: The present study is a clinical trial that was performed on 30 patients with second-degree burns admitted to the Imam Hossein Burn Center in Zabol, Iran. Patients in the experimental group performed breathing technique in the form of 4 counts deep inspiration through the nose, pause for four counts, and expiration with pursed lips for four counts. The experiment was done half an hour for four days before dressing. Data were analyzed using Mann-Whitney U statistical test. The significance level was set at <0.05. Results: There was no significant different on pain anxiety between study groups prior to the intervention (p = 0.287). However, the median scores of pain anxiety in the experimental group in four sessions were significantly reduced compared to the control group after the intervention (p < 0.001). Conclusion: The modified relaxation breathing technique has reduced pain anxiety in patients with second-degree burns. Therefore, it is recommended to be used along with other methods to control pain anxiety for the patients.

Effects of breathing exercise techniques on the pain and anxiety of burn patients: A systematic review and meta‐analysis

“…As shown in Table 1 and Figures 2 and 3, six studies 15,30,31,33,36,42 were at a good quality level, and four studies 27,28,34,35 were at an acceptable quality level.…”

“…Finally, 10 studies 15,27,28,30,31,33‐36,42 were included in this systematic review. A meta‐analysis was also performed on nine studies 15,27,30,31,33‐36,42 . For meta‐analysis, pain outcome was reported based on three RCT studies 31,36,42 .…”

“…A total of 469 burn patients participated in 10 studies. 15,27,28,30,31,[33][34][35][36]42 Exactly 58.60% of burn patients were male, and the number of people in the intervention and control groups was equal. The mean age of burn patients was 32.84 (SD = 10.39).…”

“…15 Eight studies 15,30,31,[33][34][35][36]42 had a control group. In five studies, 15,27,31,34,36 the visual analogue scale was used, and in two studies, 28,30 the burn-specific pain anxiety scale was used. Different scales were used to measure The mean score of anxiety in patients was decreased after the intervention (P = .00).…”

“…On the other hand, changing the dressing and cleaning the wound cause pain and anxiety in burn patients 28,29 . Increased anxiety in burn patients will reduce the healing process of burn wounds, increase the duration of hospitalisation, and reduce patients' quality of life 30‐32 . Pain increases anxiety in patients, so pain and anxiety management are essential when performing wound care measures 33,34 …”