Decreasing Family Anxiety Level of Acute Coroner Syndrome with Slow Deep Breathing Relaxation

Zulkifli B Pomalango, Titin A Wihastuti, Yulian W Utami

Abstract


Acute Coronary Syndrome Patients can cause anxiety for the family. Anxiety of ACS family in Aloei Saboe hospital was found to be a family of moderate anxiety of 18 people (81.8%) and a severe anxiety of 4 people (18.2%). This study used the research design of One Group Pretest Posttest Design with 22 respondents. Respondents were given slow deep breathing exercises, given for 15 minutes. The bivariate analysis used is the Marginal Homogeneity Test. The results of the study were obtained before being given treatment, the family with moderate anxiety amounted to 18 people (81.8%) and a heavy anxiety of 4 people (18.2). After being given treatment there was a decrease in the level of anxiety, the family with moderate anxiety numbered 9 people (40.9) and mild anxiety about 13 people (59.1%). The results of the statistical test for marginal homogeneity obtained p values of 0.000 (p<0.05). There is a slow deep breathing effect on decreasing family anxiety level of acute coronary syndrome patients. Further research, slow deep breathing actions can be combined with health education in overcoming the anxiety of families who care for patients in hospitals.

Keywords


Anxiety; Slow Deep Breathing; Acute Coronary Syndrome

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References


Bijlani, R. L, & Manjunatha, S. (2010). Understanding Medical Physiology: A Textbook for Medical Students. New Delhi: Jaypee Brothers Publishers.

Billman, G. E. (2011). Heart rate variability - a historical perspective. Front Physiol., 2, 86. doi: 10.3389/fphys.2011.00086.

Chang, Q., Liu, R., & Shen, Z. (2013). Effects of slow breathing rate on blood pressure and heart rate variabilities. Int. J. Cardiol., 169(1), e6-8. doi: 10.1016/j.ijcard.2013.08.121.

Cologne. (2017). Generalized anxiety disorder: Overview. Germany : Institute for Quality and Efficiency in Health Care.

Day, A., Haj-Bakri, S., Lubchansky, S., & Mehta, S. (2013). Sleep, anxiety and fatigue in family members of patients admitted to the intensive care unit: a questionnaire study. Crit. Care, 17(3), R91. doi: 10.1186/cc12736

Dick, T. E., Hsieh, Y. H., Dhingra, R. R., Baekey, D. M., Galan, R. F., Wehrwein, E., & Morris, K. F. (2014). Cardiorespiratory coupling: common rhythms in cardiac, sympathetic, and respiratory activities. Prog. Brain Res., 209, 191-205. doi: 10.1016/B978-0-444-63274-6.00010-2

Dick, T. E., Mims, J. R., Hsieh, Y. H., Morris, K. F., & Wehrwein, E. A. (2014). Increased cardio-respiratory coupling evoked by slow deep breathing can persist in normal humans. Respir. Physiol. Neurobiol., 204, 99-111. doi: 10.1016/j.resp.2014.09.013

Feihl, F., & Broccard, A. F. (2009). Interactions between respiration and systemic hemodynamics. Part I: basic concepts. Intensive Care Med., 35(1), 45-54. doi: 10.1007/s00134-008-1297-z

Hamester, L., Souza, E. N., Cielo, C., Moraes, M. A., & Pellanda, L. C. (2016). Effectiveness of a nursing intervention in decreasing the anxiety levels of family members of patients undergoing cardiac surgery: a randomized clinical trial. Rev. Lat. Am. Enfermagem, 24, e2729. doi: 10.1590/1518-8345.0208.2729.

Hsieh, C. W., Mao, C. W., Young, M. S., Yeh, T. L., & Yeh, S. J. (2003). Respiratory effect on the pulse spectrum. J. Med. Eng. Technol., 27(2), 77-84. doi: 10.1080/0309190021000025855.

Joseph, C. N., Porta, C., Casucci, G., Casiraghi, N., Maffeis, M., Rossi, M., & Bernardi, L. (2005). Slow breathing improves arterial baroreflex sensitivity and decreases blood pressure in essential hypertension. Hypertension, 46(4), 714-718. doi: 10.1161/01.HYP.0000179581.68566.7d.

KEMENKES-RI. (2013). Riset Kesehatan Dasar; RISKESDAS. Jakarta: Balitbang Kementerian Kesehatan Republik Indonesia.

Khng, K. H. (2017). A better state-of-mind: deep breathing reduces state anxiety and enhances test performance through regulating test cognitions in children. Cogn. Emot., 31(7), 1502-1510. doi: 10.1080/02699931.2016.1233095.

Larson, H. A., Yoder, A. M., Brucker, S., Lee, J., Washburn, F., Perdieu, D, . . . Rose, J. (2011). Effects of Relaxation and Deep-Breathing on High School Students: ACT Prep. JCI, 2.

Leivseth, L., Nilsen, T. I., Mai, X. M., Johnsen, R., & Langhammer, A. (2012). Lung function and anxiety in association with dyspnoea: the HUNT study. Respir. Med., 106(8), 1148-1157. doi: 10.1016/j.rmed.2012.03.017

Mortola, J. P., Marghescu, D., & Siegrist-Johnstone, R. (2016). Thinking about breathing: Effects on respiratory sinus arrhythmia. Respir. Physiol. Neurobiol., 223, 28-36. doi: 10.1016/j.resp.2015.12.004

Muris, P., Mayer, B., Freher, N. K., Duncan, S., & Hout, A. (2010). Children's internal attributions of anxiety-related physical symptoms: Age-related patterns and the role of cognitive development and anxiety sensitivity. Child Psychiatry and Human Development. Retrieved from EBSCOhost, 41(5), 535-548.

Musliha. (2010). Keperawatan Gawat Darurat. Yogyakarta: Nuha Medika.

Naik, G. S., Gaur, G. S., & Pal, G. K. (2018). Effect of Modified Slow Breathing Exercise on Perceived Stress and Basal Cardiovascular Parameters. Int. J. Yoga, 11(1), 53-58. doi: 10.4103/ijoy.IJOY_41_16

Pal, G. K., Velkumary, S., & Madanmohan. (2004). Effect of short-term practice of breathing exercises on autonomic functions in normal human volunteers. Indian J. Med. Res., 120(2), 115-121.

Paulus, M. P. (2013). The breathing conundrum-interoceptive sensitivity and anxiety. Depress Anxiety, 30(4), 315-320. doi: 10.1002/da.22076

Pomalango, Z., Wihastuti, T. A, & Utami, Y. W. (2019). The Effect of the combination of Slow Deep Breathing and Health Education on Decreasing Anxiety in Families of Acute Coronary Syndrome Patients in Aloei Saboe Hospital, Gorontalo City. Malang : Universitas Brawijaya.

Radaelli, A., Raco, R., Perfetti, P., Viola, A., Azzellino, A., Signorini, M. G., & Ferrari, A. U. (2004). Effects of slow, controlled breathing on baroreceptor control of heart rate and blood pressure in healthy men. J. Hypertens, 22(7), 1361-1370.

Russo, M. A., Santarelli, D. M., & O'Rourke, D. (2017). The physiological effects of slow breathing in the healthy human. Breathe (Sheff), 13(4), 298-309. doi: 10.1183/20734735.009817

Santoso, B., Eva, S., Sekartuti, & Astuti, L. (2013). Riset Kesehatan Dasar 2013 Jawa Tengah Indonesia: Lembaga Penerbitan Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI.

Steffen, P. R., Austin, T., DeBarros, A., & Brown, T. (2017). The Impact of Resonance Frequency Breathing on Measures of Heart Rate Variability, Blood Pressure, and Mood. Front Public Health, 5, 222. doi: 10.3389/fpubh.2017.00222

Tarwoto. (2011). Pengaruh latihan slow deep breathing terhadap intensitas nyeri kepala akut pada pasien cedera kepala ringan. Jakarta : Universitas Indonesia.

Wells, D. K. (2017). Anxiety: Breathing Problems and Exercise. https://www.healthline.com/health/anxiety/anxiety-breathing.

Yaribeygi, H., Panahi, Y., Sahraei, H., Johnston, T. P., & Sahebkar, A. (2017). The impact of stress on body function: A review. EXCLI J., 16, 1057-1072. doi: 10.17179/excli2017-480.

Zhang, Z., Wang, B., Wu, H., Chai, X., Wang, W., & Peng, C. K. (2017). Effects of slow and regular breathing exercise on cardiopulmonary coupling and blood pressure. Med. Biol. Eng. Comput., 55(2), 327-341. doi: 10.1007/s11517-016-1517-6.




DOI: https://doi.org/10.21776/ub.rjls.2020.007.01.1

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