Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
권호 표지

Effects of Abdominal Breathing on Anxiety, Blood Pressure, Peripheral Skin Temperature and Saturation Oxygen of Pregnant Women in Preterm Labor

복식호흡이 조기진통 임부의 불안, 혈압, 말초 피부온도와 산소 포화도에 미치는 효과

  • Chang, Soon-Bok (College of Nursing, Yonsei University, Nursing Policy Research Institute) ;
  • Kim, Hee-Sook (Nursing Policy Research Institute, College of Nursing, Yonsei University) ;
  • Ko, Yun-Hee (College of Nursing, Yonsei University) ;
  • Bae, Choon-Hee (College of Nursing, Yonsei University) ;
  • An, Sung-Eun (Yonsei University Health System)
  • 장순복 (연세대학교 간호대학) ;
  • 김희숙 (연세대학교 간호정책연구소, 연세대 간호대학) ;
  • 고윤희 (연세대학교 간호대학) ;
  • 배춘희 (연세대학교 대학원) ;
  • 안성은 (연세대학교 병원)
  • Published : 2009.03.20
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Abstract

Purpose: This study was done to examine the effects of abdominal breathing on VAS-Anxiety (VAS-A), blood pressure, peripheral skin temperature and saturation oxygen in pregnant women in preterm labor. Method: The study design was a matched control group interrupted time series. Forty-six women matched to gestational age were assigned to either the experimental group (26) or control group (20). Data were collected between March 2007 and May 2008. For the experimental treatment the women performed abdominal breathing 30 times, which took 5 minutes, and did one set of 5-minute abdominal breathing daily for three days. Data collection was done before and after the abdominal breathing to measure VAS-A, blood pressure, peripheral skin temperature and oxygen saturation. Descriptive, $X^2$, Mann-Whitney U tests were used to analyze the data with the SPSS/PC+Win 15.0 program. Result: For the experimental group there were significant decreases in VAS-A (Z=-4.37, p=.00), systolic blood pressure (Z=-3.38, p=.00), and an increase in skin temperature (Z=-4.50, p=.00) and oxygen saturation (Z=-3.66, p=.00). Conclusion: These findings suggest that abdominal breathing in pregnant women in preterm labor results in decreases in anxiety(VAS-A) including biological evidences such as systolic blood pressure, and increases in peripheral skin temperature and oxygen saturation. Further longitudinal study is needed on the lasting effects and obstetric and neonatal outcomes following abdominal breathing.

Keywords

References

  1. Alder, J., Fink, N., Bitzer, J., Hosli, I., & Holzgreve, W. (2007). Depression and anxiety during pregnancy; A risk factor for obstetric, fetal and neonatal outcome- a critical review of the literature. J Maternal-Fetal Neonatal Med, 20(3), 189-209. https://doi.org/10.1080/14767050701209560
  2. An, S. E. (2007). Effect of abdominal breathing on labor anxiety level and cervix dilatation time in primipara women. Unpublished master's thesis, Yonsei University, Seoul.
  3. Astin, J. A., Shapiro, S. L., Eisenberg, D. M., & Forys, K. L. (2003). Mind-body medicine: state of the science, implications for practice. J American Board Family Practice, 16(2), 131-147. https://doi.org/10.3122/jabfm.16.2.131
  4. Bacon, M., & Poppen, R. A. (1985). A behavioral analysis of diaphragmatic breathing & it's effects on peripheral temperature. J Behavior Ther Experience Psychiatry, 16, 15-21. https://doi.org/10.1016/0005-7916(85)90025-4
  5. Beddoe, A. E., & Lee, K. A. (2008). Mind-body interventions during pregnancy. J Obstet Gynecol Neonatal Nurs, 37(2), 165-175. https://doi.org/10.1111/j.1552-6909.2008.00218.x
  6. Benson, H. (1975). The relaxation response. NY: William Morrow & Co.
  7. Berkowitz, K., Reyes, C., Sadaat, P., & Kjos, S. (1996). Comparison of fetal lung maturation in well dated diabetic non-diabetic pregnancies. American J Obstet Gynecol, l174.
  8. Chang, S. B., Park, H. J., Bae, C. H., & Shim, J. O. (2007). Effect of abdominal breathing on pre-term labor anxiety and frequency of uterine contraction. Clinical Nurs Research, 13(3), 31-41.
  9. Cunningham, F. G., Gant, N. F., Leveno, K. J., Gilstrap, L. C., Hauth, J. C., & Wenstrom, K. D. (2004). 21st edition Williams obstetrics, California: Appleton & Lange.
  10. Edmund, F. F., Jonathan, G. G., & Henry, R. (2008). Changes in the respiratory tract during pregnancy. Walthan, MA.
  11. Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). $G^{*}$Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Method, 39, 175-191. https://doi.org/10.3758/BF03193146
  12. Field, T., Diego, M., Hernandez-Reif M., Schanberg, S., Kuhn, C., Yando, R., & Bendell, D. (2003). Pregnancy anxiety and comorbid depression and anger: effects on the fetus and neonate. Depress and Anxiety, 17(3), 140-151. https://doi.org/10.1002/da.10071
  13. Fried, R. (1993). The role of respiration in stress control. NewYork. The Guilford press.
  14. Gennaro, S. (2003). Psychological and physiological stress: Impact on preterm birth. J Obstet Gynecol Neonatal Nurs, 32(5), 668-675. https://doi.org/10.1177/0884217503257484
  15. Gift, A., & Cahill, C. (1993). Psychophysiologic aspects of dyspnea in chronic obstructive pulmonary disease; a pilot study. Heart and Lung, 19, 252-259.
  16. Gift, A. G. (1989). Visual analog scale: measurement of subjective phenomena. Nurs Reserch, 38, 286-288.
  17. Gye, J. G. (2004). The grove dictionary of medical terminology. Seoul: Academia.
  18. Han, K. R. (1995). A study of mothers and nurses' perception of the nursing needs of women experiencing premature labor. J Korean Acad Womens Health Nurs, 1(1), 76-93.
  19. Hollier, L. M. (2006). Preventing preterm birth; what works, what doesn't. Obstet Gynecol Survey, 60(2), 124-131. https://doi.org/10.1097/01.ogx.0000153640.44509.65
  20. Hwang, J. C., Lee, Y. C., Ann, D. C., & Park, Y. S. (1995). Effect of abdominal breathing & Chest breathing on body temperature. Korean Psychoscience Association, 35-56.
  21. Janke, J. (1999). The effect of relaxation therapy on preterm labor outcome. J Obstet Gynecol Neonatal Nurs 28(3), 255-263. https://doi.org/10.1111/j.1552-6909.1999.tb01990.x
  22. Kim, G. S., & Song, Y. H. (1993). Relaxation therapy for pain control. Korean Acad Craniomandibular Disorders, 5(1), 1-5.
  23. Kim, H. S., Song, H. H, & Choi, S E. (2000). A Metaanalysis of effects of relaxation therapy on anxiety and blood pressure. J Korean Acad Nurs, 30(2), 282-292. https://doi.org/10.4040/jkan.2000.30.2.282
  24. Kim, S. G. (2006). The Survey on the national fertility, family health and welfare in Korea. KIHASA. 24.
  25. Lee, P. S. (1999). Theoretical bases and technical applicationof breathing therapy in stress management. J Korean Acad Nurs, 29(6), 1304-1313. https://doi.org/10.4040/jkan.1999.29.6.1304
  26. Lee, P. S., & Yoo, E. K. (1996). A Study on the physical and emotional status and nursing needs of the pregnant women hospitalized by premature labor. J Korean Acad Womens Health Nurs, 2(1), 76-91.
  27. Nicholson, W., Frick, K. D., & Powe, N. R. (2000). Economic burden of hospitalizations for preterm labor in the United States. Obstet Gynecology, 96(1), 95-101. https://doi.org/10.1016/S0029-7844(00)00863-2
  28. No, D. S. (1989). Natural therapy of adult disease. Medical Information, 2, 148-159.
  29. Pagel, M. D., Smilkstein, G., Regen, H., & Montano, D. (1990). Psychosocial influences on new born outcomes: A controlled prospective study. Social Science Med, 30(5), 597-604. https://doi.org/10.1016/0277-9536(90)90158-O
  30. Shim, J. O. (2006). Recent trends in management of preterm labor. Korean J Obstet Gynecol, 49(7), 1403-1411.
  31. Suh, K. H. (2008). Updates in applications and effects of the progressive muscle relaxation. Korean J Stress Res, 16(2), 167-173.
  32. Vogelsang, J. (1988). The visual analog scale; an accurate & sensitive method for self-reporting preoperative anxiety. J Post Anesth Nurs, 3, 235-239.
  33. Yu, S. J., & Song, M. S. (2001). The effects of abdominal relaxed breathing training on stress response and blood pressure for elderly hypertensive patient. J Korean Acad Nurs, 31(6), 998-1011. https://doi.org/10.4040/jkan.2001.31.6.998