복식호흡이 조기진통 임부의 불안, 혈압, 말초 피부온도와 산소 포화도에 미치는 효과
Effects of Abdominal Breathing on Anxiety, Blood Pressure, Peripheral Skin Temperature and Saturation Oxygen of Pregnant Women in Preterm Labor
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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, χ2, 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.
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, χ2, 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.
참고문헌 (33)
- Alder, J., "Depression and anxiety during pregnancy; A riskfactor for obstetric, fetal and neonatal outcome? a criticalreview of the literature", J Maternal-Fetal Neonatal Med, 20(3), pp.189~209 (2007)
- An, S. E., "Effect of abdominal breathing on laboranxiety level and cervix dilatation time in primiparawomen", 석사, pp.2007
- Astin, J. A., "Mind-body medicine: state of the science, implicationsfor practice", J American Board Family Practice, 16(2), pp.131~147 (2003)
- Bacon, M., "A behavioral analysis ofdiaphragmatic breathing & it's effects on peripheraltemperature", J Behavior Ther Experience Psychiatry, 16, pp.15~21 (1985)
- Beddoe, A. E., "Mind-body interventionsduring pregnancy", J Obstet Gynecol Neonatal Nurs, 37(2), pp.165~175 (2008)
- Benson, H., "The relaxation response" (1975), WilliamMorrow & Co.
- Berkowitz, K., "Comparison of fetal lung maturation in well dated diabeticnon-diabetic pregnancies", American J Obstet Gynecol, 174 (1996)
- 장순복, "복식호흡이 조기진통 임부의 불안과 자궁수축 빈도에 미치는 효과", 임상간호연구, 13(3), pp.31~41 (2007), 병원간호사회
- Cunningham, F. G., "21st edition Williams obstetrics" (2004), Appleton & Lange
- Edmund, F. F., "Changesin the respiratory tract during pregnancy" (2008), Walthan
- Faul, F., "G*Power 3: A flexible statistical power analysis programfor the social, behavioral, and biomedical sciences", Behavior Research Method, 39, pp.175~191 (2007)
- Field, T., "Pregnancy anxietyand comorbid depression and anger: effects on the fetusand neonate", Depress and Anxiety, 17(3), pp.140~151 (2003)
- Fried, R., "The role of respiration in stress control" (1993), The Guilford press
- Gennaro, S., "Psychological and physiological stress:Impact on preterm birth", J Obstet Gynecol Neonatal Nurs, 32(5), pp.668~675 (2003)
- Gift, A., "Psychophysiologic aspects of dyspnea in chronic obstructive pulmonary disease; a pilot study", Heart and Lung, 19, pp.252~259 (1993)
- Gift, A. G., "Visual analog scale: measurement of subjective phenomena", Nurs Reserch, 38, pp.286~288 (1989)
- Gye, J. G., "The grove dictionary of medical terminology" (2004), Academia
- Han, K. R., "A study of mothers and nurses' perception of the nursing needs of women experiencing premature labor", J Korean Acad Womens Health Nurs, 1(1), pp.76~93 (1995)
- Hollier, L. M., "Preventing preterm birth; what works, what doesn't", Obstet Gynecol Survey, 60(2), pp.124~131 (2006)
- Hwang, J. C., "Effect of abdominal breathing & Chest breathing on body temperature", Korean Psychoscience Association, pp.35~56 (1995)
- Janke, J., "The effect of relaxation therapy on preterm labor outcome", J Obstet Gynecol Neonatal Nurs, 28(3), pp.255~263 (1999)
- Kim, G. S., "Relaxation therapy for pain control", Korean Acad Craniomandibular Disorders, 5(1), pp.1~5 (1993)
- Kim, H. S., "A Metaanalysis of effects of relaxation therapy on anxiety and blood pressure", J Korean Acad Nurs, 30(2), pp.282~292 (2000)
- Kim, S. G., "The Survey on the national fertility, family health and welfare in Korea" (2006), KIHASA
- Lee, P. S., "Theoretical bases and technical applicationof breathing therapy in stress management", J Korean Acad Nurs, 29(6), pp.1304~1313 (1999)
- Lee, P. S., "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), pp.76~91 (1996)
- Nicholson, W., "Economic burden of hospitalizations for preterm labor in the United States", Obstet Gynecology, 96(1), pp.95~101 (2000)
- No, D. S., "Natural therapy of adult disease", Medical Information, 2, pp.148~159 (1989)
- Pagel, M. D., "Psychosocial influences on new born outcomes: A controlled prospective study", Social Science Med, 30(5), pp.597~604 (1990)
- 신종철, "조기진통 처치의 최신지견", Korean Journal of Obstetrics and Gynecology, 49(7), pp.1043~1411 (2006), 대한산부인과학회
- 서경현, "점진적 근육이완의 적용과 효과에 관한 최신 지견", 스트레스 硏究, 16(2), pp.167~173 (2008), 대한스트레스학회
- Vogelsang, J., "The visual analog scale; an accurate & sensitive method for self-reporting preoperative anxiety", J Post Anesth Nurs, 3, pp.235~239 (1988)
- Yu, S. J., "The effects of abdominal relaxed breathing training on stress response and blood pressure for elderly hypertensive patient", J Korean Acad Nurs, 31(6), pp.998~1011 (2001)
