Original Article

The Effects of Deep Breathing Training on Pain Management in the Emergency Department

Authors: La Vonne A. Downey PhD, Leslie S. Zun MD, MBA

Abstract

Purpose:The purpose of this study was to measure the impact of deep breathing exercises on the pain levels in patients who presented to the emergency department (ED) with pain as their chief complaint. A secondary purpose was to measure the impact of deep breathing teaching on indicators of patient satisfaction.Methods:This was an observational study of patients who presented to the ED with pain as their chief complaint to an urban level one Emergency Department. Patients were randomized into a control group and an experimental group. The control group received the usual treatment for pain. The experimental group received the usual treatment for pain, but also received deep breathing exercises. For the measurement of pain prior to treatment, the brief pain inventory (BPI) was used. The visual analogy system (VAS) was used to measure pain prior to and after treatment and deep breathing were administered. For the measurement of patient satisfaction, the medical interview satisfaction scale (MISS) was used.Results:There was no significant difference between those who received the deep breathing education and those that did not with regards to postmedication pain levels. There was however, a significant difference in customer service satisfaction within the area of doctor/patient rapport and intention to follow treatment.Conclusion:The usefulness of deep breathing exercises was shown to be ineffective in reducing pain levels; however, the majority of those who received deep breathing education felt it was useful. The exercise was effective in increasing patient’s feelings of rapport and intentions to follow their doctor’s directives.

This content is limited to qualifying members.

Existing members, please login first

If you have an existing account please login now to access this article or view purchase options.

Purchase only this article ($25)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.

References

References1.Todd KH. Pain in the emergency department: results of the pain and emergency medicine initiative (PEMI) multicenter study. J Pain 2007;8:460–466.ToddKHPain in the emergency department: results of the pain and emergency medicine initiative (PEMI) multicenter study.J Pain20078460-4662.Cordell WH, Keene KK, Giles BK, et al. The high prevalence of pain in emergency medical care. Am J Emerg med 2002;20:165–169.CordellWH]]KeeneKK]]GilesBK&etal;The high prevalence of pain in emergency medical care.Am J Emerg med200220165-1693.Dillard JN, Knapp S. Complementary and alternative pain therapy in the emergency department. Emerg Med Clin North Am 2005;23:529–549.DillardJN]]KnappSComplementary and alternative pain therapy in the emergency department.Emerg Med Clin North Am200523529-5494.Tanabe P, Buschmann M. A prospective study of ED pain management practices and the patient’s prospective. J Emerg Nurs 1999;25:171–177.TanabeP]]BuschmannMA prospective study of ED pain management practices and the patient’s prospective.J Emerg Nurs199925171-1775.Garbez RO, Chan GK, Neighbor M, et al. Pain after discharge: a pilot study of factors associated with pain management and functional status. J Emerg Nurs 2006;32:288–293.GarbezRO]]ChanGK]]NeighborM&etal;Pain after discharge: a pilot study of factors associated with pain management and functional status.J Emerg Nurs200632288-2936.Ford RC, Bach SA, Fottler MD. Methods of measuring patient satisfaction in health care organization. Health Care Manage Rev 1997;22:74–89.FordRC]]BachSA]]FottlerMDMethods of measuring patient satisfaction in health care organization.Health Care Manage Rev19972274-897.Dougherty C. Customer service in the emergency department. Top Emerg Med 2005;27:265–272.DoughertyCCustomer service in the emergency department.Top Emerg Med200527265-2728.Garman A, Garcia J, Hargreaves M. Patient satisfaction as a predictor of return-to-provider behavior: analysis and assessment of financial implications. Qual Manag Health Care 2004;13:75–80.GarmanA]]GarciaJ]]HargreavesMPatient satisfaction as a predictor of return-to-provider behavior: analysis and assessment of financial implications.Qual Manag Health Care20041375-809.Guru V, Dubinsky I. The patient vs. caregiver perception of acute pain in the emergency department. J Emerg Med 2000;18:7–12.GuruV]]DubinskyIThe patient vs. caregiver perception of acute pain in the emergency department.J Emerg Med2000187-1210.Loeser JD, Butler SH, Chapman CR, et al. Bonica’s Management of Pain. Philadelphia, PA,Lippincott Williams & Wilkins, 2001, pp 1781–1783.LoeserJD]]ButlerSH]]ChapmanCR&etal;Bonica’s Management of Pain.Philadelphia, PALippincott Williams & Wilkins20011781-178311.Miller KM, Perry PA. Relaxation technique and postoperative pain in patients undergoing cardiac surgery. Heart Lung 1990;19:136–146.MillerKM]]PerryPARelaxation technique and postoperative pain in patients undergoing cardiac surgery.Heart Lung199019136-14612.Friesner SA, Curry DM, Moddeman GR. Comparison of two pain-management strategies during chest tube removal: relaxation exercise with opioids and opioids alone. Heart Lung 2006;35:269–276.FriesnerSA]]CurryDM]]ModdemanGRComparison of two pain-management strategies during chest tube removal: relaxation exercise with opioids and opioids alone.Heart Lung200635269-27613.Muntlin A, Gunningberg L, Carlsson M. Patients’ perception of quality of care at an emergency department and identification of areas for quality improvement. J Clin Nurs 2006;15:1045–1056.MuntlinA]]GunningbergL]]CarlssonMPatients’ perception of quality of care at an emergency department and identification of areas for quality improvement.J Clin Nurs2006151045-105614.Matheson LN, Melhorn JM, Mayer TG, et al. Reliability of a visual analog version of the QuickDASH. J BoneJoint Surg Am 2006;88:1782–1787.MathesonLN]]MelhornJM]]MayerTG&etal;Reliability of a visual analog version of the QuickDASH.J Bone Joint Surg Am2006881782-178715.Meakin R, Weinman J. The “Medical Interview Satisfaction Scale” (MISS-21) adapted for British general practice. Fam Pract 2002;19:257–263.MeakinR]]WeinmanJThe “Medical Interview Satisfaction Scale” (MISS-21) adapted for British general practice.Fam Pract200219257-263