Effectiveness of Deep Breath Relaxation Techniques on Acute Pain Reduction in Patients After Appendicectomy Surgery at PKU Muhammadiyah Temanggung Hospital

Authors

  • Sutri Ardy Ramadhan Akademi Keperawatan Alkautsar Temanggung
  • Tri Suraning Wulandari Akademi Keperawatan Alkautsar Temanggung
  • Ratna Kurniawati Akademi Keperawatan Alkautsar Temanggung

DOI:

https://doi.org/10.30989/hbj.v3i2.1638

Keywords:

Post-operative , Appendectomy, Acute pain , Deep breathing , Relaxation technique

Abstract

Background: Appendectomy is a surgical procedure to treat appendicitis, but postoperative pain is a common complication. If left unmanaged, pain can affect sleep, delay healing, increase sympathetic activity, and cause emotional distress. Non-pharmacological methods such as deep breathing relaxation are safe and effective options to manage this pain. Deep breath relaxation techniques have been shown to effectively reduce pain intensity by relaxing muscle spasm, which is caused by an increase in prostaglandins, leading to vasodilation and increased blood flow to areas of spasm and ischemia. In addition, this technique can stimulate the release of endogenous opioids, such as enkephalins and endorphins. Enkephalins function as neurotransmitters that regulate pain, emotions and stress, while endorphins provide a sense of relaxation, comfort and calmness to the body. According to WHO (World Health Organization) in 2022, the number of deaths due to appendicitis reached 21,000 clients with the number of male sufferers being higher than female.

Purpose: This study aimed to determine the effectiveness of deep breathing relaxation techniques in reducing acute pain in post-appendectomy patients.

Methods: This was a qualitative case study involving two postoperative patients. Data were collected through observation, interviews, and pain scale assessments using the Numeric Rating Scale (NRS), before and after applying deep breathing techniques for 3 days (twice daily for 10–15 minutes).

Results: Both patients showed a decrease in pain levels, with improved indicators such as reduced grimacing, restlessness, and normalized vital signs.

Conclusion: Deep breathing relaxation techniques are effective in lowering acute pain levels in appendectomy patients and can be used as supportive nursing care alongside pharmacological treatment.

References

[1] Selia Gina Ristanti, Anik Inayati, U. H. (2023). Penerapan Teknik Relaksasi Genggam Jari Terhadap Skala Nyeri Pada Pasien Pasca Operasi Appendiktomi Di Ruang Bedah RSUD Jenderal Ahmad Yani Metro. Cendekia Muda, 3(4), 568–575.

[2] Alza, S. H., Inayati, A., & Hasanah, U. (2023). Penerapan Teknik Relaksasi Benson Terhadap Skala Nyeri Pada Pasien Pasca Op Appendiktomi Diruang Bedah Di Rsud Jend. Ahmad Yani Metro. Jurnal Cendikia Muda, 3(4), 561–567.

[3] Retnaningrum, R., … D. R.-… J. I. I., & 2024, undefined. (2024). Case Report: Pemberian Terapi Relaksasi Genggam Jari terhadap Tingkat Nyeri pada Pasien Nyeri Akut Pasca Apendektomi. Ejurnal.Politeknikpratama.Ac.Id, 3. https://ejurnal.politeknikpratama.ac.id/index.php/Termometer/article/view/3729

[4] Kesehatan, D. (2021). Kasus appendicitis di Indonesia. Di Akses Dari : Http://Www.Artikelkedokteran.Apendisitis-Di-Indonesia-PadaTahun2021.

[5] Aprilliani & Syolihan. (2022). Asuhan Keperawatan Pasien Pasca Op Apendisitis Dalam Pemenuhan Kebutuhan Aman Dan Nyaman. Jurnal Ilmiah Keperawatan, 6.

[6] PPNI. (2017). Standar Diagnosis Keperawatan Indonesia: Definisi dan Indikator Diagnostik (1st ed.). DPP PPNI.

[7] L.Hinkle, J., & Kerry, H. C. (2016). Brunner & Suddarth: Vol. (14) (Hilarie Su).

[8] Manurung, M. (2019). Pengaruh Teknik Relaksasi Benson Terhadap Penurunan Skala Nyeri Pasca Appendixtomy Di Rsu D Porsea. Jurnal Keperawatan Priority, 2(2), 61. https://doi.org/10.34012/jukep.v2i2.541

[9] Smeltzer, S., Bare, B, G. (2015). Buku Ajar Keperawatan Medikal Bedah Brunner & Suddarth. In Buku Kedokteran EGC (8th ed., Vol. 3).

[10] Lunde, C. E., & Sieberg, C. B. (2020). Walking the tightrope: a proposed model of chronic pain and stress. Frontiers in neuroscience, 14, 270.

[11] Trevino, C. M., Geier, T., Morris, R., Cronn, S., & deRoon-Cassini, T. (2022). Relationship between decreased cortisol and development of chronic pain in traumatically injured. Journal of Surgical Research, 270, 286-292.

[12] Rahayu, S., Loviana, K., & Emelia, R. (2021). Gambaran Penggunaan Obat Pada Pasien Appendicitis Terhadap Kesehatan Usus di Rumah Sakit Annisa Cikarang. Cerdika: Jurnal Ilmiah Indonesia, 1(9), 1240–1246. https://doi.org/10.36418/cerdika.v1i9.183

[13] Ma, Deshan, Conghui Li, Wenbin Shi, Yong Fan, Hong Liang, Lixuan Li, Zhengbo Zhang, and Chien Hung Yeh. (2024). “Benefits from Different Modes of Slow and Deep Breathing on Vagal Modulation.” IEEE Journal of Translational Engineering in Health and Medicine 12: 520–32. https://doi.org/10.1109/JTEHM.2024.3419805.

[14] Fincham, Guy William, Clara Strauss, Jesus Montero-Marin, and Kate Cavanagh. 2023. “Effect of Breathwork on Stress and Mental Health: A Meta-Analysis of Randomised-Controlled Trials.” Scientific Reports 13 (1): 1–14. https://doi.org/10.1038/s41598-022-27247-y.

[15] Parmasih., Sari, Widya., Abdurrasyid., Astuti, A, I. (2021). Tehnik Relaksasi Nafas Dalam Terhadap Penurunan Nyeri Pada Anak Pasca Operasi Apendiktomi Di Ruang Alamanda RSUD Tarakan. JCA Health Science, 1(2), 109–117.

[16] Susilawati, Utari Kartaatmadja, F. S., & Suherman, R. (2023). Pengaruh Teknik Relaksasi Nafas Dalam Terhadap Intensitas Nyeri Pasien Pasca Partum Sectio Caesarea Di Ruang Rawat Nifas RSUD Sekarwangi Sukabumi. Media Informasi, 19(1), 13–19. https://doi.org/10.37160/bmi.v19i1.53

[17] Eva Susanti, Rumentalia Sulistini, F. A. (2024). Penerapan Teknik Relaksasi Nafas Dalam Pada Pasien Pasca Apendektomi Dengan Masalah Nyeri Akut. 4, 56–61.

[18] Yerry Soumokil, Husada, A. S. P., & Pattimura, A. J. (2023). Tehnik Relaksasi Nafas Dalam Terhadap Penurunan Nyeri Pada Pasien Pasca Operasi Apendiktomi Di Ruang UGD Puskesnas Latu. Jurnal Anastesi: Jurnal Ilmu Kesehatan Dan Kedokteran, 1(3), 156–166.

[19] Malinta, F. S. (2021). Asuhan Keperawatan Nyeri Akut Pada Pasien Pasca Appendictomy Dengan Intervensi Terapi Musik Klasik Mozzart Di RSD Mangusada Bandung Tahun 2022. Doctoral Dissertation, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2022, 6(11), 951–952.

[20] Hanifah, E. (2019). Asuhan Keperawatan Pada Klien Pasca Operasi Apendektomi Dengan Masalah Keperawatan Nyeri Akut diruang Melati Rumah Sakit Umum Daerah Bangil-Pasuruan. Diploma Thesis, Stikes Insan Cendekia Medika Jombang. https://doi.org/10.33377/jkh.v4i1.58

[21] PPNI. (2019). Standar Luaran Keperawatan Indonesia: Definisi dan Kriteria Hasil Keperawatan. DPP PPNI.

[22] Ratna Dwi Ronika, Catur Budi Susilo, Umi Istianah, Sapta RN, B. E. (2024). Penggunaan Teknik Relaksasi Slow Deep Breating Untuk Memenuhi Kebutuhan Rasa Nyaman Nyeri Pada Pasien Pasca Operasi Apendektomi. IJOH: Indonesian Journal of Public Health, 2(2), 198–208. https://jurnal.academiacenter.org/index.php/IJOH

[23] PPNI. (2021). Pedoman Standar Prosedur Operasional Keperawatan. DPP PPNI (1st ed.).

[24] Rohyani, D. (2020). The Effect of Relaxation Techniques and Distraction Techniques on Reducing Pain Scale in Pascaoperative Patients at UKI Hospital East Jakarta in 2020. Journal Educational of Nursing(Jen), 4(2), 98–107. https://doi.org/10.37430/jen.v4i2.97

[25] Farha, S. (2020). Pengembangan Standar Operasional Prosedur (SOP) Teknik Distraksi Nafas Ritmik Terhadap Penurunan Intensitas Nyeri Pada Pasien Pasca Appendiktomi. Jurnal Manajemen Asuhan Keperawatan, 21(1), 1–9. https://doi.org/10.33655/mak.v4i1.81

Published

2025-12-31