Implementation of Slow Deep Breathing After Implant Removal Surgery: A Case Study

Authors

  • Novia Narulia Sari Nurse Professional Education Study Program, Faculty of Nursing, Universitas Jember, Indonesia
  • Mulia Hakam Department of Medical-Surgical and Critical Care Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia
  • Kushariyadi Department of Medical-Surgical and Critical Care Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia
  • Sujarwanto Education and Training Department, Dr. Soebandi Regional Hospital, Jember, Indonesia

DOI:

https://doi.org/10.58545/jcmn.v1i1.824

Abstract

Introduction: Postoperative pain is a common problem following implant removal surgery and may interfere with recovery. Uncontrolled pain can increase blood pressure, pulse rate, and decrease patient comfort. Slow deep breathing is a non-pharmacological intervention that promotes relaxation and helps reduce pain perception

Method: A descriptive case study was conducted on one day-0 postoperative implant removal patient experiencing moderate pain. Slow deep breathing was administered twice daily for three days, with each session lasting 15 minutes. Pain intensity was measured using the Numeric Rating Scale (NRS).

Result: Pain intensity decreased from NRS 6 (moderate pain) on the first day to NRS 2 (mild pain) on the third day

Conclusion: Slow deep breathing helped reduce postoperative pain intensity, as evidenced by a decrease in pain score from NRS 6 (moderate pain) to NRS 2 (mild pain) after three days of intervention. This technique may be used as a simple, safe, and complementary nursing intervention for postoperative pain management.

Keywords:

slow deep breathing, acute pain, implant removal, fibular fracture, postoperative pain.

References

Andarmoyo. (2019). Konsep dan proses keperawatan nyeri.

Dobbe, A., Frcs, C., Beaupre, L. A., Almansoori, K. A., Frcs, C., Fung, T., Scharfenberger, A. V, & Frcs, C. (2020). Functional Outcomes of Isolated Infrasyndesmotic Fibula Fractures. 5(1), 1–9. https://doi.org/10.1177/2473011419892227

Hakam, M. (2023). Gambaran Activity Of Daily Living pada Pasien Post Operasi Fraktur Femur : Literature Review. 4(2), 119–128.

Haseeb, M., & Butt, M. F. (2017). Indications of implant removal : A study of 83 cases.

Ismiati, T. T. (2024). Klasifikasi Tanda Dan Gejala Mayor Pada Diagnosa Keperawatan Nyeri Akut Menurut Standar Diagnosis Keperawatan Indonesia (Sdki) Berdasarkan Metode Numeric Rating Scale(Nrs) Di Ruang Igd Rs X. 3(2), 1–5.

Joseph, A. E., Moman, R. N., Barman, R. A., Kleppel, D. J., Eberhart, N. D., Gerberi, D. J., Murad, M. H., & Hooten, W. M. (2022). Effects of Slow Deep Breathing on Acute Clinical Pain in Adults : A Systematic Review and Meta-Analysis of Randomized Controlled Trials. 1–10. https://doi.org/10.1177/2515690X221078006

Kushariyadi. (2019). Nursing Modality Therapy ( Spiritual Deep Breathing ) Resolve Student Distress. 7(3), 211–217.

Madhukar, K. T. (2025). Type of article : Original Epidemiology of perioperative problems associated with implant removal : A Prospective Study 1 . Dr Anil Kumar K , Post Graduate Trainee , Department of Orthopaedic , KRIMS , Karwar 2 . Dr Shilpa , Assistant professor , Department of Anatomy , KRIMS , Karwar . 16(01), 254–265.

Muhtadini, R., & Permana, R. H. (2024). Slow Deep Breathing Pada Pasien Post Pemasangan Catheter Double Lumen dengan Masalah Keperawatan Nyeri Akut : A Case Report Slow Deep Breathing in Patients Following Double Lumen Catheter Insertion Experiencing Acute Pain Nursing Problems : A Case Report. 7(1), 71–76.

Multazam. (2023). Pengaruh Teknik Relaksasi Nafas Dalam Terhadap Penurunan Nyeri Pada Pasien Post Operasi Sedang Di Rumah Sakit Umum Daerah Tanjungpinang.

Nadianti, rafika nur. (2023). Manajemen Nyeri Akut pada Post Laparatomi Apendisitis. 5(1), 75–87.

Potter. (2021). Fundamentals of nursing (11th ed.).

Prabawa, R. S. (2022). Implementasi terapi relaksasi nafas dalam untuk penurunan nyeri pada pasien fraktur post operasi. 384–394.

Puspitasari. (2023). Hubungan Lamanya Penggunaan Waktu Tindakan Keperawatan Dengan Persepsi Nyeri Pasien Post Operasi Di Rsud Jend Ahmad Yani Metro Provinsi Lampung (Doctoral Dissertation, Poltekkes Kemenkes Tanjungkarang).

Rosyida, R. A., & Purwanti, O. S. (2024). Effectiveness of slow deep breathing therapy on lowering blood pressure in hypertensive patients : A case study. 2.

Sadriati & Yuliana. (2025). The effect of slow deep breathing on pain intensity among postoperative lower-extremity fracture patients. Nurse and Health: Jurnal Keperawatan, 14(1), 35–42.

Smeltzer & Bare. (2020). Brunner & Suddarth’s textbook of medical-surgical nursing (15th ed.).

Syahfitri. (2021). Pengaruh Slow Deep Breathing Terhadap Intensitas Nyeri Pasien Post Orif Di Rs Telogorejo Semarang.

Timerga, S., Befkadu, A., & Seyoum, F. (2024). Acute postoperative pain prevalence and intensity in the fi rst 72 hour in Dessie Comprehensive Specialized Hospital , Ethiopia : a prospective single center observational study. January, 1322–1328.

Wiyono, E., Ningrum, L. S., & Kurniawati, R. (2022). Pengaruh Eknik Relaksasi Nafas Dalam Terhadap Penurunanan Intensitas Nyeri Pada Pasien Pasca Operasi Orif Fraktur Cruris Di Instalasi Bedah Rumah Sakit X. 1(1).

Yuan, W., Thi, C., & Ebk, K. (2022). Is Elective Implant Removal after Fracture Healing Beneficial ? – A Prospective Cohort Study. 16(3), 55–60.

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Published

2026-06-19

How to Cite

Narulia Sari, N., Hakam, M., Kushariyadi, & Sujarwanto. (2026). Implementation of Slow Deep Breathing After Implant Removal Surgery: A Case Study. Journal of Comprehensive Medical-Surgical Nursing, 1(1), 23–31. https://doi.org/10.58545/jcmn.v1i1.824

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