Abstract: This study aimed to assess the effect of relaxation breathing technique on pain and anxiety level at
wound dressing change for patients with moderate burn injuries. It followed a quasi-experimental,
pretest-posttest comparison groups design with randomly assignment into two groups' study(20) and control
groups (20). The study was conducted in the Burn hospital in Tripoli city at Libya. Tool l a structured
questionnaire assessment including: Burn injury parameter, subjective expressed pain, self rating scale of pain
and self Evaluation Questionnaire (Trait-State Anxiety Inventory). Tool 2 includes two parts, part I Physical
signs associated with pain record include blood pressure, heart rate and respiratory rate. Part II reflecting
Behavioral Pain Assessment Scale (RBPAS). Assessment pain intensity and reflecting pain behavior scale
exhibited by study and control groups before relaxation breathing technique and during wound car and lasted
during relaxation breathing technique for three consecutive days during wound care.Vital signs were carried
out three times before, during and after wound care and prior relaxation breathing technique lasted before,
during and after dressing and relaxation breathing technique. Anxiety level scale was utilized once prior the
relaxation breathing technique at wound care and lasted post relaxation breathing technique and wound care
on three consecutive days of assessment. Result the pain intensity, anxiety level and reflecting pain behavior
decreased significantly during wound care post relaxation breathing technique but they still had severe pain
with moderately level of anxiety.Also, there was significant difference between study group who received both
pharmacological treatment and relaxation breathing technique and those who receive pharmacological treatment only as regard respiration and blood pressure, pre, during and post wound care. Recommendation
however, this study recommended with evidence base guidelines toward effect of complementarytherapy
intervention during wound care using visualization, distraction, relaxation, exercises and imagery on pain and
stress level among patients with severe burn injury |