The effect Of Pursed-lip breathing combined with number counting on blood pressure and heart rate in hypertensive urgency patients.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- Nikita Gupta
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- To evaluate hypertensive urgency patients.
研究概览
简要总结
Hypertensive urgency is marked by a significant elevation in blood pressure (BP) exceeding 180/110 mm Hg without target organ damage, posing a risk of future cardiovascular events like atrial fibrillation, heart failure, myocardial infarction, or stroke. While under ER observation, alongside standard care, non-pharmacological interventions like breathing exercises may aid in BP reduction. Slow, deep breathing enhances baroreflex sensitivity, heart rate variability, and blood flow while reducing vascular resistance, with evidence suggesting its potential benefits in stress relief and BP control, although data in emergency settings remain limited.
This randomized clinical trial aimed to evaluate the effect of pursed-lip breathing combined with number counting on blood pressure and heart rate in hypertensive urgency patients
Procedure- participants will be selected and screened based on inclusion and exclusion criteria. Details about intervention will be explained to the participants and an informed consent form will be obtained. Group A and Group B, receiving conventional antihypertensive drug and pre assessment of baseline blood pressure and heart rate done. Group A - patient in a semi-supine position with the bed adjusted to 45-60 degrees; Pursed-lip breathing and number counting one and two during inhalation; and number counting one, two, three, and four†during exhalation . For only the first 15 minutes of each hour to prevent exhaustion of total 3hrs. Group B :The control group received usual care, that is, bed rest in a supine position in a quiet area Patients were advised to limit their activity. Vital sign monitoring was carried out with the same frequency for both the intervention and control groups. Statistical test will be used to see the effect of pursed-lip breathing combined with number counting in enhancing outcomes in hypertensive urgency patients
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- None
入排标准
- 年龄范围
- 45.00 Year(s) 至 80.00 Year(s)（—）
- 性别
- All
入选标准
- •1.Patient diagnosed with hypertensive urgency 2.Prescribed antihypertensive medications in emergency room.
- •3.Age 45years-80yearsr.
排除标准
- •1.Patients with cardiac arrhythmias, acute HF, acute coronary syndrome, acute stroke, acute respiratory failure, alteration of consciousness, or pregnancy .
- •2.Patients receiving IV antihypertensive medication or needing oxygen or ventilation support s.
结局指标
主要结局
To evaluate hypertensive urgency patients.
时间窗: pre-intervention at 1st hour | post-intervention at 3rd hour.
To evaluate effect of pursed lip breathing with number counting on blood pressure.
时间窗: pre-intervention at 1st hour | post-intervention at 3rd hour.
To evaluate effect of pursed lip breathing with number counting on heart rate.
时间窗: pre-intervention at 1st hour | post-intervention at 3rd hour.
次要结局
- To compare effect of pursed lip breathing with number counting on blood pressure and heart rate.(post-intervention at 3rd hour)
研究者
Nikita Gupta
Datta Meghe College of Physiotherapy