THE EFFECT OF DEEP BREATHING RELAXATION TECHNIQUES AND COLD COMPRESS TECHNIQUES ON PAIN LEVELS IN PATIENTS AFTER CRURAL FRACTURE SURGERY
##plugins.themes.bootstrap3.article.main##
Abstract
Background: Postoperative pain is a major complication following cruris fracture surgery. Non-pharmacological interventions such as deep breathing, relaxation, and cold compress therapy are widely used, but their comparative effects remain unclear.
Objective: To compare the effectiveness of deep breathing relaxation and cold compress therapy in reducing postoperative pain among cruris fracture patients at Kustati Surakarta General Hospital.
Methods: A quasi-experimental pretest–posttest two-group study involving 40 postoperative patients using total sampling. Pain was measured using the validated Numeric Rating Scale. Kruskal–Wallis and Wilcoxon tests were applied.
Result: Both interventions significantly reduced pain levels (p < 0.05). Cold compress therapy demonstrated a greater decrease.
Conclusion: Both interventions were associated with decreased postoperative pain, with cold compress therapy showing greater reduction. Further randomized studies are recommended.
Downloads
##plugins.themes.bootstrap3.article.details##
Copyright (c) 2025 Yunnita Setiyaningsih, Agusta Dian Ellina, Rahmania Ambarika

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with Nurse and Holistic Care agree to the following terms:
- Authors retain copyright licensed under a Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0), which allows others to remix, tweak, and build upon the authors' work non-commercially, and although the others' new works must also acknowledge the authors and be non-commercial, they don't have to license their derivative works on the same terms.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). Authors can archive pre-print and post-print or publisher's version/PDF.
References
Ambohamsah, I., Nur, H., & Fauziah, D. (2024). Efektivitas Terapi Relaksasi Nafas Dalam untuk Menurunkan Nyeri Akut pada Pasien Fraktur di RSUD Hajjah Andi Depu. Mando Care Jurnal, 3(1), 1–6. https://doi.org/10.55110/mcj.v3i1.140
Court-Brown, C. M., & Caesar, B. (2006). Epidemiology of adult fractures: A review. Injury, 37(8), 691–697. https://doi.org/10.1016/j.injury.2006.04.130
Hu, L., Hua, Y., Wang, L., Mao, Z., Jia, X., Lei, Z., Chang, D., & Cheng, W. (2025). Effect of Short-term Deep Breathing Exercises on Perioperative Anxiety and Pain in Pediatric Orthopedic Patients: A Randomized Controlled Trial. Journal of PeriAnesthesia Nursing, 40(1), 69–75. https://doi.org/10.1016/j.jopan.2024.03.009
Jerliawanti T & Pipin Y. (2023). Penurunan Intensitas Nyeri Pada Pasien Fraktur Tertutup Dengan Pemberian Terapi Kompres Dingin Di Ruangan IGD RSUD Prof. Dr. H. ALOEI SABOE. Jurnal Ilmiah Kedokteran Dan Kesehatan, 3(1), 37–59. https://doi.org/10.55606/klinik.v3i1.2237
Khasanah, N., Wirotomo, T. S., & Rofiqoh, S. (2021). Literatur Review: Efektifitas Kompres Dinginterhadap Penurunan Intensitas Nyeri Pada Pasien Fraktur Tertutup. Prosiding Seminar Nasional Kesehatan, 1, 608–615. https://doi.org/10.48144/prosiding.v1i.723
Kristanto, A., & Arofiati, F. (2016). Efektifitas Penggunaan Cold Pack dibandingkan Relaksasi Nafas Dalam untuk Mengatasi Nyeri Pasca Open Reduction Internal Fixation (ORIF). Indonesian Journal of Nursing Practices, 1(1). https://doi.org/10.18196/ijnp.1154
Kusyani, A., Aziz, A. N., & Vidhiastutik, Y. (2024). Pengaruh Teknik Relaksasi Pernafasan Terhadap Penurunan Nyeri Pada Pasien Pasca Operasi Fraktur. Well Being, 9(1), 41–47. https://doi.org/10.51898/wb.v9i1.238
Lubis, C. A., Tanjung, D. D., & Asrizal, A. A. (2021). The Effect of Cold Compress on Pain Intensity in Fractured Patients at RSUP H. Adam Malik Medan. Jurnal Keperawatan Soedirman, 16(2). https://doi.org/10.20884/1.jks.2021.16.2.1692
Mi, X., Zou, B., Rashidi, P., Baharloo, R., Fillingim, R. B., Wallace, M. R., Crispen, P. L., Parvataneni, H. K., Prieto, H. A., Gray, C. F., Machuca, T. N., Hughes, S. J., Murad, G. J. A., Thomas, E., Iqbal, A., & Tighe, P. J. (2021). Effects of Patient and Surgery Characteristics on Persistent Postoperative Pain. The Clinical Journal of Pain, 37(11), 803–811. https://doi.org/10.1097/AJP.0000000000000979
Nurlela, T. E., Mediani, H. S., & Rahayu, U. (2023). Terapi Kompres Dingin Untuk Menurunkan Skala Nyeri Akut Pasien Fraktur : Systematic Review. Nursing News : Jurnal Ilmiah Keperawatan, 7(1), 49–63. https://doi.org/10.33366/nn.v7i1.2559
Patil, J. D., Sefen, J. A. N., & Fredericks, S. (2022). Exploring Non-pharmacological Methods for Pre-operative Pain Management. Frontiers in Surgery, 9. https://doi.org/10.3389/fsurg.2022.801742
Purnamasari, I., Nasrullah, D., Mundakir, M., Hasanah, U., & Choliq, I. (2023). Efektivitas Teknik Relaksasi Napas Dalam Kombinasi Guided Imagery Dengan Musik Terhadap Skala Nyeri Pada Pasien Post Operasi Fraktur Di Rs. Siti Khodijah Sepanjang. Jurnal Keperawatan Muhammadiyah, 71. https://doi.org/10.30651/jkm.v0i0.17878
Rahman, M., Djamaluddin, N., Suleman, I., & Author, C. (2025). Pengaruh Mobilisasi Dini Dan Kompres Hangat Warm Water Zack Terhadap Tingkat Nyeri Post Operasi Di Ruangan Urologi RSUD Toto Kabila. Jurnal Keperawatan, 8(1). https://stikesks-kendari.e-journal.id/JK
Rustiawati, E., Binteriawati, Y., & Aminah, A. (2022). Efektifitas Teknik Relaksasi Napas dan Imajinasi Terbimbing terhadap Penurunan Nyeri pada Pasien Pasca Operasi di Ruang Bedah. Faletehan Health Journal, 9(3), 262–269. https://doi.org/10.33746/fhj.v10i03.463
Sunadi, A., Ifadah, E., & Syarif, M. N. O. (2020). The effect of deep breathing relaxation to reduce post operative pain in lower limb fracture. Enfermería Clínica, 30, 143–145. https://doi.org/10.1016/j.enfcli.2019.12.045
Tololiu, K. E., Duff, J., & Csokasi, K. (2023). Nonpharmacological interventions for the reduction of post-operative pain after ambulatory surgery: A systematic review of randomised controlled trials. Journal of Perioperative Nursing, 36(1). https://doi.org/10.26550/2209-1092.1210
Wang, X., Xu, H., & Wu, X. (2024). Effectiveness of Targeted Nursing Measures to Relieve Swollen Limb Pain after Extremity Fracture. Alternative Therapies in Health and Medicine, 30(8), 65–71.
Wheeless, C. (2022). Wheeless’ Textbook of Orthopaedics.
Wu, A.-M., Bisignano, C., James, S. L., Abady, G. G., Abedi, A., Abu-Gharbieh, E., Alhassan, R. K., Alipour, V., Arabloo, J., Asaad, M., Asmare, W. N., Awedew, A. F., Banach, M., Banerjee, S. K., Bijani, A., Birhanu, T. T. M., Bolla, S. R., Cámera, L. A., Chang, J.-C., … Vos, T. (2021). Global, regional, and national burden of bone fractures in 204 countries and territories, 1990–2019: a systematic analysis from the Global Burden of Disease Study 2019. The Lancet Healthy Longevity, 2(9), e580–e592. https://doi.org/10.1016/S2666-7568(21)00172-0
Wu, H., Ding, T., Yan, S., Huang, Z., & Zhang, H. (2022). Risk factors for moderate-to-severe postoperative pain after percutaneous nephrolithotomy: a retrospective cohort study. Scientific Reports, 12(1), 8366. https://doi.org/10.1038/s41598-022-12623-5
Yoli, N., Dendy, K., Wardah, W., & Sarina, D. (2024). Penerapan Terapi Kompres Dingin Pada Pasien Post Orif Dengan Masalah Keperawatan Nyeri Akut. Journal Healthcare, 2(1).
Yuliana, Silitonga, Y. A. M., & Wahyuni, A. (2022). Manajemen Nyeri Pasca Operasi : Tinjauan Pustaka. NUTRIENT, 2(2), 27–37. https://doi.org/10.36911/nutrient.v2i2.1352
Yunnita Setiyaningsih