Slow deep breathing and guided imagery therapy as a nonpharmacological treatment for patients with anxiety
DOI: https://doi.org/10.56922/mhc.v5i2.3278
Anxiety Guided Imagery Nursing Care Relaxation Therapy Slow Deep Breathing
Abstract
Background: Anxiety is one of the most prevalent mental health problems worldwide and can significantly impair an individual’s daily functioning if not properly managed. Non-pharmacological interventions are increasingly preferred due to their safety, ease of application, and minimal side effects.
Purpose: To analyze the effectiveness of a combination of slow deep breathing and guided imagery in reducing anxiety levels in patients.
Method: A case study approach in psychiatric nursing care involving a patient with clinically significant anxiety. Data were collected through interviews, observations, and the Hospital Anxiety and Depression Scale (HADS) as a standardized assessment tool. The intervention consisted of a combination of slow deep breathing and guided imagery conducted for 7 consecutive days, with each session lasting 10–15 minutes.
Results: The results showed a reduction in the patient’s anxiety score from 11 (abnormal category) before the intervention to 6 (normal category) after the intervention. The patient also demonstrated decreased restlessness, improved relaxation ability, and better control of negative thoughts following the combined intervention.
Conclusion: The combination of slow deep breathing and guided imagery was effective in reducing anxiety by addressing both physiological and psychological responses. This intervention can be considered an effective non-pharmacological nursing strategy to improve emotional well-being and coping mechanisms in patients with anxiety.
Keywords: Anxiety; Guided Imagery; Nursing Care; Relaxation Therapy; Slow Deep Breathing.
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References
Aditama, D. P. (2025). Pengaruh relaksasi genggam lima jari terhadap kecemasan dan tekanan darah pasien pre operasi. Jurnal Ilmiah Kesehatan Media Husada, 14(1), 52-59.
Alhawatmeh, H., Albataineh, R., & Abuhammad, S. (2022). Differential effects of guided imagery and progressive muscle relaxation on physical and emotional symptoms in nursing students taking initial clinical training: A randomized clinical trial. Heliyon, 8(10).
Asfar, A. (2022). Efektifitas Guided Imagery dan Slow Deep Breathing terhadap Penurunan Tekanan Darah pada Penderita Hipertensi. Window of Nursing Journal, 66-74.
Aulia, A. W. Z., Yuliastuti, E., & Suyatno, S. (2024). Pengaruh terapi butterfly hug terhadap tingkat kecemasan pada remaja. ASJN (Aisyiyah Surakarta Journal of Nursing), 5(1), 1-8.
Deynilisa, D. (2023). Hubungan Kecemasan Dengan Hemodinamik Pasien Pre Anestesi Di Rsud Cilacap (Doctoral Dissertation, Universitas Harapan Bangsa).
Kumari, D., & Patil, J. (2023). Guided imagery for anxiety disorder: Therapeutic efficacy and changes in quality of life. Industrial Psychiatry Journal, 32(Suppl 1), S191-S195.
Kurniati, S. R., & Putri, M. E. (2022). Guided Imagery Intervention to Reduce Anxiety in Nursing Home Elderly Resident. Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa), 4(2).
Ma, X., Yue, Z. Q., Gong, Z. Q., Zhang, H., Duan, N. Y., Shi, Y. T., & Li, Y. F. (2017). The effect of diaphragmatic breathing on attention, negative affect and stress in healthy adults. Frontiers in psychology, 8, 234806.
Nguyen, J., & Brymer, E. (2018). Nature-based guided imagery as an intervention for state anxiety. Frontiers in psychology, 9, 1858.
Purqoti, D. N., & Oktaviana, E. (2021). Gambaran Tingkat Kecemasan Korban Gempa Lombok. Jurnal Persatuan Perawat Nasional Indonesia (JPPNI), 4(3).
Putra, A. A., & Ilmi, N. (2024). Kombinasi Terapi Guided Imagery Dan Slow Deep Breathing Dengan Perubahan Tekanan Darah Pada Lansia Hipertensi Grade Ii. PrimA: Jurnal Ilmiah Ilmu Kesehatan, 10(1), 123-133.
Salsabila, S., Idriansari, A., & Effendi, Z. (2025, November). Kombinasi Terapi Nonfarmakologi Slow Deep Breathing Dan Relaksasi Genggam Lima Jari Terhadap Kecemasan Pada Anak Selama Hospitalisasi. In Proceeding Seminar Nasional Keperawatan (Vol. 11, No. 1, pp. 53-62).
Sawab, S., Yusuf, A., Fitryasari, R., & Arifin, H. (2024). Spirituality and recovery from severe mental disorders: A systematic review. Journal of Psychosocial Nursing and Mental Health Services, 62(8), 11-17.
Stuart, G. W. (2022). Principles and practice of psychiatric nursing-e-book: principles and practice of psychiatric nursing-e-book. Elsevier Health Sciences.
Thoyibah, Z., Purqoti, D. N. S., & Oktaviana, E. (2020). Gambaran Tingkat Kecemasan Korban Gempa Lombok. Jurnal Persatuan Perawat Nasional Indonesia (JPPNI), 4(3), 174-181.
Tolin, D. F., Lee, E., Levy, H. C., Das, A., Mammo, L., Katz, B. W., & Diefenbach, G. J. (2021). Psychophysiological assessment of stress reactivity and recovery in anxiety disorders. Journal of Anxiety Disorders, 82, 102426.
Townsend, M. C., & Morgan, K. I. (2017). Psychiatric mental health nursing: Concepts of care in evidence-based practice. FA Davis.
Varvogli, L., & Darviri, C. (2022). Stress management techniques: Evidence-based procedures that reduce stress and promote health. Health Science Journal, 6(2), 74–89. Health Science Journal
Verawaty, K., & Widiastuti, S. H. (2020). Pengaruh teknik relaksasi napas dalam terhadap tingkat kecemasan mahasiswa semester II dalam menghadapi ujian akhir semester di Akademi Perawatan RS PGI Cikini. Jurnal Keperawatan Cikini, 1(1), 16-21.
Visagie, H. M., Temane, A., & Poggenpoel, M. (2024). Psychiatric nurses' experiences implementing a model for constructive group therapy in mood disorders. curationis, 47(1), 1-11.
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