Postoperative Nausea, Vomiting, and Retching in Orthopedic Patients: The Influence of Deep Breathing Exercise

Document Type : Original Article


1 Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Beni-Suef University, Egypt.

2 Assistant Professor of Psychiatric & Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt.


Background: Post operative nausea, vomiting, and retching are recurrent symptoms and can
lead to complications ranged from mild e.g. unpleasant sensation, to severe e.g. aspiration and
postpone patients’ discharge. Also, the use of antiemetics accompained by side effects so, we in a
great need for adding a non-pharmacological measure to routine hospital care. Aim: Explore the
infleuence of deep breathing exercise on nausea, vomiting, and retching in postoperative orthopedic
patients. Materials and methods: A quasi-experimental study was conducted at recovery rooms
and orthopedic wards at Menoufia University Hospital, Egypt. A convenient sample of 84 patients
divided into two groups control and study 42 for each, who were adult, conscious, and under general
anesthesia. Three tools were used for data collection; Tool I patient information form, Tool II
glasgow coma scale, Tool III index of nausea, vomiting, and retching (INVR). Results: There was
a statistically significant difference in total scores of INVR between both groups after 6 hours (U
(p1)=400.50* (<0.001*) and 12 hours U(p2)=529.50* (<0.001*). Conclusions: It was concluded that
deep breathing exercise decreases nausea, vomiting, and retching among study group patients after
both 6 and 12 hours. Recommendations: Deep breathing exercise should be added to routine
hospital post operative care, and further researches on larger sample to explore frequency of
antiemetic drugs use among patients performing postoperative deep breathing exercise.