Volume 31, Issue 3 (Avicenna Journal of Clinical Medicine-Autumn 2024)
Avicenna J Clin Med 2024, 31(3): 144-152 |
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Khorashadizadeh F, Rajabzadeh R, Jouybari L, Soheyli A. Investigating the Effect of Progressive Muscle Relaxation on the Level of Anxiety and Vital Signs of Hospitalized Elderly. Avicenna J Clin Med 2024; 31 (3) :144-152
URL: http://sjh.umsha.ac.ir/article-1-3080-en.html
URL: http://sjh.umsha.ac.ir/article-1-3080-en.html
1- Department of Geriatric Nursing, School of Nursing, North Khorasan University of Medical Sciences, Bojnurd, Iran , khorashadizadehf891@gmail.com
2- Department of Epidemiology, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran
3- Department of Nursing, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran
4- School of Nursing, North Khorasan University of Medical Sciences, Bojnurd, Iran
2- Department of Epidemiology, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran
3- Department of Nursing, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran
4- School of Nursing, North Khorasan University of Medical Sciences, Bojnurd, Iran
Abstract: (352 Views)
Background and Objective: Anxiety is a common problem in old age. This research was conducted to determine the effect of progressive muscle relaxation on the level of anxiety and vital signs of hospitalized elderly patients with chronic diseases.
Materials and Methods: This study was a two-group, single-blind, randomized clinical trial conducted on all elderly patients hospitalized in Rasool Akram (PBUH) Hospital in Kalaleh, except those in the intensive care unit and coronary care unit. In the intervention and control groups, 38 hospitalized elderly patients were included after assessing inclusion and exclusion criteria. In the intervention group, the progressive muscle relaxation technique was performed for 3 consecutive days. The method of data collection included the valid and reliable Beck's Anxiety Inventory, a demographic information form, and a checklist of vital signs including systolic and diastolic blood pressure, heart rate, and breathing. Ethical considerations were observed in this study. The results were analyzed using SPSS22 software and descriptive and analytical statistical tests.
Results: The participants in this study were mostly women, 83.33% with an average age of 69.94 years in the control group and 72.5 years in the intervention group. The results of the study showed that although progressive muscle relaxation caused a decrease in the average anxiety of the elderly in the intervention group, this change was not significant. However, it caused significant downward changes in the vital signs of the elderly over time (P<0.05).
Conclusion: These results can help doctors and health professionals provide more appropriate solutions for managing and controlling anxiety and vital signs.
Materials and Methods: This study was a two-group, single-blind, randomized clinical trial conducted on all elderly patients hospitalized in Rasool Akram (PBUH) Hospital in Kalaleh, except those in the intensive care unit and coronary care unit. In the intervention and control groups, 38 hospitalized elderly patients were included after assessing inclusion and exclusion criteria. In the intervention group, the progressive muscle relaxation technique was performed for 3 consecutive days. The method of data collection included the valid and reliable Beck's Anxiety Inventory, a demographic information form, and a checklist of vital signs including systolic and diastolic blood pressure, heart rate, and breathing. Ethical considerations were observed in this study. The results were analyzed using SPSS22 software and descriptive and analytical statistical tests.
Results: The participants in this study were mostly women, 83.33% with an average age of 69.94 years in the control group and 72.5 years in the intervention group. The results of the study showed that although progressive muscle relaxation caused a decrease in the average anxiety of the elderly in the intervention group, this change was not significant. However, it caused significant downward changes in the vital signs of the elderly over time (P<0.05).
Conclusion: These results can help doctors and health professionals provide more appropriate solutions for managing and controlling anxiety and vital signs.
Extended Abstract [HTM 26 KB] (40 Download)
References
1. Rickels K, Moeller HJ. Benzodiazepines in anxiety disorders: Reassessment of usefulness and safety. World J Biol Psychiatry. 2019;20(7):514-8. PMID: 30252578 DOI: 10.1080/15622975.2018.1500031
2. Sarbaz M, Naseri P, Ahmadi Simab S, Abazari F. The relationship between neurosurgery patients’ awareness of surgery procedures and complications on preoperative stress level. Journal of Paramedical Sciences & Rehabilitation. 2016;5(4):33-42. DOI: 10.22038/jpsr.2016.7835
3. Marsa R, Younesi SJ, Barekati S, Ramshini M, Ghyasi H. A comparative study on stress, anxiety and depression between nursing-home elderly residents and home-dwelling elderly people. Iranian Journal of Ageing. 2020;15(2):176-87. DOI: 10.32598/sija.13.10.500
4. Bikmoradi A, Roshanaei G, Moradkhani S, Fatahi A. Impact of inhalation aromatherapy with damask rose on anxiety of patients undergoing coronary angiography: A single-blind randomized controlled clinical trial. Avicenna J Nurs Midwifery Care. 2020;28(2):93-102. DOI: 10.30699/ajnmc.28.2.93
5. Farokhnezhad Afshar P, Bastani F, Haghani H, Valipour O. Hospital anxiety and depression in the elderly with chronic heart failure. IJN. 2019;32(120):87-97. DOI: 10.29252/ijn.32.120.87
6. Outhoff K. The pharmacology of anxiolytics. South African Family Practice. 2013;55(3):223-9. DOI: 10.1080/20786204.2013.10874339
7. Li Y, Wang R, Tang J, Chen C, Tan L, Wu Z, et al. Progressive muscle relaxation improves anxiety and depression of pulmonary arterial hypertension patients. Evid Based Complement Alternat Med. 2015;2015:792895. PMID: 25922614 DOI: 10.1155/2015/792895
8. Khanna A, Paul M, Sandhu JS. A study to compare the effectiveness of GSR biofeedback training and progressive muscle relaxation training in reducing blood pressure and respiratory rate among highly stressed individuals. Indian J Physiol Pharmacol. 2007;51(3):296-300. PMID: 18341229
9. Vafamand E, Kargarfard M, Salehi M, Ghasemi G. Effect of massage therapy on decreasing anxiety and depression in addicted women of Isfahan central prison, Iran. RBS.2013;11(2). Link
10. Mackereth PA, Tomlinson L. 6 Progressive muscle relaxation: therapists and patients. Integrative hypnotherapy: Complementary approaches in clinical care. 2010:82. Link
11. Kutmec Yilmaz C. Effect of progressive muscle relaxation on adaptation to old age and quality of life among older people in a nursing home: a randomized controlled trial. Psychogeriatrics. 2021;21(4):560-70. PMID: 33960071 DOI: 10.1111/psyg.12706
12. Yuniartika W, Sudaryanto A, Kumalasari AZ. Reducing anxiety level by using progressive relaxation among the elderly people in the nursing home. Enfermería Clínica. 2021;31:S381-S5. DOI:10.1016/j.enfcli.2020.09.030
13. Mohammadi SY, Ahmadi S. Effectiveness of progressive relaxation and emotional regulation on quality of life of heart patients. J Qazvin Univ Med Sci. 2018;22(5):59-69. Link
14. Khajehian B, Taheri P, Ramezankhani A, Hashemi SS. Effectiveness of muscle relaxation exercises on decreasing stress, anxiety and depression in elderly people with type 2 diabetes in Isfahan marginal health centers in 2019. 2020. Link
15. Nasiri S, Akbari H, Tagharrobi L, Tabatabaee AS. The effect of progressive muscle relaxation and guided imagery on stress, anxiety, and depression of pregnant women referred to health centers. J Educ Health Promot. 2018;7:41. DOI: 10.4103/jehp.jehp_158_16
16. Sogolitappeh FN, Aliloo MM, Kheyroddin JB, Tabrizi MT. Effectiveness of group life skills training on decreasing anxiety and depression among heart patients, after bypass surgery. Iranian Journal of Psychiatry and Clinical Psychology. 2009;15(1):50-6. Link
17. Nikoogoftar M. The Focal Analysis of the Relationship Between Ineffective Mothers' Attitudes with Self-Efficacy and Coping Styles. 2019. Link
18. Kaviani H, Mousavi AS. Psychometric properties of the Persian version of Beck Anxiety Inventory (BAI). Tehran University medical journal. 2008. Link
19. Harorani M, Davodabady F, Masmouei B, Barati N. The effect of progressive muscle relaxation on anxiety and sleep quality in burn patients: A randomized clinical trial. Burns. 2020;46(5):1107-13. PMID: 31862277 DOI: 10.1016/j.burns.2019.11.021
20. Malmir M, Teimouri F, Pishgooie SAH, Dabaghi P. The Role of Benson´s relaxation on reducing state anxiety on candidate of open heart surgery patient’s . MCS . 2015;2(3):182-90. DOI: 10.18869/acadpub.mcs.2.3.182
21. Manzoni GM, Pagnini F, Castelnuovo G, Molinari E. Relaxation training for anxiety: a ten-years systematic review with meta-analysis. BMC psychiatry. 2008;8(1):1-12. PMID: 18518981 DOI: 10.1186/1471-244X-8-41
22. Avazah A, Fetrat MK, Bashar FR. Effect of progressive muscle relaxation on the vital signs and oxygenation indexes in patients under coronary artery bypass graft surgery: A triple blinded randomized clinical trial. Koomesh. 2019;21(3):423-36. Link
23. Toussaint L, Nguyen QA, Roettger C, Dixon K, Offenbächer M, Kohls N, et al. Effectiveness of progressive muscle relaxation, deep breathing, and guided imagery in promoting psychological and physiological states of relaxation. Evid Based Complement Alternat Med. 2021;2021(1):5924040. PMID: 34306146 DOI: 10.1155/2021/5924040
24. Seifi L, Najafi Ghezeljeh T, Haghani H. The effects of benson relaxation technique and nature sound’s on anxiety in patients with heart failure. Nursing and Midwifery Journal. 2017;15(2):147-58. Link
25. Poncette A-S, Mosch L, Spies C, Schmieding M, Schiefenhövel F, Krampe H, et al. Improvements in patient monitoring in the intensive care unit: survey study. J Med Internet Res. 2020;22(6):e19091. PMID: 32459655 DOI: 10.2196/19091
26. Kömürkara S, Cengiz Z. Effects of progressive relaxation exercises on vital signs and fatigue in liver transplant patients: a randomized controlled trial. Clin Nurs Res. 2022;31(3):497-508. PMID: 34528495 DOI: 10.1177/10547738211045850
27. Sahin G, Basak T. The effects of intraoperative progressive muscle relaxation and virtual reality application on anxiety, vital signs, and satisfaction: A randomized controlled trial. J Perianesth Nurs. 2020;35(3):269-76. PMID: 32146074 DOI: 10.1016/j.jopan.2019.11.002
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