Müzik Terapisi ile Birlikte Yapılan Progresif Gevşeme Egzersizinin Postoperatif Uyku Kalitesi ve Ağrı Şiddeti Üzerine etkisi: Yarı Deneysel Bir Araştırma
PDF
Atıf
Paylaş
Talep
P: 244-253
Eylül 2022

Müzik Terapisi ile Birlikte Yapılan Progresif Gevşeme Egzersizinin Postoperatif Uyku Kalitesi ve Ağrı Şiddeti Üzerine etkisi: Yarı Deneysel Bir Araştırma

J Turk Sleep Med 2022;9(3):244-253
Bilgi mevcut değil.
Bilgi mevcut değil
Alındığı Tarih: 04.03.2022
Kabul Tarihi: 17.05.2022
Yayın Tarihi: 05.09.2022
PDF
Atıf
Paylaş
Talep

ÖZET

Amaç:

Genel olarak uyku kalitesinin bozulması ağrıyı olumsuz etkilerken, hastalığa bağlı ağrı da uyku kalitesini olumsuz etkileyebilir. Bu çalışma, bir üniversite hastanesinin cerrahi kliniklerinde yatan hastalarda, müzik destekli progresif gevşeme egzersizlerinin (MaPRE) ameliyat sonrası uyku kalitesi ve ağrı yoğunluğuna etkisini değerlendirmek amacıyla yapılmıştır.

Gereç ve Yöntem:

Bu, ön ve son test ile randomize olmayan, tek kör, yarı deneysel kontrollü bir çalışmadır. Çalışmaya müdahale grubunda 31 cerrahi hasta ve kontrol grubunda 31 cerrahi hasta olmak üzere toplam 62 hasta dahil edilmiştir. Müdahale grubu ameliyattan sonraki hafta boyunca düzenli olarak günde 30 dakika MaPRE yapmıştır. Çalışmanın verileri ağrı şiddetini değerlendirmek için “görsel kıyaslama ağrı ölçeği” ve uyku kalitesini belirlemek için “görsel kıyaslama uyku ölçeği” yardımıyla toplanmıştır.

Bulgular:

MaPRE yapılması müdahale grubundaki hastaların uyku kalitesinde anlamlı bir artış ve ağrı şiddeti düzeyinde anlamlı bir azalma sağlamıştır. MaPRE uygulayan ve uygulamayan hastaların uyku kaliteleri arasında anlamlı bir fark bulunamamıştır. MaPRE uygulayan ve uygulamayan hastaların ağrı şiddeti düzeyleri arasında anlamlı fark bulunmuştur. Ancak, MaPRE uygulayan hastalarda, uygulamayanlara göre daha yüksek düzeyde ağrı şiddeti bulunmuştur.

Sonuç:

MaPRE hastaların ameliyat sonrası uyku kalitesini artırmış ve hastalarda ameliyat sonrası ağrı şiddetini azaltmıştır. Sonuç olarak, MaPRE cerrahi kliniklerde yatan hastaların uyku kalitelerini artırmakta ve ağrı şiddetlerini azaltmaya yardımcı olmaktadır.

References

1
Auckley D. Poor sleep in the hospital: Contributing factors and interventions. UpToDate; 2020.
2
Long G, Suqin S, Hu Z, Yan Z, Huixin Y, Tianwang L, Yang Y, Zhenhu W. Analysis of patients’ sleep disorder after total knee arthroplasty-A retrospective study. J Orthop Sci 2019;24:116-20.
3
Cheraghbeigi N, Modarresi M, Rezaei M, Khatony A. Comparing the effects of massage and aromatherapy massage with lavender oil on sleep quality of cardiac patients: A randomized controlled trial. Complement Ther Clin Pract 2019;35:253-8.
4
Chaoul A, Milbury K, Spelman A, Basen- Engquist K, Hall MH, Wei Q, Shih YT, Arun B, Valero V, Perkins GH, Babiera GV, Wangyal T, Engle R, Harrison CA, Li Y, Cohen L. Randomized trial of Tibetan yoga in patients with breast cancer undergoing chemotherapy. Cancer 2018;124:36-45.
5
Kim H, Lee YW, Ju HJ, Jang BJ, Kim YI. An exploratory study on the effects of forest therapy on sleep quality in patients with gastrointestinal tract cancers. Int J Environ Res Public Health 2019;16:2449.
6
Zengin L, Aylaz R. The effects of sleep hygiene education and reflexology on sleep quality and fatigue in patients receiving chemotherapy. Eur J Cancer Care 2019;28. doi: 10.1111/ecc.13020
7
Haybar H, Javid AZ, Haghighizadeh MH, Valizadeh E, Mohaghegh SM, Mohammadzadeh A. The effects of Melissa officinalis supplementation on depression, anxiety, stress, and sleep disorder in patients with chronic stable angina. Clin Nutr ESPEN 2018;26:47-52.
8
Díaz-Alonso J, Smith-Plaza AM, Suárez-Mier B, Lana A. Impact of a nurse intervention to improve sleep quality in intensive care units: Results from a randomized controlled trial. Dimens Crit Care Nurs 2018;37:310-7.
9
Lewis S, Bucher H, Harding K. Roberts, Medical Surgical Nursing: Assessment and Management of Clinical Problems. St. Louis, Missouri, Elsevier Inc, 2017.
10
Wright CE, Bovbjerg DH, Montgomery GH, Weltz C, Goldfarb A, Pace B, Silverstein JH. Disrupted sleep the night before breast surgery is associated with increased postoperative pain. J Pain Symptom Manage 2009;37:352-62.
11
Dimsdale JE, Ball ED, Carrier E, Wallace M, Holman P, Mulroney C, Shaikh F, Natarajan L. Effect of eszopiclone on sleep, fatigue, and pain in patients with mucositis associated with hematologic malignancies. Support Care Cancer 2011;19:2015-20.
12
Xiao Y, Li L, Xie Y, Xu J, Liu Y. [Effects of aroma therapy and music intervention on pain and anxious for breast cancer patients in the perioperative period]. Zhong Nan Da Xue Xue Bao Yi Xue Ban 2018;43:656-61.
13
Bjørnnes AK, Parry M, Lie I, Fagerland MW, Watt-Watson J, Rustøen T, Stubhaug A, Leegaard M. The impact of an educational pain management booklet intervention on postoperative pain control after cardiac surgery. Eur J Cardiovasc Nurs 2017;16:18-27.
14
Yıldırım M, Kanan N. The effect of mirror therapy on the management of phantom limb pain. Agri 2016;28:127-34.
15
Boitor M, Martorella G, Maheu C, Laizner AM, Gélinas C. Effects of Massage in reducing the Pain and anxiety of the Cardiac Surgery Critically Ill-a Randomized Controlled Trial. Pain Med 2018;19:2556-69.
16
Temel-Aksu N, Erdogan A, Ozgur N. Effects of progressive muscle relaxation training on sleep and quality of life in patients with pulmonary resection. Sleep Breath 2018;22:695-702.
17
Zhou K, Li X, Li J, Liu M, Dang S, Wang D, Xin X. A clinical randomized controlled trial of music therapy and progressive muscle relaxation training in female breast cancer patients after radical mastectomy: Results on depression, anxiety and length of hospital stay. Eur J Oncol Nurs 2015;19:54-9.
18
Zhou K, Wang W, An J, Li M, Li J, Li X. Effects of progressive upper limb exercises and muscle relaxation training on upper limb function and health-related quality of life following surgery in women with breast cancer: a clinical randomized controlled trial. Ann Surg Oncol 2019;26:2156-65.
19
Ju W, Ren L, Chen J, Du Y. Efficacy of relaxation therapy as an effective nursing intervention for post‑operative pain relief in patients undergoing abdominal surgery: A systematic review and meta‑analysis. Exp Ther Med 2019;18:2909-16.
20
Şara Y, Örsal Ö, Duru P, Köşgeroğlu N. Evaluation of Preoperative Sleep Quality and Factors Affecting Pain Intensity of Patients Hospitalized in Surgical Services. J Perianesth Nurs 2022;37:474-8.
21
Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods 2009;4:1149-60.
22
Bahçeli A, Karabulut N. The effects of progressive relaxation exercises following lumbar surgery: A randomized controlled trial. Complement Med Res 2021;28:114-22.
23
Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual analog scale for pain (VAS pain), numeric rating scale for pain (NRS pain), mcgill pain questionnaire (MPQ), short-form Mcgill pain questionnaire (SF-MPQ), chronic pain grade scale (CPGS), short form-36 bodily pain scale (SF-36 BPS), and measure of ıntermittent and constant osteoarthritis pain (ICOAP). Arthritis Care Res 2011;63(Suppl 11):S240-52.
24
Çetinkaya F, Karabulut N. Validity and reliability of the Turkish version of the Visual Analog Sleep Scale. Kontakt 2016;18:94-9.
25
Jacobson E. You must relax: A practical method of reducing the strains of modern living. NewYork, NY: McGraw-Hill, Whittlesey House, 1942.
26
Cilingir D, Hintistan S, Ergene O. Factors affecting the sleep status of surgical and medical patients at a University Hospital of Turkey. J Pak Med Assoc 2016;66:1535-40.
27
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;46:1107-13.
28
Wang CF, Sun YL, Zang HX. Music therapy improves sleep quality in acute and chronic sleep disorders: a meta-analysis of 10 randomized studies. Int J Nurs Stud 2014;51:51-62.
29
Moradi-Mohammadi F, Bagheri H, Khosravi A, Ameri M, Khajeh M M. The effect of Benson relaxation technique on sleep quality after coronary artery bypass graft surgery. Avicenna Journal of Nursing and Midwifery Care 2020;27:371-80.
30
Orsal Ö, Alparslan GB, Ozkaraman A, Sönmez N. The effect of relaxation exercises on quality of sleep among the elderly: Holistic nursing practice review copy. Holist Nurs Pract 2014;28:265-74.
31
Gallagher LM, Gardner V, Bates D, Mason S, Nemecek J, DiFiore JB, Bena J, Li M, Bethoux F. Impact of music therapy on hospitalized patients post-elective orthopaedic surgery. Orthop Nurs 2018;37:124-33.
2024 ©️ Galenos Publishing House