Department of Physical Therapy and Rehabilitation, Akdeniz University, Antalya, Turkey.
Department of Thoracic Surgery, Akdeniz University Faculty Of Medicine, Antalya, Turkey.
Sleep Breath. 2018 Sep;22(3):695-702. doi: 10.1007/s11325-017-1614-2. Epub 2017 Dec 30.
The inadequate quality and nature of sleep is a commonly reported problem among hospitalized patients. The purpose of this study is to examine the effects of progressive muscle relaxation training program on sleep quality, sleep state, pain, and quality of life in patients who underwent pulmonary resection.
Our study was planned as a single-blind prospective randomized controlled trial. The study was conducted on 26 patients who underwent surgery by using posterolateral thoracotomy method. Progressive muscle relaxation training were given to the training group with a therapist two times a day. Sleep quality, daytime sleeping, pain, and quality of life were respectively evaluated in the morning before the surgery and 1 week after the surgery by using Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, visual analogue scale, and Euro Quality of Life-5D (EQ-5D).
There is no significant difference between preoperative groups in the total Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, Euro Quality of Life-5D, and visual analogue scale scores (p > 0.05). The intra-group change in the study group showed a significant deterioration in the Euro Quality of Life-5D and visual analogue scale scores (p < 0.05). There was a significant deterioration in the total Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, EQ-5D, and visual analogue scale scores in the control group (p < 0.05). The Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, and Euro Quality of Life-5D scores showed significant improvements in the relaxation training group after treatment at 1 week (p < 0.05).
Progressive muscle relaxation prevents a decline in patient-reported sleep quality following pulmonary resection.
住院患者普遍存在睡眠质量和睡眠状态不佳的问题。本研究旨在探讨渐进性肌肉放松训练方案对行肺切除术患者睡眠质量、睡眠状态、疼痛和生活质量的影响。
我们的研究设计为单盲前瞻性随机对照试验。该研究纳入了 26 例行后外侧开胸手术的患者。对训练组由治疗师每天进行 2 次渐进性肌肉放松训练。分别于术前和术后 1 周，采用匹兹堡睡眠质量指数（PSQI）、Epworth 嗜睡量表（ESS）、视觉模拟量表（VAS）和欧洲生活质量 5 维量表（EQ-5D）评估睡眠质量、白天睡眠时间、疼痛和生活质量。
术前两组的匹兹堡睡眠质量指数总分、Epworth 嗜睡量表、EQ-5D 和 VAS 评分均无显著差异（p>0.05）。研究组的组内变化显示 EQ-5D 和 VAS 评分显著恶化（p<0.05）。对照组的匹兹堡睡眠质量指数总分、Epworth 嗜睡量表、EQ-5D 和 VAS 评分均显著恶化（p<0.05）。放松训练组治疗 1 周后，匹兹堡睡眠质量指数、Epworth 嗜睡量表和 EQ-5D 评分显著改善（p<0.05）。
渐进性肌肉放松可预防肺切除术后患者报告的睡眠质量下降。
