渐进性肌肉松弛对慢性阻塞性肺疾病患者疲劳和睡眠质量管理的影响：一项随机对照临床试验。
The effect of progressive muscle relaxation on the management of fatigue and quality of sleep in patients with chronic obstructive pulmonary disease: A randomized controlled clinical trial.
机构信息
Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran.
Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.
出版信息
Complement Ther Clin Pract. 2018 May;31:64-70. doi: 10.1016/j.ctcp.2018.01.010. Epub 2018 Feb 6.
OBJECTIVE
To assess the effect of progressive muscle relaxation (PMR) on fatigue and sleep quality of patients with chronic obstructive pulmonary disease (COPD) stages 3 and 4.
MATERIALS AND METHODS
The pretest posttest clinical trial recruited 91 patients COPD grades 3 and 4. Following random assignment of subjects, the treatment group (n = 45) performed PMR for eight weeks and the control group (n = 46) received routine cares. At baseline and after the intervention, fatigue and sleep quality was assessed. Data obtained were analyzed in SPSS.
RESULTS
It was determined that PMR decreased patients' fatigue level and improved some sleep quality subscales including subjective sleep quality, sleep latency, sleep duration and habitual sleep efficiency, but no improvement was found in global sleep quality and other sleep subscales.
CONCLUSION
An eight-week home-based PMR program can be effective in reducing fatigue and improving certain subscales of sleep quality in patients with COPD stages 3,4. (IRCT2016080124080N3).
目的
评估渐进性肌肉松弛（PMR）对 3 期和 4 期慢性阻塞性肺疾病（COPD）患者疲劳和睡眠质量的影响。
材料与方法
本研究采用前后测试临床试验设计，招募了 91 名 3 期和 4 期 COPD 患者。在对受试者进行随机分组后，治疗组（n=45）接受 8 周的 PMR 治疗，对照组（n=46）接受常规护理。在基线和干预后，评估了疲劳和睡眠质量。使用 SPSS 软件对获得的数据进行分析。
结果
PMR 降低了患者的疲劳水平，并改善了一些睡眠质量子量表，包括主观睡眠质量、入睡潜伏期、睡眠时间和习惯性睡眠效率，但对整体睡眠质量和其他睡眠子量表没有改善。
结论
为期 8 周的基于家庭的 PMR 方案可有效降低 3 期和 4 期 COPD 患者的疲劳感，并改善某些睡眠质量子量表。（IRCT2016080124080N3）。
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