Gazi University, Faculty of Health Sciences, Department of Nursing, 06490 Ankara, Turkey.
Gazi University, Faculty of Health Sciences, Department of Nursing, 06490 Ankara, Turkey.
Patient Educ Couns. 2022 Nov;105(11):3279-3286. doi: 10.1016/j.pec.2022.07.015. Epub 2022 Jul 28.
This study aims to determine the effects of health education (HE) and progressive muscle relaxation (PMR), individually or combined, on vasomotor symptoms and insomnia in perimenopausal women.
This study is a single-center, pretest-posttest, randomized controlled trial with a factorial design. The research sample consists of 108 women who were randomly divided into three groups: HE + PMR group (n = 36), PMR group (n = 36) and control group (n = 36). 90 women completed the study. The data were collected in three steps by using instruments of Personal Information Form, Visual Analog Scale and a diary for vasomotor symptoms, Women's Health Initiative Insomnia Rating Scale.
Hot flash and night sweats frequency and severity scores/24 h, the VAS scores for hot flashes and night sweats, and the WHIIRS scores significantly improved more in the intervention groups compared to the control group (p < 0,05). Compared to the group PMR, the group PMR + HE had a greater improvement with larger effect size in all measurements.
PMR and HE counseling by nurses benefit perimenopausal women who suffer from insomnia and vasomotor symptoms.
PMR combined with HE or PMR alone is effective in managing vasomotor symptoms and insomnia; therefore, they can easily be integrated into clinical practice.
本研究旨在确定健康教育（HE）和渐进性肌肉松弛（PMR）单独或联合使用对围绝经期妇女血管舒缩症状和失眠的影响。
这是一项单中心、前后测试、随机对照试验，采用析因设计。研究样本包括 108 名女性，随机分为三组：HE+PMR 组（n=36）、PMR 组（n=36）和对照组（n=36）。90 名女性完成了研究。使用个人信息表、视觉模拟量表和血管舒缩症状日记、女性健康倡议失眠评分量表收集数据分三步进行。
与对照组相比，干预组的热潮和盗汗频率和严重程度评分/24 小时、热潮和盗汗的 VAS 评分以及 WHIIRS 评分均显著改善（p<0.05）。与 PMR 组相比，PMR+HE 组在所有测量指标上的改善更大，效果更大。
护士提供的 PMR 和健康教育咨询对患有失眠和血管舒缩症状的围绝经期妇女有益。
PMR 联合 HE 或单独 PMR 对管理血管舒缩症状和失眠有效；因此，它们可以很容易地整合到临床实践中。
