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渐进性肌肉松弛训练对癫痫患者抑郁水平、睡眠质量和生活质量的影响:一项随机对照试验。

Effects of progressive muscle relaxation exercises on patients with epilepsy on level of depression, quality of sleep, and quality of life: A randomized controlled trial.

机构信息

Firat University Health Sciences Institute, Nursing Department: Department of Internal Medicine Nursing, Turkey.

Department of Nursing, Faculty of Health Sciences, Fırat University, Elazığ, Turkey.

出版信息

Seizure. 2023 Feb;105:29-36. doi: 10.1016/j.seizure.2023.01.002. Epub 2023 Jan 3.

Abstract

OBJECTIVE

This study aims to evaluate the effects of progressive relaxation exercises applied to patients with epilepsy on patients' depressive symptom severity, quality of sleep, and quality of life.

METHODS

The study was designed as a randomized controlled interventional study with a control group and pre-and post-test intervention. It was conducted with 70 patients with epilepsy, 35 in the intervention group and 35 in the control group, between November 1, 2021, and April 15, 2022. The patients in the intervention group were required to perform 12 progressive muscle relaxation exercise sessions 3 days a week for a total of 4 weeks. No interventions were made in the control group during the study. The data were collected with a "Personal Information Form," "Pittsburgh Sleep Quality Index (PSQI)," "Beck Depression Inventory (BDI)," and "Quality of Life in Epilepsy Inventory (QUOLIE -31)."

RESULTS

The mean PSQI total score, subscale scores, and mean BDI total scores of the patients in the intervention group decreased significantly compared to those in the control group after the intervention (p<0.05). Additionally, a significant difference was found between the mean QUOLIE-31 total scores and subscale scores of the patients in the intervention and control group after the intervention (p<0.05), the mean scores of the intervention group were significantly higher than those of the control group (p<0.05).

CONCLUSION

Progressive muscle relaxation exercises decreased depressive symptoms severity and improved sleep and life quality in patients with epilepsy. Progressive relaxation exercises may be recommended as a complementary nursing intervention in treating epilepsy.

摘要

目的

本研究旨在评估渐进性放松练习对癫痫患者抑郁症状严重程度、睡眠质量和生活质量的影响。

方法

这是一项随机对照干预研究,设计了对照组和前后测试干预组。研究对象为 2021 年 11 月 1 日至 2022 年 4 月 15 日期间的 70 名癫痫患者,其中干预组 35 名,对照组 35 名。干预组患者每周需进行 12 次渐进性肌肉放松练习,共 4 周。研究期间对照组不进行任何干预。数据通过“个人信息表”、“匹兹堡睡眠质量指数(PSQI)”、“贝克抑郁量表(BDI)”和“癫痫生活质量量表(QUOLIE-31)”收集。

结果

与对照组相比,干预后干预组患者的 PSQI 总分、各分量表评分和 BDI 总分均显著降低(p<0.05)。此外,干预后干预组和对照组患者的 QUOLIE-31 总分和各分量表评分也存在显著差异(p<0.05),干预组的平均得分明显高于对照组(p<0.05)。

结论

渐进性肌肉放松练习可降低癫痫患者的抑郁症状严重程度,改善睡眠和生活质量。渐进性肌肉放松练习可作为治疗癫痫的补充护理干预措施。

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