Department of Health Care Services, Trabzon University, Trabzon, Turkey.
Department of Medical Nursing, Faculty of Nursing, Ataturk University, Erzurum, Turkey.
Epilepsy Behav. 2024 May;154:109734. doi: 10.1016/j.yebeh.2024.109734. Epub 2024 Mar 29.
The study was conducted to determine the effects of Progressive Relaxation Exercise, supported by mobile-based animation, on fatigue and sleep quality of individuals with epilepsy.
MATERIAL-METHOD: The study was conducted in a randomized controlled design with a pretest-posttest model on epileptic individuals who applied to Giresun University, Faculty of Medicine, Neurology Outpatient Clinic between February and December 2022. By using power analysis, the sample of the study was determined as 60 epilepsy patients (30 in the Control Group, 30 in the Experimental Group). The data were collected by face-to-face interview technique with the Personal Information Form, Pittsburgh Sleep Quality Index (PSQI), and Fatigue Severity Scale (FSS). Frequencies, percentages, arithmetic mean, standard deviations, Pearson Correlation Analysis, Paired t-Test, Student's t-Test, and Chi-Square Test were used in the evaluation of the study data.
When the Control Group's mean scores in the pre-test and post-tests, which were performed with an interval of 6 weeks, were compared, a statistically significant difference was detected between the FSS and PSQI scores (p>0.05). The mean Fatigue Severity Scale score was found to be 5.24 ± 0.69 before the Progressive Relaxation Exercises and 3.82 ± 0.77 after the exercises. The mean scores of the individuals on the Fatigue Severity Scale after the relaxation exercises were found to be lower at a statistically significant level than the mean scores before the relaxation exercises (p<0.001). The differences between subjective sleep quality (p<0.001), sleep latency (p<0.001), daytime dysfunction (p<0.001), and total sleep quality (p<0.001) score averages after the Progressive Relaxation Exercises were statistically significant compared to the pre-exercises status. When the post-test scores of the participants in the Experimental Group was examined, significant, moderate, and positive differences were detected between the FSS and Total PSQI scores (r: 0.373-p: 0.042), Subjective Sleep Quality (r: 0.487-p: 0.006), which is one of the sub-dimensions of PSQI, Sleeping Pill Use (r: 0.531-p: 0.003), and Daytime Dysfunction (r: 0.461-p: 0.01) scores.
It was determined that individuals with epilepsy experience fatigue and deterioration in sleep quality and there is a reciprocal relationship between the severity of fatigue and sleep quality in these individuals. Progressive Relaxation Exercises applied with the animation-supported web-based mobile intervention technique reduce the fatigue levels of individuals and increase sleep quality.
本研究旨在确定渐进性放松练习对癫痫患者的疲劳和睡眠质量的影响，该练习由基于移动设备的动画支持。
本研究采用随机对照设计，在 2022 年 2 月至 12 月期间向吉雷松大学医学院神经病学门诊就诊的癫痫患者进行了一项预试验后测试的研究。通过使用功效分析，研究的样本确定为 60 名癫痫患者（对照组 30 名，实验组 30 名）。使用个人信息表、匹兹堡睡眠质量指数（PSQI）和疲劳严重程度量表（FSS），通过面对面访谈技术收集数据。研究数据的评估采用了频率、百分比、算术平均值、标准差、皮尔逊相关分析、配对 t 检验、学生 t 检验和卡方检验。
当对照组在间隔 6 周进行的预测试和后测试中的平均分数进行比较时，FSS 和 PSQI 分数之间存在统计学显著差异（p>0.05）。渐进性放松练习前，疲劳严重程度量表的平均得分为 5.24±0.69，练习后为 3.82±0.77。经过放松练习后，个体在疲劳严重程度量表上的平均得分明显低于放松练习前的平均得分（p<0.001）。与练习前相比，主观睡眠质量（p<0.001）、睡眠潜伏期（p<0.001）、日间功能障碍（p<0.001）和总睡眠质量（p<0.001）得分平均值在后渐进性放松练习后存在统计学显著差异。当实验组参与者的后测分数进行检查时，在 FSS 和总 PSQI 分数（r：0.373-p：0.042）、主观睡眠质量（r：0.487-p：0.006）、PSQI 的一个子维度中，发现有显著的中度正相关，PSQI 分数（r：0.531-p：0.003）和日间功能障碍（r：0.461-p：0.01）。
确定癫痫患者会经历疲劳和睡眠质量下降，并且这些患者的疲劳严重程度与睡眠质量之间存在相互关系。应用基于动画的网络移动干预技术的渐进性放松练习可以降低个体的疲劳水平并提高睡眠质量。
