Kahreh Fatemeh Safari, Abdi Alireza, Khatony Alireza, Salari Nader, Paveh Behnam Khaledi-, Aznab Mozaffar, Naghibzadeh Amirhossein, Mohammadi Mohammad
Faculty of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
SAGE Open Nurs. 2024 Oct 3;10:23779608241286814. doi: 10.1177/23779608241286814. eCollection 2024 Jan-Dec.
Sleep is one of the most crucial basic human needs in Maslow's hierarchy, while sleep disorders are the most commonly occurring complications of chemotherapy.
This study was conducted to determine the effect of progressive muscle relaxation techniques on the sleep quality of patients with cancer undergoing chemotherapy.
This study was a randomized clinical trial performed on patients with cancer undergoing chemotherapy. Ninety cancer patients were selected by the convenience sampling method and randomly assigned into two groups; the progressive muscle relaxation group and the control group. Before the intervention, the Pittsburgh Sleep Quality Questionnaire (PSQQ) was completed for patients in both groups. In the intervention group, progressive muscle relaxation was performed for 4 weeks (twice daily and 20 min each time). In the control group, patients only received routine care. After the intervention, the PSQQ was completed again for patients in both groups. The data were analyzed using SPSS version 23.
The mean and standard deviation of age were 45.95 ± 10.26 years. The samples of the intervention and control groups were homogeneous in terms of demographic characteristics. The results showed a significant improvement in the Pittsburgh Sleep Quality Index in the intervention group before and after the intervention ( < .001, = 5.09). However, this rate was not different in the control group. The sleep level of the intervention and control groups was not different at the beginning of the study. However, at the end of the study, the sleep score in the intervention group had decreased significantly ( < .001, = 3.52).
The results of the present study showed that progressive muscle relaxation improves the sleep quality of patients with cancer undergoing chemotherapy. Therefore, relaxation can be considered a useful and effective intervention for improving sleep quality of patients with cancer.
睡眠是马斯洛需求层次理论中人类最关键的基本需求之一，而睡眠障碍是化疗最常见的并发症。
本研究旨在确定渐进性肌肉放松技术对接受化疗的癌症患者睡眠质量的影响。
本研究是一项针对接受化疗的癌症患者进行的随机临床试验。采用便利抽样法选取90例癌症患者，随机分为两组；渐进性肌肉放松组和对照组。干预前，两组患者均完成匹兹堡睡眠质量问卷（PSQQ）。干预组进行渐进性肌肉放松训练4周（每天两次，每次20分钟）。对照组患者仅接受常规护理。干预后，两组患者再次完成PSQQ。使用SPSS 23版软件对数据进行分析。
年龄的均值和标准差为45.95±10.26岁。干预组和对照组在人口统计学特征方面样本具有同质性。结果显示，干预组干预前后匹兹堡睡眠质量指数有显著改善（<0.001，=5.09）。然而，对照组的该比率没有差异。研究开始时，干预组和对照组的睡眠水平没有差异。然而，在研究结束时，干预组的睡眠评分显著降低（<0.001，=3.52）。
本研究结果表明，渐进性肌肉放松可改善接受化疗的癌症患者的睡眠质量。因此，放松可被视为改善癌症患者睡眠质量的一种有用且有效的干预措施。
