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At least 811 records · Page 45Linked to original sources
PubMed2001

A pilot study on the effect of progressive muscle relaxation training of patients after stoma surgery.

Eighteen patients who had undergone stoma surgery were assessed with respect to their anxiety level and self-reported quality of life (QoL) on three occasions; namely, immediately after surgery, 5 weeks after surgery, and 10 weeks after surgery. The patients were randomised into a control group (n = 10) and an experimental group (n = 8). A 20-min set of audiotaped instructions on progressive muscle relaxation training (PMRT) was given to the patients in the experimental group for home practice. Assessment instructions included the Chinese State-Trait Anxiety Inventory (C-STAI), the Quality of Life Index for Colostomy (QoL-Colostomy) and the Hong Kong Chinese version of the World Health Organisation Quality of Life Scale (WHOQoL). Results indicated that there was a significant decrease in both the C-STAI score (F = 4.66, P < 0.05) and the WHOQoL score (F = 4.74, P < 0.05) in the experimental group. Among the domains of WHOQoL, a significant difference was shown in physical health/independence and general perception of QoL, with the experimental group demonstrating better functioning. For the QoL-Colostomy, however, there was no significant difference between the control and experimental groups. The results suggest that the use of PMRT could enhance quality of life and decrease state anxiety in patients after stoma surgery.

Aged↗
PubMed1989

The effects of the transcendental mediation technique and progressive muscle relaxation on EEG coherence, stress reactivity, and mental health in black adults.

Eighty-three black college students, staff and adults were pretested on EEG coherence, skin potential (SP) habituation to a series of loud tones, psychometric measures of mental health (Tennessee Self-Concept Empirical Scales and Spielberger State-Trait Anxiety Inventory) and IQ. They were then randomly assigned to one of the three treatment groups: the Transcendental Meditation technique (TM); Progressive Muscle Relaxation (PR); or cognitive-behavioral strategies (C). Approximately one year later, they were posttested. TM and PR increased significantly on an overall mental health factor (p less than .036) and anxiety (p less than .0006). TM showed a greater reduction in neuroticism than PR and C (p less than .032). TM also showed global increases in alpha and theta coherence among frontal and central leads during the TM period compared to eyes closed (p less than .016), whereas PR and C did not show EEG state changes. The coherence increases during TM were most marked in the right hemisphere (F4C4). TM showed faster SP habituation at posttest compared to pretest (p less than .047) whereas PR did not (data was missing for C). None of the groups showed longitudinal changes in EEG, perhaps due to lack of regularity of participation in the treatment programs.

Adolescent↗
PubMed1995

Dependence of the adequacy of muscle relaxation on the degree of neuromuscular block and depth of enflurane anesthesia during abdominal surgery.

We studied the intensity of neuromuscular block that is adequate for surgical relaxation at different end-tidal levels of enflurane during N2O-O2-fentanyl anesthesia in 30 patients undergoing upper abdominal surgery. After induction of anesthesia with thiopental 4-6 mg/kg and vecuronium 0.07 mg/kg intravenously (i.v.), patients were randomly assigned to receive nitrous oxide-oxygen (2:1) and enflurane at 0.3% (Group I), 0.6% (Group II), or 1.2% (Group III) end-tidal level throughout anesthesia. The initial neuromuscular block was allowed to terminate and additional increments of 1 mg vecuronium were given when indicated by clinical signs or by spontaneous electromyography of neck muscles. In Group I additional vecuronium had to be given 62 times and in Groups II and III, 33, and 16 times, respectively. The mean (SD) neuromuscular block at the time of additional vecuronium was 75.9% +/- 20.7%, 62.5% +/- 20.1%, and 39.3% +/- 21.1% in Groups I to III, respectively. We conclude that there was a clear linear relationship between the end-tidal concentration of enflurane and the degree of neuromuscular block necessary to produce adequate surgical muscle relaxation (P < 0.001).

Abdomen↗
PubMedDate not supplied

The effect of progressive muscle relaxation training on anxiety levels and quality of life in dialysis patients.

AIM: To determine the effect of progressive muscle relaxation training (PMRT) on anxiety levels and quality of life (QoL) in dialysis patients. METHODS: A total of 46 patients who had been treated with dialysis in the Dialysis Center of Ege University Medical Faculty Hospital were recruited. Data were collected by means of a questionnaire. Patients' Recognition Form (PRF), State and Trait Anxiety Inventory (STAI), and QoL-index for dialysis patients (QoLI-dialysis) were used to collect the necessary data. All three forms were utilised prior to PMRT and 6 weeks after completion of PMRT. RESULTS: The mean state-anxiety score before and after PMRT was found as 43.4 +/- 4.3 and 28.9 +/- 2.8, respectively (P<0.001). Similarly, the mean trait-anxiety scores before and after PMRT were found as 43.6 +/- 9.5 and 31.1 +/- 6.5, respectively (P<0.001). When the QoLI-dialysis score was examined it was 28.7 +/- 3.2 before PMRT and 29.6 +/- 2.3 after PMRT (P<0.01). CONCLUSION: The results of the study demonstrate that PMRT for dialysis patients helps decrease state- and trait-anxiety levels and has a positive impact on QoL.

Activities of Daily Living↗