PDF(Pubmed)
Abstract：
The purpose of this research was to ascertain how progressive muscle relaxation (PMR) technique affected hip fracture patients\' anxiety, sleep quality, and post-operative pain. This parallel randomized controlled trial was conducted on 100 patients with hip fracture hospitalized in one of the reference orthopedic hospitals in Tehran, Iran who were selected using convenience sampling and randomly were placed in two PMR group (n = 50) and control group (n = 50). Data were collected by Demographic information questionnaire, Visual analogue scale for pain rating, Pittsburgh Sleep Quality Index and State-Trait Anxiety Inventory. The PMR technique was the progressive muscle relaxation technique, which was started the night after the surgery for three nights before going to bed. Data were collected on two occasions, including before the PMR technique and the day after the last stage of the PMR technique. The data were analyzed by SPSS software using descriptive and inferential statistics. The results revealed significant within-group changes in both groups\' post-operative pain, sleep quality, and anxiety scores (P < 0.001). The progressive muscle relaxation group experienced decreased post-operative pain and anxiety scores and increased sleep quality scores (P < 0.001). The linear mixed model showed that the absolute changes in the follow-up post-operative pain, sleep quality, and anxiety scores were 1.19 and 7.94 units, significantly lower than the baseline, respectively. The results revealed significant within-group changes in both groups\' post-operative pain, sleep quality, and anxiety scores (P < 0.001). The progressive muscle relaxation group experienced decreased post-operative pain and anxiety scores and increased sleep quality scores (P < 0.001). The study\'s findings demonstrated the beneficial effects of progressive muscle relaxation on hip fracture patients\' outcomes, such as their level of anxiety, sleep quality, and post-operative pain. The study\'s findings can be applied by medical professionals to improve patient satisfaction and care quality.This clinical trial has been registered with the Iranian Registry of Clinical Trials under the code IRCT20231120060119N1, which was approved on 7/12/2023.
摘要：
这项研究的目的是确定渐进性肌肉松弛（PMR）技术如何影响髋部骨折患者的焦虑，睡眠质量,和术后疼痛。这项平行随机对照试验是对德黑兰一家参考骨科医院住院的100例髋部骨折患者进行的，使用便利抽样选择的伊朗随机分为两个PMR组（n=50）和对照组（n=50）。通过人口统计信息问卷收集数据，疼痛评分的视觉模拟评分，匹兹堡睡眠质量指数和状态特质焦虑量表。PMR技术是渐进性肌肉松弛技术，手术后的晚上开始睡觉前的三个晚上。两次收集数据，包括PMR技术之前和PMR技术最后阶段的第二天。采用SPSS软件对数据进行描述性和推断性统计分析。结果显示两组术后疼痛的组内变化显著，睡眠质量,焦虑评分(P<0.001)。进行性肌肉松弛组术后疼痛和焦虑评分降低，睡眠质量评分升高（P<0.001）。线性混合模型显示术后随访疼痛的绝对变化,睡眠质量,焦虑评分分别为1.19和7.94个单位，显著低于基线，分别。结果显示两组术后疼痛的组内变化显著，睡眠质量,焦虑评分(P<0.001)。进行性肌肉松弛组术后疼痛和焦虑评分降低，睡眠质量评分升高（P<0.001）。这项研究的发现证明了渐进性肌肉松弛对髋部骨折患者预后的有益作用。比如他们的焦虑程度，睡眠质量,和术后疼痛。这项研究的结果可以应用于医疗专业人员，以提高患者满意度和护理质量。该临床试验已在伊朗临床试验注册中心注册，代码为IRCT20231120060119N1，并于2023年7月12日获得批准。
