The Effects of Progressive Muscle Relaxation on Preoperative Anxiety and Blood Pressure in Patient with Aneurysm

  • Dilek Uysal 1Istanbul Prof. DMazhar Osman Psychiatry Training and Research Hospital, Neurosurgery Clinic, Turkey
  • Özge SUKUT Istanbul University-Cerrahpaşa, Florence Nightingale Nursing Faculty
  • Bülent Timur Demirgil Mental Health and Psychiatry Nursing Department, Florence Nightingale Nursing Faculty, Istanbul University-Cerrahpaşa, Turkey
Keywords: aneurysm, anxiety, blood pressure, progressive relaxation

Abstract

This study, conducted on diagnosed aneurysm patients, in order to test the effects of progressive muscle relaxation on blood pressure and anxiety levels in the preoperative period, was carried out in a quasi-experimental study with a pre-test and post-test application. The data of this study were collected between January 2022-September 2022 at the neurosurgery clinic on 38 patients (twenty women and eighteen men) who’ve been diagnosed with cerebral aneurysm, awaiting a surgical operation, and have other criteria to be taken into the study. Pre- and post-exercise vital signs and anxiety levels of patients receiving progressive muscle relaxation exercises for twenty minutes in the preoperative period were measured with the Visual Analogue Scale (VAS) and Beck Anxiety Inventory (BAI). Frequency analysis for descriptive statistics, and t-test analysis for blood pressure, pulse, respiration, BAI, and VAS scores in a single group were utilized. Progressive muscle relaxation exercises in the preoperative period for neurosurgery patients diagnosed with aneurysm have statistically significant effects in reducing the patients’ anxiety and blood pressure (p<0.001). It is recommended that progressive muscle relaxation exercises be used in the clinic during the preoperative period. A clinically important finding is the positive effect of progressive muscle relaxation exercises on patients' vital signs and anxiety.

Author Biographies

Özge SUKUT, Istanbul University-Cerrahpaşa, Florence Nightingale Nursing Faculty

Istanbul University-Cerrahpaşa, Florence Nightingale Nursing Faculty, Mental Health and Psychiatry Nursing Department, PhD, Assist. Prof. 

Bülent Timur Demirgil, Mental Health and Psychiatry Nursing Department, Florence Nightingale Nursing Faculty, Istanbul University-Cerrahpaşa, Turkey

Istanbul Prof. Dr. Mazhar Osman Psychiatry Training and Research Hospital, Neurosurgery Clinic, MD

References

Abate, S.M., Chekol, A.Y.& Basu, B. (2020). Global Prevalence and Determinants of Preoperative Anxiety among Surgical Patients: A Systematic Review and Meta-Analysis. International Journal of Surgery Open, 25, 6-16.

Abdillah, A., Noor Istiqomah, I., Kurnianto, S., & Khovifah, N. (2022). The Effectiveness of Range of Motion (ROM) on Increasing Muscle Strength in Stroke Patients: Literature Review. Nursing and Health Sciences Journal (NHSJ), 27(2), 137-142.

Abidin, Z., Yunita, R., & Rachmad, S. A. T. (2022). The Relationship between Anxiety Levels and Pain Degrees in Postoperative Caesarean Patients at Pasirian Hospital. Nursing and Health Sciences Journal (NHSJ), 2(2),159–166. doi: 10.53713/nhs.v2i2.125

Alçı, D., Aydın, O., & Aydemir, Ö. (2019). Reliability and Validity of Turkish Version of DSM-5 Generalized Anxiety Disorder Scale. Klinik Psikiyatri Dergisi, 22(4), 389–395. doi: 10.5505/KPD.2019.97759.

Arı, M., & Yılmaz, E. (2016). Impact of Preoperative Anxiety on Postoperative Constipation. Turkish Journal of Colorectal Disease, 26(2), 39–46. doi: 10.4274/tjcd.72677.

Aristiani, I. D., & Susanti, I. H. (2022). Management of Preoperative Anxiety Patients with Progressive Muscle Relaxation Therapy Interventions. Genius Journal, 3(1), 113-118.

Astuti, N. F., Rekawati, E., & Wati, D. N. K. (2019). Decreased blood pressure among community dwelling older adults following progressive muscle relaxation and music therapy (RESIK). BMC nursing, 18(1), 1-5.

Astuti, N. L. S., Wisnawa, I. N. D., & Astawa, I. G. S. (2022). The Impact of Effleurage Technique Massage on Blood Pressure toward Elderly Hypertension in Peguyangan Village. Nursing and Health Sciences Journal (NHSJ), 2(3), 280–284. doi: 10.53713/nhs.v2i3.155.

Çiftçi, E., & Çakır, Ö. (2018). Kanamamış İntrakranial Anevrizmalarda Endovasküler Tedavi.Türk Radyoloji Seminerleri, 6(1), 27–44. doi: 10.5152/trs.2018.578.

Clarke, M. (2008). Systematic review of reviews of risk factors for intracranial aneurysms. Neuroradiology, 50(8), 653-664.

Cline, M. E., Herman, J., Shaw, E. R., & Morton, R. D. (1992). Standardization of the visual analogue scale. Nursing research, 41(6), 378-380. doi: 10.1097/00006199-199211000-00013.

Cohen, J. (1992). Quantitative methods in psychology: A power primer. Psychol. Bull., 112, 1155-1159.

Dinç, H. (2018). Kanamış İntrakranial Anevrizmaların ve Anevrizmal Subaraknoid Kanamanın Güncel Medikal ve Endovasküler Tedavisi. Türk Radyoloji Seminerleri, 6, 45-48. doi: 10.5152/trs.2018.581.

Erdem, T. (2005). Subaraknoid kanama yönetimi. Yoğun Bakım Derneği Dergisi, 3(1), 65-74.

Ertuğ, N., Ulusoylu, Ö., Bal, A., & Özgür, H. (2017). Comparison of the effectiveness of two different interventions to reduce preoperative anxiety: A randomized controlled study. Nursing & Health Sciences, 19(2), 250-256. doi: 10.1111/nhs.12339.

Evliyaoğlu, Ç. (2012) Pathophysiology and genetics of intracranial aneurysms. Türk Nöroşirürji Dergis, 22(3), 189-196.

Harorani, M., Davodabady, F., Masmouei, B., & Barati, N. (2020). The effect of progressive muscle relaxation on anxiety and sleep quality in burn patients: A randomized clinical trial. Burns, 46(5), 1107-1113. doi: 10.1016/j.burns.2019.11.021.

İbrahimoğlu, Ö., & Kanan, N. (2017). The effect of progressive muscle relaxation exercises after endotracheal extubation on vital signs and anxiety level in open heart surgery patients. Türk Yogun Bakim Dergisi, 15(3), 98-106. doi: 10.4274/tybd.04696.

Jlala, H. A., French, J. L., Foxall, G. L., Hardman, J. G., & Bedforth, N. M. (2010). Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesia. British Journal of Anaesthesia, 104(3), 369-374. doi.org/10.1093/bja/aeq002

Kaminogo, M., Yonekura, M., & Shibata, S. (2003). Incidence and outcome of multiple intracranial aneurysms in a defined population. Stroke, 34(1), 16-21. doi.org/10.1161/01.STR.0000046763.48330.AD

Kaya, H., Acaroğlu, R., Şendir, M., Güldaş, S. (2007). ‘The effect of optimism at the preoperative anxiety and coping of neurosurgery patients. İÜFN Hemşirelik Dergisi, 15(59), 75-81.

Kim, H. S., & Kim, E. J. (2018). Effects of relaxation therapy on anxiety disorders: a systematic review and meta-analysis. Archives of Psychiatric Nursing, 32(2), 278-284. doi: 10.1016/j.apnu.2017.11.015.

Klainin-Yobas, P., Oo, W. N., Suzanne Yew, P. Y., & Lau, Y. (2015). Effects of relaxation interventions on depression and anxiety among older adults: a systematic review. Aging & Mental Health, 19(12), 1043-1055.doi: 10.1080/13607863.2014.997191.

Ko, Y. L., & Lin, P. C. (2012). The effect of using a relaxation tape on pulse, respiration, blood pressure and anxiety levels of surgical patients. Journal of Clinical Nursing, 21(5‐6), 689-697. doi: 10.1111/j.1365-2702.2011.03818.x.

Kusnanto, K. (2019). The comparison of progressive muscle relaxation frequency on anxiety, blood pressure, and pulse of haemodialysis patients. Jurnal Ners, 14(1), 69–74. doi: 10.20473/jn.v14i1.15700.

Liu, K., Chen, Y., Wu, D., Lin, R., Wang, Z., & Pan, L. (2020). Effects of progressive muscle relaxation on anxiety and sleep quality in patients with COVID-19. Complementary Therapies in Clinical Practice, 39, 101132.doi: 10.1016/j.ctcp.2020.101132.

Loh, E. W., Shih, H. F., Lin, C. K., & Huang, T. W. (2022). Effect of progressive muscle relaxation on postoperative pain, fatigue, and vital signs in patients with head and neck cancers: A randomized controlled trial. Patient Education and Counseling, 105(7), 2151-2157.doi: 10.1016/j.pec.2021.10.034.

Manoppo, A. J., & Anderson, E. (2019). Effect of Progressive Muscle Relaxation and Slow Deep Breathing on Blood Pressure and Heart Rate on Hypertensive Clients. KnE Life Sciences, 497-509. doi: 10.18502/kls.v4i13.5281.

Manzoni, G. M., Pagnini, F., Castelnuovo, G., & Molinari, E. (2008). Relaxation training for anxiety: a ten-years systematic review with meta-analysis. BMC Psychiatry, 8(1), 1-12. doi: 10.1186/1471-244X-8-41.

Özdemir, M., Belet, Ü. (2020). Evaluation of Short and Mid-term Outcomes of Endovascular Treatment Methods Used in Intracranial Aneuryms Inappropriate for or Unsuccessfully Treated by Primary Coil Embolization. Journal of Anatolian Medical Research, 5(3), 13-18.

Peker, K. (2020). “Comparison of Beck and State-Trait Anxiety Scales in the Evaluation of Preoperative Anxiety.” Journal of Anesthesiology and Reanimation Specialists’ Society, 28(2), 109-105. doi: 10.5222/jarss.2020.50570.

Rosdiana, I., & Cahyati, Y. (2019). Effect of progressive muscle relaxation (PMR) on blood pressure among patients with hypertension. International Journal of Advancement in Life Sciences Research, 28-35. doi: 10.31632/ijalsr.2019v02i01.005.

Roshan, P. S. B., & andNiranjan Meenar, S. S. (2021). Effectiveness of diaphragmatic breathing exercise and Jacobson’s progressive muscle relaxation on cardiopulmonary parameters in pre-hypertensive patients. International Journal of Physical Education, Sports and Health, 8(6), 01–05. doi: 10.22271/kheljournal.2021.v8.i6a.2269.

Tanna, D., Bose, N., & Patel, T. (2022). Effect of relaxation therapy on pre-induction blood pressure and anxiety in hypertensive patients: A randomized controlled study. Bali Journal of Anesthesiology, 6(1), 54-54. doi: 10.4103/bjoa.bjoa_134_21.

Turkish Psychologıcal Association Publications. (2002). Relaxation Exercises CD, Ankara, Turkey.

Uğraş, G. A., Yıldırım, G., Yüksel, S., Öztürkçü, Y., Kuzdere, M., & Öztekin, S. D. (2018). The effect of different types of music on patients' preoperative anxiety: A randomized controlled trial. Complementary therapies in clinical practice, 31, 158-163. doi: 10.1016/j.ctcp.2018.02.012.

Ulusoy, M., Sahin, N. H., & Erkmen, H. (1998). Turkish version of the Beck Anxiety Inventory: psychometric properties. Journal of cognitive psychotherapy, 12(2), 163-172.

Vogelsang, A. C., Forsberg, C., Svensson, M., & Wengström, Y. (2015). Patients experience high levels of anxiety 2 years following aneurysmal subarachnoid hemorrhage. World neurosurgery, 83(6), 1090-1097. doi: 10.1016/j.wneu.2014.12.027.

Vuralli, D. & Bolay H. (2018). Clinical Features of Subarachnoid Hemorrhage, Sentinel Headache and Differential Diagnosis. Türk Nöroşir Derg, 28(3), 380-385.

Younge, J. O., Gotink, R. A., Baena, C. P., Roos-Hesselink, J. W., & Hunink, M. M. (2015). Mind–body practices for patients with cardiac disease: a systematic review and meta-analysis. European journal of preventive cardiology, 22(11), 1385-1398. doi: 10.1177/2047487314549927.

Yüşün, T., Tunali, N, Çetinkaya, A, & Yavuzer, G. (2019). Farklı Alanlarda Görevli Fabrika Çalışanlarında Ağrı Şiddeti ve Kas Kuvvetinin Yaşam Kalitesine Etkisi. Haliç Üniversitesi Sağlık Bilimleri Dergisi, 2(1), 1-16.

Published
2023-12-01
How to Cite
1.
Uysal D, SUKUT Özge, Demirgil BT. The Effects of Progressive Muscle Relaxation on Preoperative Anxiety and Blood Pressure in Patient with Aneurysm. NHSJ [Internet]. 2023Dec.1 [cited 2024Nov.4];3(4):392-8. Available from: http://nhs-journal.com/index.php/nhs/article/view/274