The Effect of Progressive Muscle Relaxation on Sleep Quality of Patients Undergoing Hemodialysis
Journal of Critical Care Nursing : May 31, 2006, 5 (1); e7044
January 30, 2012
Article Type: Research Article
August 23, 2016
December 30, 2011
F, Amir Ali Akbari
T . The Effect of Progressive Muscle Relaxation on Sleep Quality of Patients Undergoing Hemodialysis,
Crit Care Nurs J.
Purposeof the Study: Sleep disorder is common among patients with renal disease in its last phase. Progressive muscle
relaxation is a method which has been designed to reduce tension and anxiety. The present study was carried out to
determine the effect of progressive muscle relaxation on sleep quality of patients undergoing hemodialysis.
Method: This is a quasi-experimental study with one-group, before and after design. Using purposive sampling
method, 42 patients were selected. These patients were being treated with maintenance hemodialysis in hospitals
affiliated with Shahid Beheshti University of Medical Sciences in 2010. Sleep quality of samples was assessed by
Pittsburgh Sleep Quality Index (PSQI). Progressive muscle relaxation was trained to patients in three sessions. They
were also asked to do relaxation practice for a month, twice a day (once during the day and once before going to bed at
night), and fill in the relaxation form after each practice. Afterwards, sleep quality of patients before and after relaxation
were compared. To analyze the statistical data, paired t-test and wilcoxon test were used.
Findings: Seven samples were excluded and finally the data gained from 35 samples were analyzed. The mean of
samples’ sleep quality total score after relaxation was significantly lower than before relaxation (P<0.001). The score of
each sleep quality dimension (except for use of sleep medications) were significantly lower than before relaxation.
Conclusion: According to the results of this study, progressive muscle relaxation has a favorable impact on sleep
quality in patients undergoing hemodialysis and can be applied and trained as a useful method to improve sleep quality
of patients in hemodialysis wards.
Progressive muscle relaxation, Patients undergoing hemodialysis, Sleep quality
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