Effects of progressive muscle relaxation on anxiety and sleep quality in patients with COVID-19
Identifieur interne : 001301 ( Ncbi/Merge ); précédent : 001300; suivant : 001302Effects of progressive muscle relaxation on anxiety and sleep quality in patients with COVID-19
Auteurs : Kai Liu [République populaire de Chine] ; Ying Chen [République populaire de Chine] ; Duozhi Wu [République populaire de Chine] ; Ruzheng Lin [République populaire de Chine] ; Zaisheng Wang [République populaire de Chine] ; Liqing Pan [République populaire de Chine]Source :
- Complementary Therapies in Clinical Practice [ 1744-3881 ] ; 2020.
Abstract
Patients with Coronavirus Disease 2019(COVID-19) will experience high levels of anxiety and low sleep quality due to isolation treatment. Some sleep-improving drugs may inhibit the respiratory system and worsen the condition. Prolonged bedside instruction may increase the risk of medical infections.
To investigate the effect of progressive muscle relaxation on anxiety and sleep quality of COVID-19.
In this randomized controlled clinical trial, a total of 51 patients who entered the isolation ward were included in the study and randomly divided into experimental and control groups. The experimental group used progressive muscle relaxation (PMR) technology for 30 min per day for 5 consecutive days. During this period, the control group received only routine care and treatment. Before and after the intervention, the Spielberger State-Trait Anxiety Scale (STAI) and Sleep State Self-Rating Scale (SRSS) were used to measure and record patient anxiety and sleep quality. Finally, data analysis was performed using SPSS 25.0 software.
The average anxiety score (STAI) before intervention was not statistically significant (P = 0.730), and the average anxiety score after intervention was statistically significant (P < 0.001). The average sleep quality score (SRSS) of the two groups before intervention was not statistically significant (P = 0.838), and it was statistically significant after intervention (P < 0.001).
Progressive muscle relaxation as an auxiliary method can reduce anxiety and improve sleep quality in patients with COVID-19.
Url:
DOI: 10.1016/j.ctcp.2020.101132
PubMed: NONE
PubMed Central: 7102525
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<author><name sortKey="Liu, Kai" sort="Liu, Kai" uniqKey="Liu K" first="Kai" last="Liu">Kai Liu</name>
<affiliation wicri:level="1"><nlm:aff id="aff1">Department of Health Care Center, Hainan Hospital of Hainan Medical College (Hainan General Hospital), Haikou, China</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
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<author><name sortKey="Chen, Ying" sort="Chen, Ying" uniqKey="Chen Y" first="Ying" last="Chen">Ying Chen</name>
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<country xml:lang="fr">République populaire de Chine</country>
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<series><title level="j">Complementary Therapies in Clinical Practice</title>
<idno type="ISSN">1744-3881</idno>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Patients with Coronavirus Disease 2019(COVID-19) will experience high levels of anxiety and low sleep quality due to isolation treatment. Some sleep-improving drugs may inhibit the respiratory system and worsen the condition. Prolonged bedside instruction may increase the risk of medical infections.</p>
</sec>
<sec><title>Objective</title>
<p>To investigate the effect of progressive muscle relaxation on anxiety and sleep quality of COVID-19.</p>
</sec>
<sec><title>Methods</title>
<p>In this randomized controlled clinical trial, a total of 51 patients who entered the isolation ward were included in the study and randomly divided into experimental and control groups. The experimental group used progressive muscle relaxation (PMR) technology for 30 min per day for 5 consecutive days. During this period, the control group received only routine care and treatment. Before and after the intervention, the Spielberger State-Trait Anxiety Scale (STAI) and Sleep State Self-Rating Scale (SRSS) were used to measure and record patient anxiety and sleep quality. Finally, data analysis was performed using SPSS 25.0 software.</p>
</sec>
<sec><title>Results</title>
<p>The average anxiety score (STAI) before intervention was not statistically significant (P = 0.730), and the average anxiety score after intervention was statistically significant (P < 0.001). The average sleep quality score (SRSS) of the two groups before intervention was not statistically significant (P = 0.838), and it was statistically significant after intervention (P < 0.001).</p>
</sec>
<sec><title>Conclusion</title>
<p>Progressive muscle relaxation as an auxiliary method can reduce anxiety and improve sleep quality in patients with COVID-19.</p>
</sec>
</div>
</front>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Complement Ther Clin Pract</journal-id>
<journal-id journal-id-type="iso-abbrev">Complement Ther Clin Pract</journal-id>
<journal-title-group><journal-title>Complementary Therapies in Clinical Practice</journal-title>
</journal-title-group>
<issn pub-type="ppub">1744-3881</issn>
<issn pub-type="epub">1873-6947</issn>
<publisher><publisher-name>The Authors. Published by Elsevier Ltd.</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmc">7102525</article-id>
<article-id pub-id-type="publisher-id">S1744-3881(20)30278-4</article-id>
<article-id pub-id-type="doi">10.1016/j.ctcp.2020.101132</article-id>
<article-id pub-id-type="publisher-id">101132</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Effects of progressive muscle relaxation on anxiety and sleep quality in patients with COVID-19</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" id="au1"><name><surname>Liu</surname>
<given-names>Kai</given-names>
</name>
<email>hmliukai@163.com</email>
<email>hmliukai@126.com</email>
<xref rid="aff1" ref-type="aff">a</xref>
<xref rid="fn1" ref-type="fn">1</xref>
<xref rid="cor1" ref-type="corresp">∗</xref>
</contrib>
<contrib contrib-type="author" id="au2"><name><surname>Chen</surname>
<given-names>Ying</given-names>
</name>
<xref rid="aff2" ref-type="aff">b</xref>
<xref rid="fn1" ref-type="fn">1</xref>
</contrib>
<contrib contrib-type="author" id="au3"><name><surname>Wu</surname>
<given-names>Duozhi</given-names>
</name>
<xref rid="aff1" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author" id="au4"><name><surname>Lin</surname>
<given-names>Ruzheng</given-names>
</name>
<xref rid="aff3" ref-type="aff">c</xref>
</contrib>
<contrib contrib-type="author" id="au5"><name><surname>Wang</surname>
<given-names>Zaisheng</given-names>
</name>
<xref rid="aff3" ref-type="aff">c</xref>
</contrib>
<contrib contrib-type="author" id="au6"><name><surname>Pan</surname>
<given-names>Liqing</given-names>
</name>
<xref rid="aff3" ref-type="aff">c</xref>
</contrib>
</contrib-group>
<aff id="aff1"><label>a</label>
Department of Health Care Center, Hainan Hospital of Hainan Medical College (Hainan General Hospital), Haikou, China</aff>
<aff id="aff2"><label>b</label>
Department of Clinical Laboratory, Hainan Hospital of Hainan Medical College (Hainan General Hospital), Haikou, China</aff>
<aff id="aff3"><label>c</label>
Department of General Practice, Hainan Hospital of Hainan Medical College (Hainan General Hospital), Haikou, China</aff>
<author-notes><corresp id="cor1"><label>∗</label>
Corresponding author. <email>hmliukai@163.com</email>
<email>hmliukai@126.com</email>
</corresp>
<fn id="fn1"><label>1</label>
<p id="ntpara0010">Contributed equally.</p>
</fn>
</author-notes>
<pub-date pub-type="pmc-release"><day>6</day>
<month>3</month>
<year>2020</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>5</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub"><day>6</day>
<month>3</month>
<year>2020</year>
</pub-date>
<volume>39</volume>
<fpage>101132</fpage>
<lpage>101132</lpage>
<history><date date-type="received"><day>27</day>
<month>2</month>
<year>2020</year>
</date>
<date date-type="rev-recd"><day>29</day>
<month>2</month>
<year>2020</year>
</date>
<date date-type="accepted"><day>29</day>
<month>2</month>
<year>2020</year>
</date>
</history>
<permissions><copyright-statement>© 2020 The Authors</copyright-statement>
<copyright-year>2020</copyright-year>
<license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract id="abs0010"><sec><title>Background</title>
<p>Patients with Coronavirus Disease 2019(COVID-19) will experience high levels of anxiety and low sleep quality due to isolation treatment. Some sleep-improving drugs may inhibit the respiratory system and worsen the condition. Prolonged bedside instruction may increase the risk of medical infections.</p>
</sec>
<sec><title>Objective</title>
<p>To investigate the effect of progressive muscle relaxation on anxiety and sleep quality of COVID-19.</p>
</sec>
<sec><title>Methods</title>
<p>In this randomized controlled clinical trial, a total of 51 patients who entered the isolation ward were included in the study and randomly divided into experimental and control groups. The experimental group used progressive muscle relaxation (PMR) technology for 30 min per day for 5 consecutive days. During this period, the control group received only routine care and treatment. Before and after the intervention, the Spielberger State-Trait Anxiety Scale (STAI) and Sleep State Self-Rating Scale (SRSS) were used to measure and record patient anxiety and sleep quality. Finally, data analysis was performed using SPSS 25.0 software.</p>
</sec>
<sec><title>Results</title>
<p>The average anxiety score (STAI) before intervention was not statistically significant (P = 0.730), and the average anxiety score after intervention was statistically significant (P < 0.001). The average sleep quality score (SRSS) of the two groups before intervention was not statistically significant (P = 0.838), and it was statistically significant after intervention (P < 0.001).</p>
</sec>
<sec><title>Conclusion</title>
<p>Progressive muscle relaxation as an auxiliary method can reduce anxiety and improve sleep quality in patients with COVID-19.</p>
</sec>
</abstract>
<abstract abstract-type="author-highlights" id="abs0015"><title>Highlights</title>
<p><list list-type="simple" id="ulist0010"><list-item id="u0010"><label>•</label>
<p id="p0010">In patients with COVID-19, all confirmed patients need to be treated in isolation due to strong infectivity. According to clinical observation, anxiety and sleep disturbances increased significantly after isolation treatment. Some sleep-promoting drugs may have respiratory depression, and the new coronary virus mainly affects lung tissue, and the use of drugs may increase respiratory depression. Therefore, we use asymptotic muscle relaxation training to alleviate the anxiety and improve sleep quality of patients with COVID-19. This training can be performed remotely and multiple times after one training session, without directly facing the patient, reducing doctor-patient contact and reducing medical infection risk. Currently, COVID-19 has a large number of cases in South Korea, Japan, Iran, and Italy. I hope our clinical research will be helpful to our country's clinical treatment and the above countries.</p>
</list-item>
</list>
</p>
</abstract>
<kwd-group id="kwrds0010"><title>Keywords</title>
<kwd>Progressive muscle relaxation</kwd>
<kwd>COVID-19</kwd>
<kwd>Anxiety</kwd>
<kwd>Sleep quality</kwd>
</kwd-group>
</article-meta>
</front>
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<affiliations><list><country><li>République populaire de Chine</li>
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<tree><country name="République populaire de Chine"><noRegion><name sortKey="Liu, Kai" sort="Liu, Kai" uniqKey="Liu K" first="Kai" last="Liu">Kai Liu</name>
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<name sortKey="Chen, Ying" sort="Chen, Ying" uniqKey="Chen Y" first="Ying" last="Chen">Ying Chen</name>
<name sortKey="Lin, Ruzheng" sort="Lin, Ruzheng" uniqKey="Lin R" first="Ruzheng" last="Lin">Ruzheng Lin</name>
<name sortKey="Pan, Liqing" sort="Pan, Liqing" uniqKey="Pan L" first="Liqing" last="Pan">Liqing Pan</name>
<name sortKey="Wang, Zaisheng" sort="Wang, Zaisheng" uniqKey="Wang Z" first="Zaisheng" last="Wang">Zaisheng Wang</name>
<name sortKey="Wu, Duozhi" sort="Wu, Duozhi" uniqKey="Wu D" first="Duozhi" last="Wu">Duozhi Wu</name>
</country>
</tree>
</affiliations>
</record>
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