Citation Information :
K R, Agnibhoj P, Dangi M. Effect of Jacobson Progressive Muscle Relaxation Technique on Quality of Sleep among Hospitalized COPD Patients. Indian Sleep Med 2024; 19 (4):55-61.
Background: Chronic obstructive pulmonary disease (COPD) is defined as chronic respiratory inflammatory disease caused by smoking, an air pollutant that causes obstructed airflow from the lungs and is characterized by chronic cough with sputum, breathing difficulty. Sleep deprivation has profound effects on an individual's functioning abilities, whether they are in good or ill health. This study aims to examine the impact of Jacobson progressive muscle relaxation technique (JPMRT) on the sleep quality of hospitalized patients.
Materials and methods: This study's quasi-experimental pre-test-post-test control group design was used and included 30 COPD patients who met the research criteria in the experimental and another 30 patients in the control group. Pre-test was conducted on the first day with the demographical tools and Pittsburgh Sleep Quality Index (PSQI) questionnaire and same day JPMRT was initiated, used twice a day for a total of 25 minutes for 5 days. For the control group, usual routine care of the hospital was provided. After 5 days post-test was conducted for both the groups.
Results: It was found that JPMRT improved the quality of sleep in experimental group compared with control group.
Conclusion: In this study, it was found that JPMRT is effective in the improvement of sleep quality of COPD patient. Improving the health of hospitalized patients can be done with routine care of nursing and hospital procedures without incurring any financial costs.
Singh D, Agusti A, Anzueto A, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease: the GOLD science committee report 2019. Eur Respir J 2019; 53(5):1900164. DOI: 10.1183/13993003.00164-2019.
Czarnecka-Chrebelska KH, Mukherjee D, Maryanchik SV, et al. Biological and genetic mechanisms of copd, its diagnosis, treatment, and relationship with lung cancer. Biomedicines 2023;11(2):448. DOI: 10.3390/biomedicines11020448.
Toussaint L, Nguyen QA, Roettger C, et al. Effectiveness of progressive muscle relaxation, deep breathing, and guided imagery in promoting psychological and physiological states of relaxation. Evid Based Complement Alternat Med 2021;2021:5924040. DOI: 10.1155/2021/5924040.
Smith CA, Levett KM, Collins CT, et al. Relaxation techniques for pain management in labour. Cochrane Database Syst Rev 2018;3(3):CD009514. DOI: 10.1002/14651858.CD009514.pub2.
Akgün Şahin Z, Dayapoğlu N. Effect of progressive relaxation exercises on fatigue and sleep quality in patients with chronic obstructive lung disease (COPD). Complement Ther Clin Pract 2015;21(4):277–281. DOI: 10.1016/j.ctcp.2015.10.002.
Toussaint L, Nguyen QA, Roettger C, et al. Effectiveness of progressive muscle relaxation, deep breathing, and guided imagery in promoting psychological and physiological states of relaxation. Evid Based Complement Alternat Med 2021;2021:5924040. DOI: 10.1155/2021/5924040.
Adler NE, Ostrove JM. Socioeconomic status and health: What we know and what we don't. Ann NY Acad Sci 1999;896(1):3–15. DOI: 10.1111/j.1749-6632.1999.tb08101.x.
Van Cauter EVE, Spiegel K. Sleep as a mediator of the relationship between socioeconomic status and health: A hypothesis. Ann NY Acad Sci 1999;896(1):254–261. DOI: 10.1111/j.1749-6632.1999.tb08120.x.
Van Cauter E, Spiegel K. Sleep as a mediator of the relationship between socioeconomic status and health: A hypothesis. Ann NY Acad Sci 1999;896:254–261. DOI: 10.1111/j.1749-6632.1999.tb08120.x.
Buysse DJ. Sleep health: Can we define it? Does it matter? Sleep 2014;37(1):9–17. DOI: 10.5665/sleep.3298.
Soler X, Gaio E, Powell FL, et al. High prevalence of obstructive sleep apnea in patients with moderate to severe chronic obstructive pulmonary disease. Ann Am Thorac Soc 2015;12(8):1219–1225. DOI: 10.1513/AnnalsATS.201407-336OC.
Crisafulli E, Costi S, Luppi F, et al. Role of comorbidities in a cohort of patients with COPD undergoing pulmonary rehabilitation. Thorax 2008;63(6):487–492. DOI: 10.1136/thx.2007.086371.
Agusti A, Hedner J, Marin JM, et al. Night-time symptoms: A forgotten dimension of COPD. Eur Respir Rev 2011;20(121):183–194. DOI: 10.1183/09059180.00004311.
Budhiraja R, Siddiqi TA, Quan SF. Sleep disorders in chronic obstructive pulmonary disease: Etiology, impact, and management. J Clin Sleep Med 201;11(3):259–270. DOI: 10.5664/jcsm.4540.
Khakha NDC, Satapathy S, Dey A. “Impact of jacobson progressive muscle relaxation (jpmr) and deep breathing exercises on anxiety, psychological distress and quality of sleep of hospitalized older adults.” Journal of psychosocial research 2015;10:211.
Maryam S, Saatchi TT, Zayeri K, et al. The effect of progressive muscle relaxation on sleep quality of patients undergoing hemodialysis IJCCN. 2013;5:23–28.
Kılıç N, Parlar Kılıç S. The effect of progressive muscle relaxation on sleep quality and fatigue in patients with rheumatoid arthritis: A randomized controlled trial. Int J Nurs Pract 2023;29(3):e13015. DOI: 10.1111/ijn.13015.
Irwin MR, Cole JC, Nicassio PM. Comparative meta-analysis of behavioral interventions for insomnia and their efficacy in middle-aged adults and in older adults 55+ years of age. Health Psychol 2006;25(1):3–14. DOI: 10.1037/0278-6133.25.1.3.
Nair GJ, Dennis S, Dharmarajan B. A study to determine the effectiveness of therapeutic back massage on quality of sleep among elderly in selected old age homes at Mangalore. Int J Nurs Education 2014;6(1):132. DOI: 10.5958/j.0974-9357.6.1.027.