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

Dilek Uysal, Özge Sukut, Bülent Timur Demirgil
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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.
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渐进式肌肉放松对动脉瘤患者术前焦虑和血压的影响
本研究以诊断为动脉瘤的患者为研究对象,采用准实验研究方式,采用前测后测相结合的方法,测试渐进式肌肉放松对术前血压和焦虑水平的影响。本研究的数据是在2022年1月至2022年9月期间在神经外科诊所收集的38名患者(20名女性和18名男性),他们被诊断为脑动脉瘤,等待手术,并且有其他标准需要纳入研究。采用视觉模拟量表(Visual Analogue Scale, VAS)和贝克焦虑量表(Beck anxiety Inventory, BAI)测量术前20分钟渐进式肌肉放松运动患者运动前后生命体征和焦虑水平。描述性统计采用频率分析,单组血压、脉搏、呼吸、BAI、VAS评分采用t检验分析。对于诊断为动脉瘤的神经外科患者,术前进行渐进式肌肉放松训练对降低患者焦虑和血压有统计学意义(p<0.001)。建议在术前进行渐进式肌肉放松练习。一个重要的临床发现是渐进式肌肉放松练习对患者生命体征和焦虑的积极作用。
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