Effect of Progressive Muscle Relaxation Techniques on Physiological Parameters, Psychological Factors and Sleep Quality among Pregnant Women with Preeclampsia

Ola Abdel-Wahab Afifi Araby Ali, Fatma Kamal Ali, Amira Mohamed Salama, Fatma Mansour Abdel Azeem Barakat
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Abstract

Preeclampsia is a progressive disorder affecting multiple systems, which is distinguished by the sudden appearance of high blood pressure and protein in the urine or other significant end-organ dysfunction. Progressive muscle relaxation techniques is a useful technique to minimize stress, anxiety and blood pressure among pregnant women with preeclampsia. The aim of this research was to evaluate the effect of progressive muscle relaxation techniques on physiological parameters, psychological factors and sleep quality among pregnant women with preeclampsia. Design : A quasi experimental design (Two-Groups, Pre-test / Post-test). Setting: The research was conducted at obstetrics & gynecological outpatient clinic in Benha university hospital. Sample : A purposive sample of 60 pregnant women with mild preeclampsia. Data collection tools: Five tools were used: A structured interviewing questionnaire, Self-rating anxiety scale, Cohen perceived stress scale and Pittsburgh sleep quality index. Results: The total score of knowledge and sleep quality in the study group showed significant improvement post-intervention and two weeks post-intervention compared to pre intervention while in the control group, there was minimal improvement. Also, the physiological parameters, total level of anxiety and total level of stress were significantly decreased in the study group post-intervention and two weeks post-intervention compared to control group. Conclusion : The progressive muscle relaxation technique was effective and have a significant improvement of knowledge, physiological parameters and psychological factors and sleep quality among women with mild pregnancy induced hypertension. Recommendation: Pregnant women with hypertension should be provided with relaxation techniques in antenatal care to improve knowledge, physiological parameters and reduce blood pressure and stress level.
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渐进式肌肉放松技术对子痫前期孕妇生理参数、心理因素和睡眠质量的影响
子痫前期是一种影响多个系统的进行性疾病,以突然出现高血压、尿蛋白或其他明显的内脏器官功能障碍为特征。渐进式肌肉放松技术是一种有效的技术,可最大限度地减轻子痫前期孕妇的压力、焦虑和血压。本研究旨在评估渐进式肌肉放松技术对子痫前期孕妇的生理参数、心理因素和睡眠质量的影响。设计 :准实验设计(两组,前测/后测)。研究地点研究在本哈大学医院妇产科门诊进行。样本:对 60 名患有轻度子痫前期的孕妇进行有目的的抽样调查。数据收集工具:使用了五种工具:结构化访谈问卷、焦虑自评量表、科恩感知压力量表和匹兹堡睡眠质量指数。结果研究组的知识总分和睡眠质量在干预后和干预后两周与干预前相比有显著改善,而对照组改善甚微。此外,与对照组相比,研究组在干预后和干预后两周的生理参数、总焦虑水平和总压力水平都有明显下降。结论:渐进式肌肉放松技术对轻度妊娠高血压妇女的知识、生理参数、心理因素和睡眠质量都有明显改善。建议:应在产前护理中为患有高血压的孕妇提供放松技巧,以提高她们的知识水平和生理参数,降低血压和压力水平。
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