Effect of progressive muscle relaxation on postoperative pain,fatigue, and vital signs in patients with head and neck cancers: A randomized controlled trial |
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| Institution: | 1. Center for Evidence-Based Health Care, Shared Decision Making Resource Center, Department of Medical Research, Taipei Medical University Shuang Ho Hospital, Zhonghe District, New Taipei City, Taiwan;2. Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan;3. Cochrane Taiwan, Taipei Medical University, Taipei, Taiwan;4. Department of Nursing, China Medical University Hospital, Taichung, Taiwan;5. Cell therapy Center, China Medical University Hospital, Taichung, Taiwan;6. School of Dental Technology, Taipei Medical University, Taipei, Taiwan;7. School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan;8. Center for Nursing and Healthcare Research in Clinical Practice Application, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan;1. University of Kansas School of Medicine, Department of Population Health, Kansas City, KS USA;2. University of Kansas School of Nursing, Kansas City, KS USA;1. Maastricht University, Department of Family Medicine, Care and Public Health Research Institute, Faculty of Health, Medicine and Life Sciences, Maastricht, The Netherlands;2. Maastricht University, Department of Educational Development and Research, School of Health Professions Education, Faculty of Health, Medicine and Life Sciences, Maastricht, The Netherlands;3. RCSI University of Medicine and Health Sciences, Health Professions Education Centre, Dublin, Ireland;1. Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Institute of Public Health, Charité – Universitätsmedizin Berlin, Berlin, Germany;2. University of Education Freiburg, Department of Public Health and Health Education, Germany;3. Beuth University of Applied Sciences, Berlin, Germany;4. Institute of Social Medicine and Epidemiology, Brandenburg Medical School Theodor Fontane, Brandenburg an der Havel, Germany;1. Department of Radiation Oncology, University Hospitals Leuven, Leuven, Belgium;2. Department of Palliative Care, University Hospitals Leuven, Belgium;3. LUCAS KU Leuven Centre for Care Research & Consultancy, Leuven, Belgium;4. Department of General Medical Oncology, University Hospitals Leuven, Leuven, Belgium;5. Department of Oncology, KU Leuven, Leuven, Belgium;1. University of Newcastle, Department of Rural Health, Tamworth, NSW 2340, Australia;2. Hunter New England Local Health District, Tamworth, NSW 2340, Australia;3. Rheumatology Practice, Tamworth, NSW 2340, Australia;1. Department of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA;2. Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA;3. School of Global Public Health, New York University, New York, NY, USA;4. Department of Medicine, University of California – San Diego, San Diego, CA, USA;5. Bernard Becker Medical Library, Washington University School of Medicine, St. Louis, MO, USA;6. Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, USA |
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| Abstract: | ObjectiveSurgery for head and neck cancers are associated with significant preoperative stress. We investigated the effects of progressive muscle relaxation (PMR) on postoperative pain, fatigue, and vital signs in patients with head and neck cancers.MethodsAll patients were hospitalized and randomly assigned to intervention or usual care groups. A generalized estimating equation was used to evaluate the PMR effects on pain and symptoms across the preoperative day to postoperative day 10.ResultsThe PMR group displayed significantly lower overall pain and muscle tightness than control group along with the timeline of multiple measurements (p < 0.01). PMR significantly reduces sleep disturbances and levels of fatigue, anxiety, and depression compared with the control group with time trend (p < 0.01). PMR also lowered the respiratory rates and diastolic blood pressure (p < 0.01).ConclusionsPMR can reduce sleep disturbances and levels of pain, fatigue, muscle tightness, anxiety, and depression in patients with head and neck cancer undergoing major surgeries. Future study should focus on improving the effectiveness of the exercise and standardization of the application.Practical implicationsprogressive muscle relaxation help relieve discomforts in patients with head and neck cancers with minimal costs and efforts. |
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| Keywords: | Head and neck cancer Progressive muscle relaxation Surgery Pain Fatigue Depression |
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