Effects of progressive muscle relaxation training on negative emotions and sleep quality in COVID-19 patients: A clinical observational study

Chun-Xiu Xiao, Yan-Juan Lin, Ren-Qin Lin, An-Na Liu, Gui-Qin Zhong, Cai-Feng Lan, Chun-Xiu Xiao, Yan-Juan Lin, Ren-Qin Lin, An-Na Liu, Gui-Qin Zhong, Cai-Feng Lan

Abstract

This study investigates the effect of progressive muscle relaxation training on negative mood and sleep quality in Coronavirus Pneumonia (COVID-19) patients.COVID-19 is an emerging infectious disease, and there is still uncertainty about when the outbreak will be contained and the effectiveness of treatments. Considering that this disease is highly contagious, patients need to be treated in isolation. This may lead to psychological symptoms such as anxiety and depression, and even sleep problems.This study is a clinical observation study.Participants included 79 COVID-19 patients admitted to a designated hospital for COVID-19 patients in Wuhan from February to March, 2020. Patients were selected and assigned to the control group and the observation group according to their wishes, with 40 and 39 cases in each group, respectively. The control group received routine treatment and nursing, and the observation group received progressive muscle relaxation training, in addition to the routine treatment and nursing. We compared scores of the Pittsburgh Sleep Quality Index Scale (PSQI), the Generalized Anxiety Disorder (GAD-7), and the Patient Health Questionnaire (PHQ-9) before and after the intervention.There was no significant difference in PSQI, GAD-7, and PHQ-9 scores between the control group and the observation group before the intervention (P > .05). After the intervention, the difference in scores of PSQI, GAD-7, and PHQ-9 in the 2 groups were statistically significant (P < .05).Progressive muscle relaxation training can significantly reduce anxiety and depression and improve sleep quality in COVID-19 patients during isolation treatment.Progressive muscle relaxation training was shown to improve the treatment effect of patients and is worthy of clinical promotion.

Conflict of interest statement

The authors have no conflicts of interest to disclose.

References

    1. Hui DS, I Azhar E, Madani TA, et al. The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health-the latest 2019 novel coronavirus outbreak in Wuhan, China. Int J Infect Dis 2020;91:264–6.
    1. Li Q, Guan X, Wu P, et al. Early transmission dynamics in Wuhan, China, of Novel Coronavirus Infected Pneumonia [J]. N Engl J Med 2020;382:1199–207.
    1. Acosta MT. Sleep, memory and learning. Medicina (B Aires) 2019;79: Suppl 3: 29–32.
    1. Kai L, Ying C, Duozhi W, et al. Effects of progressive muscle relaxation on anxiety and sleep quality in patients with COVID-19. Randomized Controlled Trial 2020;39:101132.
    1. Meyer B, Keller A, Müller B, et al. Progressive muscle relaxation according to Jacobson for migraine prophylaxis: Clinical effectiveness and mode of action. Schmerz 2018;32:250–8.
    1. Liao J, Wu Y, Zhao Y, et al. Progressive muscle relaxation combined with Chinese medicine five-element music on depression for cancer patients: a randomized controlled trial. Chin J Integr Med 2018;24:343–7.
    1. Noruzi Zamenjani M, Masmouei B, Harorani M, et al. The effect of progressive muscle relaxation on cancer patients’ self-efficacy. Complement Ther Clin Pract 2019;34:70–5.
    1. Aksu NT, Erdogan A, Ozgur N. Effects of progressive muscle relaxation training on sleep and quality of life in patients with pulmonary resection. Sleep Breath 2018;22:695–702.
    1. Seyedi Chegeni P, Gholami M, Azargoon A, et al. The effect of progressive muscle relaxation on the management of fatigue and quality of sleep in patients with chronic obstructive pulmonary disease: a randomized controlled clinical trial. Complement Ther Clin Pract 2018;31:64–70.
    1. General Office of the National Health Commission, Office of the National Administration of Traditional Chinese Medicine. Prevention and control of the novel coronavirus pneumonia (6th edition) [Z]. 2020-03-07.
    1. General Office of The National Health Commission, Office of the National Administration of Traditional Chinese Medicine. Prevention and control of the novel coronavirus pneumonia (Trial edition 7th) [Z]. 2020-03-07.
    1. Buysse DJ, Reynolds CF, Monk TH, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989;28:193–213.
    1. Carpenter JS, Andrykowski MA. Psychometric evaluation of the Pittsburgh Sleep Quality Index. J Psychosomatic Res 1998;45:5–13.
    1. Spitzer RL, Kroenke K, Williams JB, et al. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 2006;166:1092–7.
    1. Kroenke K, Spitzer RL, Williams JB. The PHQ-9 validity of a brief depression severity measure. J Gen Intern Med 2001;16:606–13.
    1. Maunder R, Hunter J, Vincent L, et al. The immediate psychological and occupational impact 0f the 2003 SARS outbreak in a teaching hospital. Can Med Assoc J 2003;10:1245–51.
    1. Cheng SK, Tsang JS, Ku KH, et al. Psychiatric complications in patients with severe acute respiratory syndrome (SARS) during the acute treatment phase: a series of 10 cases. Br J Psychiatry 2004;184:359–60.
    1. Nan KJ, Wei YC, Zhou FL, et al. Effects of depression on parameters of cell-mediated immunity in patients with digestive tract cancers. World J Gastroenterology 2004;10:268–72.
    1. Gao CY, Gan JL, Duan HF, et al. Effects of cognitive emotion regulation strategies on susceptibility to stress insomnia. J Int Psychiatry 2016;43:83–6.
    1. Li MF, Ji HJ, Liang HJ. Effects of progressive muscle relaxation training on sleep in patients without convulsion. Chin Gen Pract Nurs 2018;16:1607–9.
    1. Park ES, Yim HW, Lee KS. Progressive muscle relaxation therapy to relievedental anxiety: a randomized controlled trial. Eur J Oral Sci 2019;127:45–51.
    1. De Paolis G, Naccarato A, Cibelli F, et al. The effectiveness of progressive muscle relaxation and interactive guided imagery as a pain-reducing intervention in advanced cancer patients: a multicentre randomised controlled non-pharmacological trial. Complement Ther Clin Pract 2019;34:280–7.
    1. Meyer B, Keller A, Wöller B, et al. Progressive muscle relaxation reduces migraine frequency and normalizes amplitudes of contingent negative variation (CNV). J Headache Pain 2016;17:37.

Source: PubMed

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