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Yıl:2022; Cilt: 9; Sayı: 3>> Özet
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Türk Uyku Tıbbı Dergisi; 2022;9(3):244-253
Müzik Terapisi ile Birlikte Yapılan Progresif Gevşeme Egzersizinin Postoperatif Uyku Kalitesi ve Ağrı Şiddeti Üzerine etkisi: Yarı Deneysel Bir Araştırma
P Duru, Ö Örsal, Y Şara, N Köşgeroğlu
Eskişehir Osmangazi University, Eskişehir
Amaç: Genel olarak uyku kalitesinin bozulması ağrıyı olumsuz etkilerken, hastalığa bağlı ağrı da uyku kalitesini olumsuz etkileyebilir. Bu çalışma, bir üniversite hastanesinin cerrahi kliniklerinde yatan hastalarda, müzik destekli progresif gevşeme egzersizlerinin (MaPRE) ameliyat sonrası uyku kalitesi ve ağrı yoğunluğuna etkisini değerlendirmek amacıyla yapılmıştır. Gereç ve Yöntem: Bu, ön ve son test ile randomize olmayan, tek kör, yarı deneysel kontrollü bir çalışmadır. Çalışmaya müdahale grubunda 31 cerrahi hasta ve kontrol grubunda 31 cerrahi hasta olmak üzere toplam 62 hasta dahil edilmiştir. Müdahale grubu ameliyattan sonraki hafta boyunca düzenli olarak günde 30 dakika MaPRE yapmıştır. Çalışmanın verileri ağrı şiddetini değerlendirmek için “görsel kıyaslama ağrı ölçeği” ve uyku kalitesini belirlemek için “görsel kıyaslama uyku ölçeği” yardımıyla toplanmıştır. Bulgular: MaPRE yapılması müdahale grubundaki hastaların uyku kalitesinde anlamlı bir artış ve ağrı şiddeti düzeyinde anlamlı bir azalma sağlamıştır. MaPRE uygulayan ve uygulamayan hastaların uyku kaliteleri arasında anlamlı bir fark bulunamamıştır. MaPRE uygulayan ve uygulamayan hastaların ağrı şiddeti düzeyleri arasında anlamlı fark bulunmuştur. Ancak, MaPRE uygulayan hastalarda, uygulamayanlara göre daha yüksek düzeyde ağrı şiddeti bulunmuştur. Sonuç: MaPRE hastaların ameliyat sonrası uyku kalitesini artırmış ve hastalarda ameliyat sonrası ağrı şiddetini azaltmıştır. Sonuç olarak, MaPRE cerrahi kliniklerde yatan hastaların uyku kalitelerini artırmakta ve ağrı şiddetlerini azaltmaya yardımcı olmaktadır.
Effects of Music Assisted Progressive Relaxation Exercises on Postoperative Sleep Quality and Pain Intensity: A Quasi-experimental Controlled Study
Objective: Generally, deterioration of sleep quality has a negative impact on pain, while pain due to illness may also adversely impair sleep quality. This study was conducted to evaluate the effect of musicassisted progressive relaxation exercises (MaPRE) on postoperative sleep quality and pain intensity of patients hospitalized in the surgical clinics of a university hospital. Materials and Methods: This was a nonrandomized, single-blind, quasi-experimental controlled study with pre- and post-test. A total of 62 patients took part in the study, including 31 surgical patients in the intervention group, and 31 surgical patients in the control group. The intervention group regularly performed MaPRE for 30 min per day during the week after surgery. Data were collected by “visual analogue scale” for evaluation pain intensity, and “visual analog sleep scale” for determination sleep quality. Results: Performing MaPRE provided a significant increase in the sleep quality of patients and a significant decrease in the level of pain intensity of patients in the intervention group. There was no significant difference found between sleep quality of patients who performed MaPRE and those who did not. There was a significant difference between the level of pain intensity of patients who performed MaPRE and those who did not. However, patients who underwent MaPRE had higher levels of pain intensity than those who did not. Conclusion: MaPRE increased postoperative sleep quality of patients and reduced the severity of postoperative pain in patients. In conclusion, MaPRE increases the sleep quality of patients in surgical clinics and helps reduce the patients’ level of pain intensity.

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