The Effect of Progressive Muscle Relaxation Exercises on Fatigue Severity and Sleep Quality in Emergency Department Nurses: A Self-Controlled Quasi-Experimental Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 35
- 试验地点
- 1
- 主要终点
- Nurse Introductory Information Form
研究概览
简要总结
Emergency departments are critical units where patients with life-threatening conditions and acute illnesses receive rapid interventions. Nurses working in these units aim to provide the best possible healthcare by intervening with patients at high risk of life-threatening situations. However, long working hours, inadequate working conditions, high stress, and critical patient care often lead to physiological issues among nurses. Fatigue and insomnia, which are commonly linked to burnout, are among the most frequent physiological problems.
Insomnia is a condition characterized by poor and irregular sleep patterns occurring within a 24-hour period due to disruption of the circadian rhythm. Chronic insomnia, if persistent, triggers fatigue. Fatigue is a subjective condition that, when prolonged, negatively affects nurses' daily activities and reduces job performance. Moreover, increasing fatigue has significant adverse effects on alertness, attention, judgment, and mood. These effects can lead to accidents, errors in practice, and injuries.
详细描述
Progressive relaxation exercises reduce blood levels of epinephrine and norepinephrine, oxygen consumption, blood pressure, metabolic rate, heart rate, muscle tension, lactic acid levels, pain and fatigue. On the other hand, concentration increases endorphin release, reduces insomnia and provides mental well-being. When the literature was examined, progressive relaxation exercise practices were performed on patients with rheumatoid arthritis and it was determined that there were positive effects on insomnia and fatigue levels in patients at the end of a six-week period. In another study evaluating the effectiveness of progressive relaxation exercise in dialysis patients, it was found that the fatigue level of the patients decreased. Again, when the literature was examined, two studies evaluating the effectiveness of progressive relaxation exercise on intensive care nurses were found in our country. In these studies conducted with intensive care nurses, it was reported that progressive relaxation exercises had a positive effect on fatigue.
In line with our research, no study was found to examine the effect of progressive relaxation exercises applied to nurses working in the emergency department on fatigue severity and sleep quality.
Translated with www.DeepL.com/Translator (free version)
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Working in the emergency service unit,
- •No psychiatric disorder,
- •Can do progressive relaxation exercises,
- •Apply progressive relaxation exercises for one month,
- •No disease that prevents progressive relaxation exercise,
排除标准
- •Nurses who do not meet the inclusion criteria will be excluded from the study.
研究组 & 干预措施
Emergency department nurses
In the first phase, data collection will begin on the first day (n=35) with nurses, and the nurse introductory information form will be collected through face-to-face interviews. Then, at the end of each week during the 4-week period, nurses will complete the "Fatigue Severity Scale" and the "Pittsburgh Sleep Quality Index (PSQI)" four times. This will complete the pre-intervention evaluation.
干预措施: progressive relaxation exercise (Behavioral)
结局指标
主要结局
Nurse Introductory Information Form
时间窗: he necessary evaluation will be made at the end of the first week.
The data collection form consists of 12 statements developed by the researchers as a result of the literature review, questioning age, gender, educational status, marital status, working time in the profession, working style, sleep quality and fatigue.
Fatigue Severity Scale
时间窗: The necessary evaluation will be made at the end of the first week.
The scale developed by Krup (1989) consists of nine items assessing the general effect of fatigue on daily activities. The Turkish validity and reliability of the scale was performed by Armutlu et al. In the scale, individuals are asked to rate the fatigue they felt during the past week from 1 to 7. Each section is scored between 1 (strongly disagree) and 7 (strongly agree) (add 2 to 6). The total score is calculated by averaging the nine items. The cut-off value for pathological fatigue is set at 4 and above. The lower the total score, the lower the fatigue. Cronbach's alpha coefficient of the scale was 0.94 in the study of Armutlu et al.
Pittsburgh Sleep Quality Index
时间窗: The necessary evaluation will be made at the end of the first week.
expressed in a single item, while others are expressed in a group of several items. Each item score ranges from "0" to "3". The total PDQI score is between 0 and 21. A score above 5 indicates that the sleep quality of the individual is poor. The Cronbach alpha value of the scale was found to be 0.80 in the study of Ağargün et al.
次要结局
- Nurse Introductory Information Form(The necessary evaluation will be made at the end of the first week.)
- Fatigue Severity Scale(The necessary evaluation will be made at the end of the second week.)
- Pittsburgh Sleep Quality Index(The necessary evaluation will be made at the end of the second week.)
研究者
Sumeyye Akcoban
Lecturer
Mustafa Kemal University