KEMOTERAPİ ALAN MEME KANSERLİ HASTALARDA PROGRESİF GEVŞEME EGZERSİZLERİNİN UYKU KALİTESİ VE AĞRIYA ETKİSİ

ÖZET Amaç: Çalışma, kemoterapi alan meme kanseri olan hastalarda progresif gevşeme egzersizlerinin uyku kalitesi ve ağrıya etkisini araştırmak amacıyla yapıldı. Materyal ve Metod: Randomize kontrollü olan araştırma, Ocak 2010- Eylül 2011 tarihleri arasında bir üniversite hastanesinin Onkoloji Polikliniğinde yapıldı. Araştırmanın örneklemini toplam 60 hasta (30 kontrol, 30 deney) oluşturmuştur. Verilerin toplanmasında kişisel bilgi formu, Pittsburgh Uyku Kalitesi İndeksi (PUKİ)  ve “Görsel Kıyaslama Ölçeği (VAS) kullanıldı. Verilerin değerlendirilmesinde yüzdelik dağılımlar ve bağımsız gruplarda t testi kullanıldı. Bulgular: Deney grubunda PUKİ ön test puan ortalaması 11.70±1.87, son test puan ortalaması 4.93±2.13 olup, gruplar arasındaki fark önemli bulunmuştur (p<0.05). Kontrol grubunda PUKİ ön test puan ortalaması 10.50±2.23, son test puan ortalaması 10.56±2.29 olup, gruplar arasındaki fark önemsiz saptandı. Deney grubunda VAS ön test puan ortalaması 5.13±2.35, son test puan ortalaması 4.33±2.18 olarak bulundu. Gevşeme egzersizi öncesi ve sonrası ölçülen ağrı düzeyleri arasında anlamlı farklılık bulunmadı (p>0.05).  Sonuç: Araştırma bulguları kemoterapi alan meme kanserli hastalarda progresif gevşeme egzersizlerinin uyku kalitesini arttırmada önemli etkiye sahip olduğunu gösterirken, ağrı kontrolünde önemli bir etkiye sahip olmadığını göstermektedir. Anahtar Kelimeler: Gevşeme egzersizleri; uyku kalitesi;  ağrı. ABSTRACTEffects of Progressive Relaxation Training on Sleep Quality and Pain in Patients with Breast Cancer Undergoing ChemotherapyObjective: The aim of the study was to determined the effect of progressive muscle relaxation training on sleep quality and pain in women with breast cancer undergoing chemotherapy. Material and Methods: This randomized controlled study was applied between January 2010 and September 2011 in Oncology policlinic,of a University hospital. This study sampling consisted of 60 individuals (30 individuals experimental group, 30 individuals control group). A data collection form, Pittsburgh Sleep Quality Index (PSQI) and Visual Analog Skala (VAS) were used to collect the data for this study. Results: It was detected that score average of PSQI pre test in experimental group was 11.70±1.87, and that post test one was 4.93±2.13, and the distinction between the groups was significantly meaningful (p<0.05), and that PSQI pre test score average in control group was 10.50±2.23, while post test score average was 10.56±2.29 and the distinction between the groups was insignificant (p>0.05).  Conclusions: The findings indicated that progressive muscle relaxation training would improve sleep quality in patients with breast cancer undergoing chemotherapy. However, relaxation exercises have not an important effect on pain control. Keywords: Relaxation exercises; sleeping quality; pain. 

Effects of Progressive Relaxation Training on Sleep Quality and Pain in Patients with Breast Cancer Undergoing Chemotherapy Objective: The aim of the study was to determined the effect of progressive muscle relaxation training on sleep quality and pain in women with breast cancer undergoing chemotherapy. Material and Methods: This randomized controlled study was applied between January 2010 and September 2011 in Oncology policlinic,of a University hospital. This study sampling consisted of 60 individuals (30 individuals experimental group, 30 individuals control group). A data collection form, Pittsburgh Sleep Quality Index (PSQI) and Visual Analog Skala (VAS) were used to collect the data for this study. Results: It was detected that score average of PSQI pre test in experimental group was 11.70±1.87, and that post test one was 4.93±2.13, and the distinction between the groups was significantly meaningful (p0.05). Conclusions: The findings indicated that progressive muscle relaxation training would improve sleep quality in patients with breast cancer undergoing chemotherapy. However, relaxation exercises have not an important effect on pain control.

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