@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2015;21(2):75-80
ISSN: 2252-0805 The Horizon of Medical Sciences 2015;21(2):75-80
Effect of Muscle Relaxation on Hemodialysis Patients’ Pain
ARTICLE INFO
Article Type
Original ResearchAuthors
Baloochi Beydokhti T. (1)Kianmehr M. (2)
Tavakolizadeh J. (3)
Basiri-Moghadam M. (1)
Biabani F. (*)
(*) Nursing Department, Nursing & Midwifery Faculty, Gonabad University of Medical Sciences, Gonabad, Iran
(1) Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
(2) Medical Physics Department, Medicine Faculty, Gonabad University of Medical Sciences, Gonabad, Iran
(3) Basic Sciences Department, Medicine Faculty, Gonabad University of Medical Sciences, Gonabad, Iran
Correspondence
Address: Shahid Atashdast Hospital, Emam Khomeyni Boulevard, Nehbandan, IranPhone: +985632624300
Fax: +985632621912
biabanif@gmu.ac.ir
Article History
Received: January 13, 2015Accepted: May 5, 2015
ePublished: June 20, 2015
ABSTRACT
Aims
Dialysis patients have experienced some degree of pain, especially foot pain. Some complementary interventions such as muscle relaxation are effective in relieving pain. This study was performed with the aim of assessing the effect of muscle relaxation on hemodialysis patients’ pain.
Materials & Methods This randomized controlled clinical trial was conducted on 90 hemodialysis patients of Khatamolanbia and Imam Ali hemodialysis centers of Zahedan during 2013 and 2014. The patients were chosen by purposive sampling based on inclusion criteria and randomly divided into control and experimental groups. Pain intensity was measured by McGill questionnaire before intervention. Then, Benson muscle relaxation was taught to patients’ of case group and was performed by them for 15-20 minutes twice a day for a month. The control group received no training. The pain intensity of two groups was compared after one month. The data were analyzed using Chi-square, independent T and Mann-Whitney tests by SPSS 21 software.
Findings Most of the patients were men, married, housekeeper with under diploma education and the mean age of them was 43.0±15.0 years. There was a significant decrease in pain intensity in the intervention group compared to the control (p=0.03).
Conclusion The muscle relaxation technique can be employed to reduce pain in hemodialysis patients.
Materials & Methods This randomized controlled clinical trial was conducted on 90 hemodialysis patients of Khatamolanbia and Imam Ali hemodialysis centers of Zahedan during 2013 and 2014. The patients were chosen by purposive sampling based on inclusion criteria and randomly divided into control and experimental groups. Pain intensity was measured by McGill questionnaire before intervention. Then, Benson muscle relaxation was taught to patients’ of case group and was performed by them for 15-20 minutes twice a day for a month. The control group received no training. The pain intensity of two groups was compared after one month. The data were analyzed using Chi-square, independent T and Mann-Whitney tests by SPSS 21 software.
Findings Most of the patients were men, married, housekeeper with under diploma education and the mean age of them was 43.0±15.0 years. There was a significant decrease in pain intensity in the intervention group compared to the control (p=0.03).
Conclusion The muscle relaxation technique can be employed to reduce pain in hemodialysis patients.
CITATION LINKS
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[15]Rambod M, Sharifi F, Pourali Mohammadi N, Pasyar N, Rafii F. Evaluation of the effect of Benson's relaxation technique on pain and quality of life of haemo dialysis patients: a randomized controlled trial. Int J Nurs Stud. 2014;51(7):964-73.
[16]Elali ES, Mahdavi A, Jannati Y, Yazdani J, Setareh J. Effect of Benson relaxation response on stress among in hemodialysis patients. J Mazandaran Univ Med Sci. 2012;22(91):61-8. [Persian]
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[18]Heye ML, Foster L, Bartlett MK, Adkins S. A preoperative intervention for pain reduction, improved mobility, and self-efficacy. Appl Nurs Res. 2002;15(3):174-83.
[19]Gatlin CG, Schulmeister L. When medication is not enough: Nonpharmacologic management of pain. Clin J Oncol Nurs. 2007;11(5):699-704.
[20]Jensen MP, Barber J, Romano JM, Molton IR, Raichle KA, Osborne TL, et al. A comparison of Self-hypnosis versus Progressive muscle relaxation in patients with multiple sclerosis and chronic pain. Int J Clin Exp Hypn. 2009;57(2):198-21.
[21]Sutherland G, Andersen MB, Morris T. Relaxation and health-related quality of life in multiple sclerosis: The example of autogenic training. J Behav Med. 2005;28(3):249-56.
[22]Varvani Farahani P, Hekmatpou D, Shamsi Khani S. Effectiveness of muscle relaxation on pain, pruritus and vital signs of patients with burns. Iran J Crit Care Nurs. 2013;6(2):87-94.
[23]Bikmoradi A, Zafari A, Oshvandi Kh, Mazdeh M, Roshanaei Gh. Effect of progressive muscle relaxation on severityof pain in patients with multiple sclerosis: A randomized controlled trial. Hayat. 2014;20(1):26-37. [Persian]
[24]Emery CF, France CR, Harris J, Norman G, Vanarsdalen C. Effect of progressive muscle relaxation training on nociceptive flexion reflex threshold in healthy young adults: A randomized trial. Pain. 2008;138(2):375-9.
[25]Roykulcharoen V, Good M. Systematic relaxation to relieve postoperative pain. J Adv Nurs. 2004;48(2):140-8.
[26]Rafiei F, Mohammadi Fakhar F, Jamshidi Ourak R, Inanlou M. Effect of Jaw relaxation on pain intensity of burn dressing. Iran J Crit Care Nurs. 2010;3(2):51-3.
[27]Elizabet B. Muscle therapy in pain and symptom management. J Palliat Care. 2003;9(4):491-6.
[28]Shaban M, Rasoolzadeh N, Mehran A, Moradalizadeh F. Study of two non-pharmacological methods, progressive muscle relaxation and music, on pain relief of cancerous patients. Hayat. 2006;12(3):63-72. [Persian]
[29]Celik O, Ozbek O, Yilmaz M, Duman I, Ozbek S. Apiliogullari S. Vapocoolant spray vs Lidocaine cream for reducing the pain of venipuncture in hemodialysis patients: A randomized placebo, controlled, crossover study. Int J Med Sci. 2011;8(7):623-7.
[30]Budzynski T, Stoyva J, Adler C. Feedback induced muscle relaxation: Application to tension headache. J Behav Ther Exp Psychiat. 1970;1(3):205-11.
[2]Masajtis Zagajewska A, Pietrasik P, Krawczyk J, Krakowska M, Jarzebski T, Pietrasiewicz B, et al. Similar prevalence but different characteristics of pain in kidney transplant recipients and chronic hemodialysis patients. Clin Transpl. 2011;25(2):144-51.
[3]Shayamsunder AK, Patel SS, Jain V, Peterson RA, Kimmel PL. Sleepiness, and pain in end-stage renal disease: Distressing symptoms for patients. Semin Dial. 2005;18(2):109-18.
[4]Khajehdehi P , Mojerlou M, Behzadi S, Rais Jalali GA. A randomized, double-blind, placebo controlled Trial of supplementary vitamins E, C and their combination for treatment of haemo dialysis cramps. Nephrol Dial Transplant. 2001;16(7):1448-51.
[5]Alhani F. The effect of programmed distraction on the pain caused by venipuncture among adolescents on hemodialysis. Pain Manag Nurs. 2010;11(2):85-91.
[6]Downie WW, Leatham PA, Rhind VM, Wright V, Branco JA, Anderson JA. Studies with pain rating scales. Ann Rheum Dis. 1978;37(4):378-81.
[7]Ghods AA, Abforosh N, Ghorbani R, Asgari MR. Effect lavender Inhalation on pain intensity during insertion of vascular needles in hemodialysis patients. JBUMS. 2014;16(10):7-14. [Persian]
[8]Tsai SL. Audio-visual relaxation training for anxiety, sleep, and relaxation among Chinese adults with cardiac disease. Res Nurs Health. 2004;27(6):458-68.
[9]Kwekkeboom KL, Cherwin CH, Lee JW, Wanta B. Mind-body treatments for the pain-fatigue-sleep disturbance symptom cluster in persons with cancer. J Pain Symptom Manage. 2010;39(1):126-38.
[10]Chen YL, Francis AJ. Relaxation and imagery for chronic, nonmalignant pain: Effects on pain symptoms, quality of life, and mental health. Pain Manag Nurs. 2010;11(3):159-68.
[11]Buyukyılmaz F, Asti T. The effect of relaxation techniques and back massage on pain and anxiety in Turkish total hip or knee arthroplasty patients. Pain Manag Nurs. 2013;14(3):143-54.
[12]Mohammadi Fakhar F, Rafii F, Jamshidi Orak R. The effect of jaw relaxation on pain anxiety during burn dressings: Randomised clinical trial. Burns. 2013;39(1):61-7.
[13]Melzack R, Torgerson WS. On the language of pain. Anesthesiol. 1971;34(1):50-9.
[14]Dworkin RH1, Turk DC, Revicki DA, Harding G, Coyne KS, Peirce-Sandner S, et al. Development and initial validation of an expanded and revised version of the Short-form McGill Pain Questionnaire (SF-MPQ-2). Pain. 2009;144(1-2):35-42.
[15]Rambod M, Sharifi F, Pourali Mohammadi N, Pasyar N, Rafii F. Evaluation of the effect of Benson's relaxation technique on pain and quality of life of haemo dialysis patients: a randomized controlled trial. Int J Nurs Stud. 2014;51(7):964-73.
[16]Elali ES, Mahdavi A, Jannati Y, Yazdani J, Setareh J. Effect of Benson relaxation response on stress among in hemodialysis patients. J Mazandaran Univ Med Sci. 2012;22(91):61-8. [Persian]
[17]Linton SJ. Chronic back pain: Integrating psychological and physical therapy: An overview. Behav Med. 1994;20(3):101-4.
[18]Heye ML, Foster L, Bartlett MK, Adkins S. A preoperative intervention for pain reduction, improved mobility, and self-efficacy. Appl Nurs Res. 2002;15(3):174-83.
[19]Gatlin CG, Schulmeister L. When medication is not enough: Nonpharmacologic management of pain. Clin J Oncol Nurs. 2007;11(5):699-704.
[20]Jensen MP, Barber J, Romano JM, Molton IR, Raichle KA, Osborne TL, et al. A comparison of Self-hypnosis versus Progressive muscle relaxation in patients with multiple sclerosis and chronic pain. Int J Clin Exp Hypn. 2009;57(2):198-21.
[21]Sutherland G, Andersen MB, Morris T. Relaxation and health-related quality of life in multiple sclerosis: The example of autogenic training. J Behav Med. 2005;28(3):249-56.
[22]Varvani Farahani P, Hekmatpou D, Shamsi Khani S. Effectiveness of muscle relaxation on pain, pruritus and vital signs of patients with burns. Iran J Crit Care Nurs. 2013;6(2):87-94.
[23]Bikmoradi A, Zafari A, Oshvandi Kh, Mazdeh M, Roshanaei Gh. Effect of progressive muscle relaxation on severityof pain in patients with multiple sclerosis: A randomized controlled trial. Hayat. 2014;20(1):26-37. [Persian]
[24]Emery CF, France CR, Harris J, Norman G, Vanarsdalen C. Effect of progressive muscle relaxation training on nociceptive flexion reflex threshold in healthy young adults: A randomized trial. Pain. 2008;138(2):375-9.
[25]Roykulcharoen V, Good M. Systematic relaxation to relieve postoperative pain. J Adv Nurs. 2004;48(2):140-8.
[26]Rafiei F, Mohammadi Fakhar F, Jamshidi Ourak R, Inanlou M. Effect of Jaw relaxation on pain intensity of burn dressing. Iran J Crit Care Nurs. 2010;3(2):51-3.
[27]Elizabet B. Muscle therapy in pain and symptom management. J Palliat Care. 2003;9(4):491-6.
[28]Shaban M, Rasoolzadeh N, Mehran A, Moradalizadeh F. Study of two non-pharmacological methods, progressive muscle relaxation and music, on pain relief of cancerous patients. Hayat. 2006;12(3):63-72. [Persian]
[29]Celik O, Ozbek O, Yilmaz M, Duman I, Ozbek S. Apiliogullari S. Vapocoolant spray vs Lidocaine cream for reducing the pain of venipuncture in hemodialysis patients: A randomized placebo, controlled, crossover study. Int J Med Sci. 2011;8(7):623-7.
[30]Budzynski T, Stoyva J, Adler C. Feedback induced muscle relaxation: Application to tension headache. J Behav Ther Exp Psychiat. 1970;1(3):205-11.