An evaluation of the effectiveness of relaxation therapy for patients receiving joint replacement surgery

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Aim and objective. To examine the effect of relaxation therapy on reducing patient anxiety and pain before and after total joint replacement. Background. Despite the use of analgesics, patients may feel anxiety and pain before and after surgery, delaying their recovery. Design. An experimental control group pretest-post-test quasi-experimental design was employed. Method. Subjects (n=93) recruited from a medical centre in Taipei, Taiwan, from November 2006-March 2007 were randomly assigned to experimental (n=45) and control (n=48) groups. Subjects in the experimental group received relaxation therapy from the day before surgery to the third postoperative day. Researchers helped participants listen to a breath relaxation and guided imagery tape for 20minutes daily. A pain and anxiety scale questionnaire, the State-Trait Anxiety Inventory questionnaire, blood pressure and heart rate were monitored before and after intervention. Results. The average age of the 93 patients was 71·0 (SD 11·1) years. The least pain severity scores in the experimental were lower than those in the control group (p0·05). The mean difference in the pain score before and after intervention in the experimental group on the pre-op day (t=2·675, p=0·009) and post-op day one (t=3·059, p=0·003) was greater than that in the control group (0·48 SD 0·94 vs. 0·10 SD 0·30 and 0·93 SD 1·46 vs. 0·20 SD 0·71, respectively). The two groups differed significantly in systolic blood pressure (F=6·750, p0·05). Patients reported that relaxation therapy helped them relax and promoted sleep. Conclusion. Relaxation therapy could complement analgesics to help postoperative patients better manage pain and anxiety. Relevance to clinical practice. Clinical practice should include complementary relaxation therapy to alleviate pain and anxiety in patients with joint replacement.

Original languageEnglish
Pages (from-to)601-608
Number of pages8
JournalJournal of Clinical Nursing
Volume21
Issue number5-6
DOIs
Publication statusPublished - Mar 2012

Fingerprint

Replacement Arthroplasties
Relaxation Therapy
Anxiety
Pain
Blood Pressure
Control Groups
Analgesics
Imagery (Psychotherapy)
Complementary Therapies
Ambulatory Surgical Procedures
Taiwan
Sleep
Research Design
Heart Rate
Research Personnel
Equipment and Supplies

Keywords

  • Anxiety
  • Nursing
  • Pain
  • Postoperative
  • Recovery
  • Relaxation therapy

ASJC Scopus subject areas

  • Nursing(all)

Cite this

An evaluation of the effectiveness of relaxation therapy for patients receiving joint replacement surgery. / Lin, Pi Chu.

In: Journal of Clinical Nursing, Vol. 21, No. 5-6, 03.2012, p. 601-608.

Research output: Contribution to journalArticle

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abstract = "Aim and objective. To examine the effect of relaxation therapy on reducing patient anxiety and pain before and after total joint replacement. Background. Despite the use of analgesics, patients may feel anxiety and pain before and after surgery, delaying their recovery. Design. An experimental control group pretest-post-test quasi-experimental design was employed. Method. Subjects (n=93) recruited from a medical centre in Taipei, Taiwan, from November 2006-March 2007 were randomly assigned to experimental (n=45) and control (n=48) groups. Subjects in the experimental group received relaxation therapy from the day before surgery to the third postoperative day. Researchers helped participants listen to a breath relaxation and guided imagery tape for 20minutes daily. A pain and anxiety scale questionnaire, the State-Trait Anxiety Inventory questionnaire, blood pressure and heart rate were monitored before and after intervention. Results. The average age of the 93 patients was 71·0 (SD 11·1) years. The least pain severity scores in the experimental were lower than those in the control group (p0·05). The mean difference in the pain score before and after intervention in the experimental group on the pre-op day (t=2·675, p=0·009) and post-op day one (t=3·059, p=0·003) was greater than that in the control group (0·48 SD 0·94 vs. 0·10 SD 0·30 and 0·93 SD 1·46 vs. 0·20 SD 0·71, respectively). The two groups differed significantly in systolic blood pressure (F=6·750, p0·05). Patients reported that relaxation therapy helped them relax and promoted sleep. Conclusion. Relaxation therapy could complement analgesics to help postoperative patients better manage pain and anxiety. Relevance to clinical practice. Clinical practice should include complementary relaxation therapy to alleviate pain and anxiety in patients with joint replacement.",
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