Effect of Progressive Muscles Relaxation Technique on Pain, Fatigue and Sleep Quality among Patients Undergoing Hemodialysis

Hassan El-Sayed Mohammad, Mohammad; Abdel Aty Ahmad, Ola; Mohammad Ramadan Farag, Eman

doi:10.21608/ejhc.2025.464068

Effect of Progressive Muscles Relaxation Technique on Pain, Fatigue and Sleep Quality among Patients Undergoing Hemodialysis

Document Type : Original Article

Authors

¹ Bachelor in Nursing science, Faculty of Nursing, Sohag University

² Professor of Medical Surgical Nursing, Faculty of Nursing, Ain Shams University

³ Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Ain Shams University.

10.21608/ejhc.2025.464068

Abstract

Background: Chronic kidney disease is a slow, progressive, irreversible deterioration in renal function that results in the kidney's inability to eliminate waste products and maintain fluid and electrolyte balance that affects >10% of the general population worldwide. Aim of the study: Evaluate the effect of progressive muscles relaxation technique on pain, fatigue and sleep quality among patients undergoing hemodialysis. Design: Quasi experimental (pre and post) design was used to achieve the aim of the present study. Setting: This study was conducted at hemodialysis department in Sohag general hospital. Subjects: A purposive sample of 68 patients with end stage renal disease undergoing hemodialysis. Tools: Four tools were used namely Patient`s Interviewing questionnaire, The Numerical Pain Rating Scale, Fatigue Severity Scale, The Pittsburgh Sleep Quality Index. Results: The present study revealed that (70.53%) of studied patients before progressive muscle relaxation technique implementation had severe fatigue; while (82.35%) of them had mild fatigue after progressive muscle relaxation technique implementation. Also (86.77%) of studied patients before implementation of PMRT were poor sleepers, while (69.11) of them were good sleepers after one month of PMRT application, there was a highly statistically significant positive correlation between pain scale, fatigue severity scale and Pittsburgh Sleep Quality Index. Conclusion: there was a highly statistically significant positive correlation between pain scale, fatigue severity scale and Pittsburgh Sleep Quality Index. Recommendations: Ongoing and regular in service training and educational program about progressive muscle relaxation technique prior to work in hemodialysis units, Nephrology nurses should integrate PMR in their routine care to reduce pain, fatigue, enhance sleep quality of patients.

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