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Patients undergoing urological surgery are usually elderly individuals and may experience sleep problems due to factors such as fear of death, anesthesia, and uncertainty. Insomnia can also cause problems such as delayed wound healing, increased pain, tension, and difficulty complying with treatment. This study aimed to improve sleep quality by performing gradual muscle exercises on patients undergoing urological surgery.
Urological surgery is a type of surgery that is usually performed on elderly individuals and can cause serious sleep problems in the pre- and post-operative period. While these patients experience sleep problems due to factors such as fear of death and uncertainty about anesthesia before surgery, significant decreases in sleep quality are observed after surgery due to reasons such as pain, anxiety and hospitalization. This sleeplessness can lead to many negative consequences such as delayed wound healing, increased pain, tension and difficulty in compliance with treatment. Sleep disorders also increase patients' stress and reduce their resistance. Progressive relaxation exercises (PGE) are a method that provides relaxation throughout the body by tensing and then relaxing all muscle groups in the body. This method is used as an effective nursing intervention, especially in the management of diseases and symptoms. This study aims to evaluate the effects of progressive relaxation exercises on sleep quality in patients undergoing urological surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Exercise group | Experimental | The individual will be given a position where communication can be easily established and where he/she feels comfortable. The content of the progressive relaxation exercise (PGE) will be explained to the patient. The 30-minute PGE application will be provided with verbal warnings. |
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| Control group | No Intervention | Patients will receive routine nursing care in the ward. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Progressive relaxation exercises | Other | Sit or lie down comfortably and close your eyes.
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| Measure | Description | Time Frame |
|---|---|---|
| Richard's Campbell sleep scale | It was developed by Richards in 1987 and examines the previous night's sleep in 6 parameters: sleep depth, falling asleep, frequency of waking, duration of wakefulness, quality of sleep, noise level, and is scored between 100 'very appropriate' and '0' 'not appropriate'. The higher the score received from the scale, the higher the patient's sleep quality is considered. | on the morning of surgery, and on the 1st and 2nd day after surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analog Scale for Fatigue (VAS-F) | Visual Analog Scale for Fatigue (VAS-F) The questionnaire was developed by Lee et al. in 1991 (Lee et al, 1991). Scoring is done using a marked area on a ruler; 0 is the lowest score, and 100 is the highest score. In the fatigue scale, low scores indicate the severity of fatigue | on the morning of surgery, and on the 1st and 2nd day after surgery. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| naile akıncı, Dr. | Fenerbahçe University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Atlas University | Istanbul | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D007319 | Sleep Initiation and Maintenance Disorders |
| ID | Term |
|---|---|
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
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| D001523 |
| Mental Disorders |