Progressive Muscle Relaxation on Postoperative Pain, Fatigue, and Vital Signs in Patients With Head and Neck Cancers
Conditions
Keywords
progressive muscle relaxation, head and neck cancer
Brief summary
This study aimed to investigate the effects of progressive muscle relaxation (PMR) on postoperative pain, fatigue, and vital signs in patients with head and neck cancers.
Interventions
progressive muscle relaxation
Usual care
Sponsors
Study design
Eligibility
Inclusion criteria
\- Head and neck cancer, need for surgery. (1) clear consciousness; (2) \>= 20 years; (3) no history of surgery for head and neck cancer, regardless of cancer staging, tracheostomy tubing, degree of primary tumor resection, neck dissection, modified radical neck dissection, resection of cervical nerve root branches, and flap reconstruction (including free flap and transposition flap); (4) plan to undergo surgery; (5) willingness to participate in this study and provide informed consent; (6) physically capable of participation the study, as determined by the physician in charge; (7) ability to communicate in Mandarin or Taiwanese, with no reading, listening, or writing disability, and complete the questionnaire alone or with the assistance of the researchers.
Exclusion criteria
\- Head and neck cancer, not for surgery. (1) use of hypnotics or record of a sleep disorder within 3 months prior to admission; (2) difficulty hearing, external auditory canal trauma, or hearing impairment; (3) diagnosis of a psychotic disorder or cognitive impairment; (4) experience practicing Jacobson's PMR.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain level change | preoperative day to postoperative day 10 | The VAS (visual analog scale) score of pain levels, range 0-100, higher score means more severe symptoms. |
| muscle tightness level change | preoperative day to postoperative day 10 | The VAS (visual analog scale) score of muscle tightness levels, range 0-100, higher score means more severe symptoms. |
| Fatigue levels change | preoperative day to postoperative day 10 | The VAS (visual analog scale) score of fatigue levels, range 0-100, higher score means more severe symptoms. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety level | preoperative day to postoperative day 10 | The VAS (visual analog scale) score of Anxiety levels, range 0-100, higher score means more severe symptoms. |
| Heart rate change | preoperative day to postoperative day 10 | Heart rate change |
| sleep disturbance level | preoperative day to postoperative day 10 | The VAS (visual analog scale) score of sleep disturbance levels, range 0-100, higher score means more severe symptoms. |
| depression level | preoperative day to postoperative day 10 | The VAS (visual analog scale) score of depression levels, range 0-100, higher score means more severe symptoms. |
| Systolic blood pressure change | preoperative day to postoperative day 10 | Systolic blood pressure change |
| Diastolic blood pressure change | preoperative day to postoperative day 10 | Diastolic blood pressure change |