Back to articles
“ A STUDY TO ASSESS THE EFFECTIVENESS OF JACOBSON’S PROGRESSIVE MUSCLE RELAXATION TECHNIQUE ON LEVEL OF PAIN AMONG POST CAESAREAN MOTHERS IN SELECTED HOSPITALS.”
Abstract
ABSTRACT Background: Pain following caesarean birth may affect comfort, mobility, rest, and early maternal care. Jacobson’s Progressive Muscle Relaxation Technique (JPMRT) is a non-pharmacological relaxation approach that may be used alongside routine postoperative care. Aim: To assess the effectiveness of Jacobson’s Progressive Muscle Relaxation Technique on the level of pain among post-caesarean mothers in selected hospitals. Methods: A quantitative evaluative approach with a quasi-experimental two-group pre-test–post-test design was reported. Sixty post-caesarean mothers were selected by purposive sampling, with 30 in the control group and 30 in the experimental group. Pain was measured using the Numerical Pain Rating Scale. The experimental group received JPMRT twice daily from postoperative day 1 through day 3; the control group received routine care. Results: The experimental group’s reported mean pain score decreased from 7.80 (SD 0.96) at pre-test to 0.50 (SD 0.63) at post-test. The dissertation reports a paired t statistic of 34.80 (p < 0.05). However, the between-group post-test table contains values that conflict with these results; the comparative analysis must be verified against the original dataset. Conclusion: The reported within-group results suggest a reduction in pain scores after JPMRT. A conclusion about comparative effectiveness should be finalized only after the source data and between-group statistics have been checked.
Keywords
Jacobson’s progressive muscle relaxation; caesarean section; postoperative pain; Numerical Pain Rating Scale; nursing intervention.
References
. World Health Organization. Caesarean section rates continue to rise, amid growing inequalities in access. Geneva: WHO; 2021 Jun 16. Available from: https://www.who.int/news/item/16-06-2021-caesarean-section-rates-continue-to-rise-amid-growing-inequalities-in-access.
2. Chou R, Gordon DB, de Leon-Casasola OA, Rosenberg JM, Bickler S, Brennan T, et al. Management of postoperative pain: a clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists. J Pain. 2016;17(2):131–157. doi:10.1016/j.jpain.2015.12.008.
3. Eisenach JC, Pan PH, Smiley R, Lavand’homme P, Landau R, Houle TT. Severity of acute pain after childbirth, but not type of delivery, predicts persistent pain and postpartum depression. Pain. 2008;140(1):87–94. doi:10.1016/j.pain.2008.07.011.
4. Jacobson E. You Must Relax: A Practical Method of Reducing the Strains of Modern Living. New York: McGraw-Hill; 1934.
5. Jacobson E. Progressive Relaxation: A Physiological and Clinical Investigation of Muscular States and Their Significance in Psychology and Medical Practice. Chicago: University of Chicago Press; 1938.
6. Good M, Stanton-Hicks M, Grass JA, Anderson GC, Lai HL, Roykulcharoen V, et al. Relaxation and music to reduce postsurgical pain. J Adv Nurs. 2001;33(2):208–215. doi:10.1046/j.1365-2648.2001.01655.x.
7. Dolatabadi Z, Eshraghi N, Kamali H, Ebadi A. The effect of progressive muscle relaxation technique on postoperative pain and analgesic consumption in patients undergoing abdominal surgery. Iran J Nurs Midwifery Res. 2016;21(3):325–331.
8. Metwally HMS, Mohamed AAH, Desoky MMA. Jacobson’s relaxation technique on post caesarean section pain, sleep quality and physical activities: an intervention study. Assiut Sci Nurs J. 2023;11(39):125–135. doi:10.21608/asnj.2023.229395.1654.
9. Ibrahim HAF, Elgzar WT, Hablas RM. The effect of Jacobson’s progressive relaxation technique on postoperative pain, activity tolerance, and sleeping quality in patients undergoing gynecological surgery. Iran J Nurs Midwifery Res. 2021;26(4):295–302. doi:10.4103/ijnmr.IJNMR_180_20.
10. Ismail NIA, Elgzar WTI. The effect of progressive muscle relaxation on post cesarean section pain, quality of sleep and physical activities limitation. Int J Stud Nurs. 2018;3(3):14–29.
11. Sousa L, Pitangui ACR, Gomes FA, Nakano AMS. Measurement and characteristics of post-caesarean section pain and relationship to limitation of physical activities. Acta Paul Enferm. 2009;22(6):741–747.
12. Ju W, Ren L, Chen J, Du Y. Efficacy of relaxation therapy as an effective nursing intervention for postoperative pain relief in patients undergoing abdominal surgery: a systematic review and meta-analysis. Exp Ther Med. 2019;18(4):2909–2916.
13. Rady SE, El-Deeb HA. Effect of progressive muscle relaxation technique on postoperative pain and quality of recovery among patients with abdominal surgeries. Egypt J Health Care. 2020;11(4):566–581.
14. Borges NC, De Deus JM, Guimaraes RA, Conde DM, Bachion MM, De Moura LA, et al. The incidence of chronic pain following cesarean section and associated risk factors: a cohort of women followed up for three months. PLoS One. 2020;15(9):e0238634. doi:10.1371/journal.pone.0238634.
15. Varvogli L, Darviri C. Stress management techniques: evidence-based procedures that reduce stress and promote health. Health Sci J. 2011;5(2):74–89.
