The Effect of Jacobson’s Progressive Relaxation Technique on Postoperative Pain, Activity Tolerance and Sleeping Quality in Patients Undergoing Gynaecological Surgery

evaluate the effect of JPRT on post-operative pain, activity tolerance, and sleeping quality in patients undergoing gynaecological surgery.

randomized controlled clinical trial

This study will be carried out at the Obstetrics and Gynaecology Department at Damanhour Educational Institute affiliated to the ministry of health in Elbehira governorate /Egypt.

patients undergoing abdominal gynaecological surgery for benign conditions, being able to differentiate between the different images in visual analogue scale, being free from any psychological or mental disorders, taking non-steroidal anti-inflammatory medication as post-operative analgesia, and being enthusiastic about contributing in the study. While drug abusers, alcoholics, those who undergo laparoscopic surgery, drink more than 3 cups of coffee per day, use sleep medications, and had intra or post-operative complications will be excluded from the study.

The patients in the intervention group will be explained that the technique involves the systemic sequential tension in specific muscle groups associated. Inhale deeply, then hold the breath for ten seconds. This tension is then released while exhaling from pursed lips within ten seconds slowly. Also, it will explained that the muscles of the body are divided into twelve groups: hands, biceps and triceps, shoulders, neck, mouth, jaw, eyes and forehead, chest, abdomen, back, thighs, legs, and feet muscles. The researchers will help the patient to sit comfortably in her bed from the beginning till the end of the JPRT session.

pain, activity tolerance, and sleep quality

Randomization block technique will be used to randomly assign participants to the JPRT and control group. The researchers will follow six phases to conduct the randomization block technique. First; the researches will make a list that contains numbers from 1 to 116. Second; the researchers will make small pieces of papers that contain numbers from 1 to 116. Third; the researchers will fold the paper pieces to hide the numbers written on it, then it will be put in a bowl. Fourth; the researchers will divide the 116 pieces of papers into six blocks randomly and blindly; the first five blocks will involve 20 random numbers, and the last one will involve 16 remaining numbers. Fifth; half of the numbers will be randomly and blindly selected to the JPRT group from each block, while the residual will be allocated to the control group. Sixth; the sequence of cases will be recorded in the preset list (the word JPRT or control will be written in front of each number) to be taken into consideration when collecting data.