During lobectomy surgical treatment, thoracotomy is performed on patients, and post-thoracotomy pain is observed. Pain is one of the most common problems in patients and causes serious morbidity. As a result of the pain experienced, changes in sympathetic activity and the release of catecholamines as a result of the stress response lead to many complications, primarily in the cardiovascular, urinary, gastrointestinal, and nervous systems. In addition, pain can cause sleep problems in the patient due to the stress response, and the healing process is negatively affected. The aim of this research is to evaluate the effects of Benson relaxation technique and progressive muscle relaxation exercises on the pain levels and sleep quality of patients who have undergone lobectomy, in relation to the pain and sleep problems experienced in the postoperative period. The main aim of the study is to reveal the effectiveness of these two relaxation techniques in reducing pain and improving sleep quality in the postoperative care process, and to develop recommendations for clinical applications based on the findings obtained.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
160
Now, find the most comfortable position for yourself in the chair you're sitting in and close your eyes. Feel the rhythm of your breathing. Breathe in through your nose and exhale slowly and easily through your mouth. Notice how your body relaxes a little more with each exhale. Focus your attention on what I'm saying. When other thoughts come to mind, refocus your attention on what I'm saying. Now, let your arms hang down at your sides and, while breathing in, clench your fists and tense your hand muscles… Clench your fists and hold like that for a little while. Now open your fists and allow your hands to relax. Try to notice how relaxed your hand muscles are and how they are starting to warm up. Now take a deep breath and hold it in your chest. Notice how the muscles in your chest tense up, keep your muscles tense and release.
THE VİSUAL ANALOG SCALA
The Visual Analog Scale (VAS) is a one-dimensional scale commonly used to measure pain intensity. The VAS is a measuring instrument that is 0-10 cm (0-100 mm) long. This measuring instrument can be used horizontally or vertically. The scale starts with "no pain" and ends with "unbearable pain". High scores on the scale indicate high pain intensity. The cutoff points for pain scores obtained from the scale are suggested as 0-4 mm "no pain", 5-44 mm "mild pain", 45-74 mm "moderate pain" and 75-100 mm "severe pain" (103). In our study, the VAS scale will be used horizontally and in cm to measure the pain intensity, anxiety and comfort levels of the patients.
Time frame: Days 1 and 2 after surgery
Richard-Campbell Sleep Scale
Developed by Richard in 1987, the RCSQ (Richard's Clinical Sleep Quality Scale) consists of six questions in total and is evaluated using a scale based on a score between 0 and 100. The first question measures sleep depth, difficulty falling asleep, frequency of nighttime awakenings, returning to sleep, overall sleep quality, and environmental noise levels. Scores obtained from the scale are evaluated as follows: scores between 0 and 25 indicate poor sleep quality, and scores between 76 and 100 indicate good sleep quality. It has been observed that as the scores obtained from the scale increase, sleep quality also improves.
Time frame: Day 1, 2 after surgery
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