Effectiveness of progressive muscle relaxation technique on quality of sleep among patients with breast cancer in selected hospital at Kanyakumari

The Research Project, “A Study to assess the effectiveness of progressive muscle relaxation technique on quality of sleep among patients with breast cancer in selected hospital, at Kanyakumari”. It was conducted in partial fulfillment of the requirement for the Degree of Master of science in nursing at Sri K.Ramachandran Naidu College of Nursing which was affiliated to the Tamil Nadu Dr.M.G.R Medical University, Chennai during the year 2013-2014. OBJECTIVES: 1. To assess the pretest and posttest level of quality of sleep among patients with breast cancer in experimental and control group. 2. To find out the effectiveness of progressive muscle relaxation on level of quality of sleep among patients with breast cancer in experimental group. 3. To compare the pretest and posttest level of quality of sleep among patients with breast cancer in experimental group. 4. To associate the posttest level of quality of sleep among patients with breast cancer in experimental and control group with their selected demographic variables such as age, marital status, education, occupation, monthly income, type of family, duration of illness. All Hypotheses were tested at 0.05 level of significant 1. The mean posttest level of quality of sleep among experimental group was significantly higher than the mean posttest level of quality of sleep in the control group. 2. The mean posttest level of quality of sleep among experimental group was significantly higher than the mean pretest level of quality of sleep in the experimental group. 3. There was significant association between posttest level of quality of sleep in the experimental group and control group with their selected demographic variables. (age, marital status, education, occupation, monthly income, type of family and duration of illness. The framework of the study was based on the Modified Orlando's deliberative helping art of clinical nursing theory. Totally sixty patients were selected from the hospital. Thirty were selected to experimental group, thirty patients were selected to control group. The sample was selected based on the criteria for sample selection. According to purposive sampling technique the patients were selected to the experimental group and control group. The experimental group received progressive muscle relaxation techniques for about 30-mins, one time a day for 7 sessions. Post test was carried out for the experimental group and control group on 8th day by using groningen sleep quality scale. The Research design was Quasi experimental – Pretest and Posttest control group design. The setting of the study was Kanyakumari medical mission hospital at Kanyakumari district. It was situated about 110kms from Sri.K. Ramachandran Naidu College of Nursing at Tirunelveli District. The descriptive and inferential statistics were used to analyze the data. FINDINGS: On analysis of frequency and percentage distribution of demographic variables, majority of the patients 17 (56.66%) were between the age group of 31-40 years among breast cancer patients in experimental group, whereas in the control group 16(53.33%) of subjects were between the age group of 31-40 years. With respect to education, majority of the patients 14 (46-66%) were having primary school education in the experimental group, whereas in the control group 13(43.33%) of subjects were having primary school education. With regard to type of family, majority of patients 21 (70%) were belongs to nuclear family in the experimental group, whereas in the control group 22(73.33%) of subjects were belongs to nuclear family. With regard to occupation, majority of patients 10(33.33%) of them were unemployed in the experimental group, whereas in the control group 11(36.66%) of subjects were unemployed. Regarding the monthly income, majority of patients 9(30%) of them were earning Rs.2000/-to 4000/- in the experimental group where in the control group 14(46.66%) of subjects were earning below Rs.2000/- Regarding the marital status, majority of patients 30(100%) of them were married in the experimental group, whereas in the control group, majority of patients 21(70%) of them were married. With regard to duration of illness, majority of patients 26 (86.66%) were belongs to 2-3 years of illness in the experimental group, whereas in the control group majority of patients, 17(56.66%) were belongs to 2-3 years of illness. There was a significant difference between the mean score in the level of quality of sleep among experimental group before and after the exercise of progressive muscle relaxation technique. Justification undertaken for this study was to give progressive muscle relaxation for improvement of quality of sleep and to determine its effectiveness, so that progressive muscle relaxation can be used in future for all the breast cancer patients for health promotion. On analysis of mean score of quality of sleep among experimental group was 26.73 and control group was 34.36 after interventions. Standard deviation of level of quality of sleep after intervention among experimental group was 7.63 and control group was 8.24 and calculated ‘t’ value was 3.703. It shows significant difference in between experimental group and control group. There was no significant association between the posttest level of quality of sleep in the experimental group and control group with their demographic variables such as age, marital status, education, occupation, monthly income, type of family and duration of illness. RECOMMENDATIONS: Based on the findings of the present study the following recommendations were made: 1. Similar study can be conducted with large samples for better generalisation. 2. The study can be conducted to assess the knowledge and practice of nurses with regard to progressive muscle relaxation technique for quality of sleep in patients with breast cancer. 3. A comparative study can be conducted by using progressive muscle relaxation technique on improvement of quality of sleep among breast cancer patients. 4. The same study can be repeated by using the true experimental design. As a nurse working in hospital has a vital role to provide effective nursing care for the patients. The nurses are need to develop their knowledge and skills in management of breast cancer and providing care to the breast cancer patients, and to use wide variety of interventions in order to improve quality of sleep in such patients. CONCLUSION: The key conclusion that there was a significant difference on the level of quality of sleep among patients with breast cancer who received progressive muscle relaxation technique. It was easy to apply and potentially risk free intervention. Thus an exercise of progressive muscle relaxation technique was effective to quality of sleep among breast cancer patients