Advertisement

The Effect of Progressive Muscle Relaxation on Abdominal Pain and Distension in Colonoscopy Patients

Published:October 31, 2022DOI:https://doi.org/10.1016/j.jopan.2022.04.013

      Abstract

      Purpose

      This study was conducted to examine the effect of progressive muscle relaxation on abdominal pain and distension in colonoscopy patients.

      Design

      A randomized controlled experimental design.

      Methods

      The experimental group was informed about progressive muscle relaxation (PMR) and an audio recording was provided. After the colonoscopy, abdominal pain (Visual Analogue Scale (VAS) pain) and distension (VAS distension) scores were assessed, then PMR was applied for 30 minutes and pain scores were determined again. VAS pain and VAS distension scores of the control group were determined after colonoscopy and 30 minutes later. VAS abdominal pain and VAS distension scores were evaluated at the 2nd, 4th, 8th, 12th, 16th, and 24th hour after the procedure on all patients. The day after the colonoscopy, post-test data were collected.

      Findings

      The pretest VAS pain and VAS distension mean scores were similar in the intervention and control groups (P > .05). The mean VAS pain and VAS distension scores decreased significantly in the intervention group post procedure (P < .05).

      Conclusions

      PMR was determined to be effective in reducing abdominal pain and distension after colonoscopy.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of PeriAnesthesia Nursing
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Janes SEJ
        • Cowan IA
        • Dijkstra B.
        A life threatening complication after colonoscopy.
        BMJ. 2005; 330: 889
        • Yılmaz E
        • Aslan A
        • Ergın E.
        The effect of self-efficacy levels on bowel cleaning in patients who will undergo colonoscopy.
        MCBU SBED. 2018; 5: 192-198
        • Yaşar M
        • Kayıkçı A
        • Üniversitesi D
        • et al.
        Retrospective evaluation of colonoscopy results.
        Konuralp Med J. 2010; 2: 6-9
        • Fisher Deborah A.
        • Akçaağaç John T.
        • Sharaf Ravi N.
        • et al.
        Complications of colonoscopy.
        Gastrointest Endosc. 2011; 74: 745-752
        • Quintero E
        • Castells A
        • Bujanda L
        • et al.
        Colonoscopy versus fecal immunochemical testing in colorectal-cancer screening.
        N Engl J Med. 2012; 366: 697-706
      1. Karataş, Emel et al. Colonoscopy complications and determination of risk factors. http://www.acibademhemsirelik.com/e-dergi/124/docs/bc-2.pdf. Accessed March 20, 2020.

        • Hirota WK.
        Minor complications in colonoscopy: Mars versus Venus, and preps matter too.
        Gastrointest Endosc. 2007; 65: 657-659
        • Steffenssen MW
        • Al-Najami I
        • Baatrup G.
        Patient-reported minor adverse events after colonoscopy: a systematic review.
        Acta Oncol (Madr). 2019; 58: S22-S28
        • Bari Z
        • Fakheri H
        • Sardarian H.
        Large bowel obstruction after colonoscopy; a case report.
        Middle East J Dig Dis. 2015; 7: 253-256
        • Ko CW
        • Riffle S
        • Shapiro JA
        • et al.
        Incidence of minor complications and time lost from normal activities after screening or surveillance colonoscopy.
        Gastrointest Endosc. 2007; 65: 648-656
        • Pan CX
        • Morrison RS
        • Ness J
        • Fugh-Berman A
        • Leipzig RM.
        Complementary and alternative medicine in the management of pain, dyspnea, and nausea and vomiting near the end of life: a systematic review.
        J Pain Symptom Manage. 2000; 20: 374-387
        • Park SH
        • Han KS
        • Kang CB.
        Relaxation therapy for irritable bowel syndrome: a systematic review.
        Asian Nurs Res (Korean Soc Nurs Sci). 2014; 8: 182-192
        • Gök Metin Z
        • Özdemir L.
        Using aromatherapy and reflexology for pain and fatigue management in rheumatoid arthritis.
        hemşirelikte Eğitim ve Araştırma Derg. 2016; 13: 44-49
        • Yazdani R.
        • et al.
        Effects of progressive muscle relaxation on the life quality of patients with Rheumatoid Arthritis: a clinical trial.
        Prev Care Nurs Midwifery J. 2017; 7: 49-57
        • Kapucu S
        • Yılmaz Kütmeç C.
        The benefit of progressive relaxation exercises in chronic diseases.
        FÜSağBilTıpDerg. 2018; 32: 111-114
        • Solak Ö
        • Ulaşlı AM
        • Çevik H
        • et al.
        Application to complementary and alternative medicine methods in rheumatic disease.
        Kocatepe Med J. 2015; 16: 116-121
        • Essa RM
        • Ismail NIAA
        • Hassan NI.
        Effect of progressive muscle relaxation technique on stress, anxiety, and depression after hysterectomy.
        J Nurs Educ Pract. 2017; 7: 77
        • Dramalı A
        • Oyur Çelik G.
        A randomized controlled study in which the effect of progressive relaxation exercises for the patients that patient-controlled analgesia applied on nausea, vomitting, pain, and anxiety.
        Int Ref J Nurs Res. 2016; 1: 136
        • Macfarlane GJ
        • Paudyal P
        • Doherty M
        • et al.
        A systematic review of evidence for the effectiveness of practitioner-based complementary and alternative therapies in the management of rheumatic diseases: osteoarthritis.
        Rheumatol (United Kingdom). 2012; 51: 2224-2233
        • Hasanpour-Dehkordi A
        • Jalali A.
        Effect of progressive muscle relaxation on the fatigue and quality of life among Iranian aging persons.
        Acta Med Iran. 2016; 54: 430-436
        • Devmurari D
        • Nagrale S.
        Effectiveness of Jacobson's progressive muscle relaxation technique for pain management in post-cesaerean women.
        Indian J Obstet Gynecol Res. 2018; 5: 228-232
        • Boyce PM
        • Talley NJ
        • Balaam B
        • Koloski NA
        • Truman G.
        A randomized controlled trial of cognitive behavior therapy, relaxation training, and routine clinical care for the ırritable bowel syndrome.
        Am J Gastroenterol. 2003; 98: 2209-2218
        • Fernandez C
        • Ferez M
        • Amigo I
        • Linares A.
        Stress and contingency management in the treatment of irritable bowel syndrome.
        Stress Med. 1998; 14: 31-42
        • Gaylord SA
        • Palsson OS
        • Garland EL
        • et al.
        Syndrome in women : results of a randomized controlled trial.
        Am J Gastroenterol. 2019; 2011: 1678-1688
        • Lahmann C
        • Röhricht F
        • Sauer N
        • et al.
        Functional relaxation as complementary therapy in ırritable bowel syndrome: a randomized, controlled clinical trial.
        J Altern Complement Med. 2010; 16: 47-52
        • Arslanca G
        • Aygün M.
        Evaluation of the Effects of Endoscopy Nursing Patient Care Practices on Colonoscopy Procedure Quality.
        Biruni University, 2019
        • Kızılcık Özkan Z
        • Ünver S
        • Fındık ÜY
        • Fidan Ş
        • Albayrak D.
        Determining the frequency of colonoscopy procedures that cannot be completed due to insufficient bowel preparation with retrospective analysis in patients who underwent colonoscopy.
        Endosk Gastrointest. 2017; 24: 78-82
        • Kızılcık Özkan Z
        • Yıldız Fındık Ü.
        Determination of the effectiveness of Informing with the guidance of an education booklet in patients undergoing colonoscopy-a randomized controlled trial.
        J Perianesth Nurs. 2018; 35: 502-507
        • Bengtsson M
        • Hammar O
        • Mandl T
        • Ohlsson B.
        Evaluation of gastrointestinal symptoms in different patient groups using the visual analogue scale for irritable bowel syndrome (VAS-IBS).
        BMC Gastroenterol. 2011; 11: 122
        • Tanrıverdi S
        • Sarıtaş S.
        The effect of acupressure on postoperative pain of lumbar disc hernia: a quasi-experimental study.
        Complement Ther Clin Pract. 2018; 32: 12-16
        • Price Donalt
        in Biological Control : the challenge and the opportunity.
        Pain. 1983; 17: 1-12
        • Park DI
        • Kim HJ
        • Park JH
        • et al.
        Factors affecting abdominal pain during colonoscopy.
        Eur J Gastroenterol Hepatol. 2007; 19: 695-699
        • Bellei AC
        • Dacoregio DG
        • Bianchini F
        • Souza JCG
        • Bello JML
        • Kock K de S.
        Factors associated with abdominal pain in patients submitted to colonoscopy.
        J Coloproctology. 2017; 37: 306-311
        • Ovayolu N
        • Sava C.
        The effect of music transmitted in upper gastrointestinal system endoscope heat treatment on some values, satisfaction and success of the operation.
        Atatürk Univers School Nurs J. 2007; 10: 16-25
      2. Tulunay CF TM. Assessment of Pain and Pain Measurements. Edited by Erdine S. İstanbul: Nobel Medical Bookstore. 2000.

        • Zargarzadeh M SM
        The effect of progressive muscle relaxation method on test anxiety in nursing students.
        Iran J Nurs Midwifery Res. 2014; 19: 607-612
        • Arisjulyanto D
        • Hikmatushaliha BT
        • Arifin Z
        • Supriyadi
        Benefits and effect of progressive muscle relaxation therapy on the blood pressure of patient with hypertension in Mataram.
        EC Emerg Med Crit Care. 2019; 2: 76-84
        • Segal DL
        • Feliciano L.
        Relaxation training. Encycl Clin Neuropsychol.
        Springer, New York, NY2019: 2149-2150
        • Mackereth PA
        • Tomlinson L.
        Progressive muscle relaxationa remarkable tool for therapists and patients.
        Integr Hypnother. 2010; 1 (Jacobson 1977): 82-96
        • Avianti N
        • Z D
        • Rumahorbo H
        Progressive muscle relaxation effectiveness of the blood sugar patients with Type 2 Diabetes.
        Open J Nurs. 2016; 06: 248-254
        • Karaman Özlü Z
        • Soydan S
        • Çapık A
        • et al.
        The effect of progressıve relaxation exercises on pain control in lohusas with caesarean surgery.
        J Anatolia Nurs Heal Sci. 2016; 19: 58-64
        • Ju W
        • Ren L
        • Chen J
        • Du Y.
        Efficacy of relaxation therapy as an effective nursing intervention for post‑operative pain relief in patients undergoing abdominal surgery: a systematic review and meta‑analysis.
        Exp Ther Med. 2019; 18: 2909-2916
        • Topcu SY
        • Findik UY.
        Effect of relaxation exercises on controlling postoperative pain.
        Pain Manag Nurs. 2012; 13: 11-17
        • Aziz 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: 14