Abstract
ABSTRACTObjective: to evaluate the effect of progressive muscle relaxation as a nursing procedure on the levels of stress for sufferers of multiple sclerosis. Method: random clinical trials conducted at the Neurology outpatients unit at a University Hospital. The sample consisted of 40 patients who were being monitored as outpatients (20 in a control group and 20 in an experimental group). The Progressive Muscle Relaxation technique was used. The control variables were collected through interviews that were recorded on forms and on the Perceived Stress Scale that we used. Five meetings were held every fortnight covering a period of eight weeks. The experimental group was advised to carry out daily progressive muscle relaxation activities. After eight weeks of these activities, they were evaluated again to measure their levels of stress. In order to analyze the data used, the software package Statistics for Social Sciences version 19.0 was used. Results: the application of the t test showed a significant reduction in the Perceived Stress Scale scores in the experimental group (p<0.001), which in turn proved that there was a reduction in the levels of stress after the application of the relaxation practic-es. Conclusion: the progressive muscle relaxation activities contributed to the reduction in stress levels for multiple sclerosis suffers and thus can be used in nursing for patients. Clinical Trials Identifier: NCT 02673827.
Highlights
Multiple Sclerosis (MS) is a chronic, autoimmune disease which is characterized by neuro-degeneration of the central nervous system which presents a number of consequences such as: variable motor deficits and sensitivities caused by the demyelination of the myelin sheath
They were chosen due to meeting the following inclusion criteria: they had been diagnosed with relapsing-remitting MS for about six months, they had been undergoing immunotherapy, they registered ≤ 5.0 on the Expanded Disability Status Scale (EDSS), they were aged between 18 and 65 years old, they had not had any relapses in the three months that ran up to the start of the study and they were living in the metropolitan region of Vitória-ES
There was a significant reduction in stress levels for suffers with MS for the experimental group (p
Summary
Multiple Sclerosis (MS) is a chronic, autoimmune disease which is characterized by neuro-degeneration of the central nervous system which presents a number of consequences such as: variable motor deficits and sensitivities caused by the demyelination of the myelin sheath. It affects young adults in the prime of their productive lives bringing about permanent neurological incapacity in the long term[1]. It is associated with: psychological alterations, cognitive deficits, fatigue, emotional problems and stress which affects their [2] quality of life. Stress can influence the onset of MS and its clinical development making it more intense and increasing the frequency of the symptoms . [3,4] Information has shown that there are negative associations between stress and the quality of life for those with MS[5,6].
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