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A Quasi-Experimental Study to Evaluate the Effectiveness of Progressive Muscle Relaxation Therapy on Anxiety and Quality of Life among Chronic Kidney Disease Patients Undergoing Hemodialysis in Dialysis Unit of Gian Sagar Medical College and Hospital, Ram Nagar, Rajpura, District Patiala, Punjab

Kiranjeet Kaur, Ishak Mohammad

Abstract


Background of the study: Chronic Kidney Disease (CKD) is common throughout the world. It usually develops slowly over months to years. The last stage of CKD is End Stage Renal Disease (ESRD).At this stage, renal replacement therapy i.e. dialysis or renal transplantation is required for long term survival. Hemodialysis (HD) is the most frequent therapy, globally. Although the dialysis therapy allows people to extend their lives and guarantee their survival, it also affects the accomplishment of activities of daily living which causes anxiety and, in the long term, patient’s quality of life decreases. Aim of the study: The aim of study is to reduce the anxiety and to improve quality of life among Chronic Kidney Disease (CKD) patients undergoing hemodialysis with the help of progressive muscle relaxation therapy. Methodology: A quasi-experimental study was conducted at Gian Sagar Medical College and Hospital, Ram Nagar, among 40 CKD patients (undergoing hemodialysis), selected purposively. STAI and WHOQOL-BREF was used to collect data from patients. Result: The results indicated that there was a significant lower post-test anxiety (p<0.05) and trait anxiety (p<0.05) compared to the pre-test state anxiety and trait anxiety. Results also indicated that there was significant higher post-test QOL (p<0.05) compared to the pre-test. Findings of the study revealed that experimental group reported a significant lower state anxiety (p<0.05) and trait anxiety (p<0.05) compared to control group. The results also indicated that experimental group reported a higher QOL (p<0.05) compared to control group. This study revealed that there was a significant association of QOL and age (p<0.05).Conclusion: According to the results of this study, it was concluded that progressive muscle relaxation has a favorable effect to reduce anxiety and improve QOL of CKD patients undergoing hemodialysis. Recommendations: Randomized trail can be conducted to better define the role of various relaxation methods to decrease anxiety and improve QOL of CKD patients.


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