Latha, I (2019) A Study to Assess the Effectiveness of Progressive Muscle Relaxation Techniques on Stress and Coping among Cancer Patients in Cancer Centre at Thulukkampatti, Thanjavur. Masters thesis, Nandha College of Nursing, Erode.
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Abstract
The present research was “A STUDY TO ASSESS THE EFFECTIVENESS OF PROGRESSIVE MUSCLE RELAXATION TECHNIQUES ON STRESS AND COPING AMONG CANCER PATIENTS IN CANCER CENTRE, AT THULUKKAMPATTI, THANJAVUR”. It was conducted by Mrs. LATHA.I in partial fulfillment of the requirement for the degree of Master of Science in Nursing at The Nandha College of Nursing, under The Tamil Nadu Dr.M.G.R. Medical University, Chennai during the year 2019. OBJECTIVES: 1. To assess the level of stress and coping before and after administration of progressive muscle relaxation techniques among cancer patients. 2. To implement and evaluate the effectiveness of progressive muscle relaxation techniques among cancer patients. 3. To find out the association between the level of stress and coping among cancer patients with their selected demographic variables such as age, gender, religion, type of family, education, occupation, marital status, duration of illness, site of cancer, following any other relaxation techniques and source of information. HYPOTHESIS: • H1 – Progressive Muscle Relaxation techniques will be effective in reducing stress and improving coping among cancer patients • H2 - There will be a significant association between the level of stress and coping among cancer patients with their selected demographic variables such as age, gender, religion, type of family, education, occupation, marital status, duration of illness, site of cancer, following any other relaxation techniques and source of information. METHODOLOGY: The conceptual framework of the study was based upon J.W. Kenny’s open system model. The research approach used for this study was Experimental approach and the research design was “Pre Experimental Design”. 60 cancer patients were selected for this study using purposive sampling technique. Data were collected with the help of 4 point rating scale on assessment of stress and modified Lazarus and Folkman coping inventories through interview method. The tool was given to five experts for content validity. This standardized scale’s reliability was 0.8. Pilot study was conducted to find the feasibility of the study and to plan for data analysis. Progressive muscle relaxation techniques were given to the patients dividing them into 2 groups. Each group containing 15 members were given Progressive muscle relaxation techniques for 15-20 minutes per day for 15 days. After 15 days post test was done using the same scale to assess the effectiveness of Progressive muscle relaxation techniques on stress and coping among cancer patients. Descriptive statistics (frequency, percentage, mean and standard deviation) and inferential statistics (paired ‘t’ test, unpaired ‘t’ test and chi square test) were used to analyze the data and test hypotheses. MAJOR FINDINGS: • According to Age, majority 27 (45%) of them belongs to the age group between 31-45 years, 19 (32%) of them belongs to the age group between 46-60 years and the remaining 14 (23%) of them comes under the age group between 19-30 years. • According to Gender, majority 38 (63%) of them were female and the remaining 22 (37%) of them were male. • According to Religion, majority 37 (62%) patients were Hindu, 22 (37%) of them were Christian and the remaining 1 (2%) of them was Muslim. • According to Type of family, majority 50 (83%) of patients belongs to nuclear family and the remaining 10 (17%) of them were belongs to joint family. • According to Education, most of 45 (75%) patients were educated and the remaining 15 (25%) of them were uneducated. • According to Occupation, majority 49 (82%) patients were employed and the remaining 11 (18%) of them were unemployed. • According to Marital status, most of 50 (83%) patients got married and the remaining 10 (17%) of them were unmarried. • Regarding Duration of illness, majority 45 (75%) patients were below 1 year, remaining 15 (25%) of them were in between 1-2 years and none of them were above 2 years. • According to Site of cancer, most of 30 (50%) patients had cancer on prostate/uterus/ovary/breast, 19 (32%) of them had cancer on other sites, 10 (16%) of them had cancer on stomach/intestine/colon/rectum and remaining 1 (2%) of them had cancer on head/neck. • According to Following any other relaxation techniques, none of the patients had followed any other relaxation techniques. • Regarding Source of information, majority 55 (92%) patients did not know about the information, 3 (5%) of them knew the information through newspaper and the remaining 2 (2%) of them knew the information through the television. • The Frequency and Percentage distribution of Pre test and Post test scores on the level of stress before and after administration of Progressive muscle relaxation techniques among cancer patients. In pre-test 44 (73%) of patients had severe level of stress, 14 (23%) of them had moderate level of stress and the remaining 2 (3%) of them had mild level of stress. In post test majority 52 (87%) patients had mild level of stress, 8 (13%) of them had moderate level of stress and none of them had severe level of stress. • The frequency and percentage of scores of pre-test and post-test scores on the level of coping among cancer patients. In pre-test majority 45 (75%) of them had inadequate coping, 15 (25%) of them had moderately adequate coping and none of them had adequate coping. In post-test majority 50 (83%) of them were adequate coping and the remaining 10 (17%) of them were moderately adequate coping. None of them had inadequate coping. • The comparison of mean of pre test and post test scores of effectiveness of Progressive muscle relaxation techniques on reducing stress among cancer patients. The mean pre-test score was 64.16 and mean post-test score was 36. The paired “t” test value was 44 when compared to the table value (2.0) it is high. The statistical paired “t” test indicates that the mean effectiveness found to be significant at P<0.05 revealing that the administration of Progressive muscle relaxation techniques was effective on reducing stress among cancer patients. • The comparison of mean of pre test and post test scores of effectiveness of Progressive muscle relaxation techniques on improving coping among cancer patients. The mean pre-test score was 38 and mean post-test score was 66. The paired “t” test value was 15.48 when compared to the table value (2.0) it is high. The statistical paired “t” test indicates that the mean effectiveness found to be significant at P<0.05 revealing that the administration of Progressive muscle relaxation techniques was effective on improving coping among cancer patients. There was significant Association found between pre-test score on the level of stress with their selected demographic variables namely age, type of family, education, marital status, duration of illness and site of cancer. • Regarding Age χ2=18.85 were as table value = 9.48 which is less than the calculated value at (P<0.05). It is evident that there is significant association between the pre test level of stress and age. • Regarding Type of family χ2=30.97 were as table value = 5.99 which is less than the calculated value at (P<0.05). It is evident that there is significant association between the pre test level of stress and type of family. • Regarding Education χ2=64.7 were as table value = 5.99 which is less than the calculated value at (P<0.05). It is evident that there is significant association between the pre test level of stress and education. • Regarding Marital status χ2=17.6 were as table value = 5.99 which is less than the calculated value at (P<0.05). It is evident that there is significant association between the pre test level of stress and marital status. • Regarding Duration of illness χ2=29.83 were as table value = 9.48 which is less than the calculated value at (P<0.05). It is evident that there is significant association between the pre test level of stress and duration of illness. • Regarding Site of Cancer χ2=26.28 were as table value = 18.307 which is less than the calculated value at (P<0.05). It is evident that there is significant association between the pre test level of stress and Site of cancer. • Regarding Gender χ2 =0.18 were as table value =5.99 which is more than calculated value at (P>0.05) level. It is evident that there is no significant association between the pre test level of stress and gender. • Regarding Religion χ2 =2.56 were as table value = 9.48 which is more than calculated value at (P>0.05) level. It is evident that there is no significant association between the pre test level of stress and religion. • Regarding Occupation χ2 =3.86 were as table value =5.99 which is more than calculated value at (P>0.05) level. It is evident that there is no significant association between the pre test level of stress and occupation. • Regarding Following any other relaxation techniques χ2 =0 were as table value = 9.48 which is more than calculated value at (P>0.05) level. It is evident that there is no significant association between the pre test level of stress and following any other relaxation techniques. • Regarding Source of Information χ2 =3.88 were as table value =9.48 which is more than calculated value at (P>0.05) level. It is evident that there is no significant association between the pre test level of stress and source of information. There was significant Association found between Pre-test scores on the level of coping with their selected Demographic Variables namely Education and Duration of illness. • Regarding Education χ2= 18.51 were as table value = 5.99 which is less than the calculated value at (P<0.05). It is evident that there is significant association between the pre test level of coping and education. • Regarding Duration of illness χ2=59.97 were as table value = 9.48 which is less than the calculated value at (P<0.05). It is evident that there is significant association between the pre test level of coping and duration of illness. • Regarding Age χ2 = 0.23 were as table value =9.48 which is more than calculated value (P>0.05) level. It is evident that there is no significant association between the pre test level of coping and age. • Regarding Gender χ2 =2.39 were as table value =5.99 which is more than calculated value (P>0.05) level. It is evident that there is no significant association between the pre test level of coping and gender. • Regarding Religion χ2 =5.328 were as table value =9.48 which is more than calculated value (P>0.05) level. It is evident that there is no significant association between the pre test level of coping and religion. • Regarding Type of family χ2 =3.96 were as table value =5.99 which is more than calculated value (P>0.05) level. It is evident that there is no significant association between the pre test level of coping and Type of family. • Regarding Occupation χ2 =1.817 were as table value = 5.99 which is more than calculated value (P>0.05) level. It is evident that there is no significant association between the pre test level of coping and occupation. • Regarding Marital status χ2 =3.99 where as table value =5.99 which is more than calculated value (P>0.05) level. It is evident that there is no significant association between the pre test level of coping and marital status. • Regarding Site of cancer χ2 =4.02 were as table value =18.307 which is more than calculated value (P>0.05) level. It is evident that there is no significant association between the pre test level of coping and site of cancer. • Regarding Following any other relaxation techniques χ2 =4 where as table value =9.48 which is more than calculated value (P>0.05) level. It is evident that there is no significant association between the pre test level of coping and practicing of other relaxation techniques. • Regarding Source of information χ2 =1.8 where as table value =9.48 which is more than calculated value (P>0.05) level. It is evident that there is no significant association between the post test level of coping and source of information. RECOMMENTATIONS: Based on the findings of the study the following recommendations are made: • A Similar study can be conducted with a control group. • A comparative study can be conducted to evaluate the effectiveness psychological interventions and other coping strategies to reduce the level of stress among cancer patients. • A longitudinal study can be conducted for long term effects of coping strategies on stress. • Study can be done with randomization for better result. • A follow up study can be conducted to assess the effectiveness of the present intervention in reducing the stress and improving the coping among cancer patients.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 301731751 |
| Uncontrolled Keywords: | Effectiveness, Progressive Muscle Relaxation Techniques, Stress and Coping, Cancer Patients, Cancer Centre, Thulukkampatti, Thanjavur. |
| Subjects: | NURSING > Psychiatric Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 02 Jan 2022 14:01 |
| Last Modified: | 02 Jan 2022 14:36 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/18934 |
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