A Study To Evaluate The Effectiveness Of Progressive Muscle Relaxation Exercise On Anxiety, Depression And Quality Of Life Among Pulmonary Arterial Hypertensive Patients In Selected Hospitals Of Ludhiana/Moga, Punjab

Abstract

Background: Pulmonary hypertension is a type of high blood pressure that affects the arteries in the lungs and the right side of the heart. In one form of pulmonary hypertension, called pulmonary arterial hypertension (PAH), blood vessels in the lungs are narrowed, blocked or destroyed.  

Objective:

1. To assess the pre-test and post- test level of anxiety among pulmonary arterial hypertensive patients.


2. To assess the pre-test and post- test level of depression among pulmonary arterial hypertensive patients.


3. To assess the pre-test and post- test level of Quality of life among pulmonary arterial hypertensive patients.


4. To evaluate the effectiveness of Progressive muscle relaxation exercise on anxiety, depression and quality of life among pulmonary arterial hypertensive patients.


5. To compare the pre-test and post- test level of anxiety versus depression among pulmonary arterial hypertensive patients.


6. To compare the pre-test and post- test level of depression versus quality of life among pulmonary arterial hypertensive patients.


7. To compare the pre-test and post- test level of quality of life versus anxiety among pulmonary arterial hypertensive patients.


8. To find out the association between the Progressive muscle relaxation Exercise on anxiety among pulmonary arterial hypertensive patients with their selected socio-demographic variables.


9. To find out the association between the Progressive muscle relaxation Exercise on depression among pulmonary arterial hypertensive patients with their selected socio-demographic variables.


10. To find out the association between the Progressive muscle relaxation Exercise on quality of life among pulmonary arterial hypertensive patients with their selected socio-demographic variables.

Methods: The study design was Quasi experimental pre test post test control group design. Total of 20 pulmonary arterial hypertensive patients, 10 in Progressive Muscle Relaxation Exercise and 10 in control group were included. Anxiety, Depression and Quality of life was assessed using Beck Anxiety Inventory,Beck Depression Inventory II and WHO Bref Quality of life scale after 4 weeks. The Pulmonary Arterial Hypertensive patients in intervention group received four sessions within 4 weeks while Pulmonary Arterial Hypertensive patients in control group received treatment as usual.

Results: There was significant decrease in pre and post intervention mean anxiety, depression scores and increase in pre and post intervention mean Quality of life scores (p<0.01) of Pulmonary Arterial Hypertensive patients in intervention group, while significant increase (p<0.01) in mean anxiety and depression scores (p<0.01) of Pulmonary Arterial Hypertensive patients and decrease in mean Quality of life scores (p<0.01) in control group.

Conclusion: Progressive Muscle Relaxation Exercise was effective in reducing anxiety, depression and improved Quality of life in pulmonary arterial hypertensive patients.