Effect of Progressive Relaxation Exercise on Physiological Parameters, Pain, Anxiety in Colorectal Cancer Surgery
Effect of Progressive Relaxation Exercise on Physiological Parameters, Pain, Anxiety in Colorectal Cancer Surgery
This research was carried out as an pre-test/post-test control group experimental design
 study in order to determine the effect of progressive relaxation exercises on the level of
 vital sign, pain and anxiety underwent who laparoscopic surgery for colorectal cancer in
 patients. This research data was collected between March 2018 and May 2019. The research was
 carried out with 63 patients (experiment group= 31, control group= 32) who underwent elective
 laparoscopic colorectal surgery in a general surgery clinic of a university hospital in
 Istanbul and in accordance with the research criteria. Patients in the experiment group were
 taught breathing exercises in the preoperative period and on the 1st, 2nd and 3rd day after
 surgery then, progressive relaxation exercise that lasted 15 minutes was applied to the
 group. Pain (Short McGill Pain Scale) and anxiety (STAI-S Scale) levels of both groups were
 evaluated in the preoperative and postoperative period. The patient's vital signs, oxygen
 saturation and serum cortisol level parameters were measured in the same time interval before
 and after the relaxation exercise. Significance was evaluated at p <0.05 and p<0,001 levels
 in the analysis of the data. Prior to the study, the consent of the institution and ethics
 committee, written and verbal patient consent were obtained.
The universe of the study consisted of patients with colorectal cancer who were admitted to
 Istanbul University, Istanbul Faculty of Medicine, General Surgery Clinics for treatment
 between March 2018 and May 2019 and who would undergo laparoscopic surgery.The research was
 planned as a randomized controlled experimental study. Block randomization method was to
 determine the experimental and control groups. In order for the groups to be distributed
 homogeneously, the order produced by a computer program(https://www.randomizer.org/) was
 used. Randomization done by a biostatistician outside the researcher. Patients who meet the
 inclusion criteria and agree to participate in the study assigned to the experimental and
 control groups according the randomization list.Research data will be collected in a
 hospital's general surgery ward between March 2018 and May 2019. The independent variable of
 the study is Progressive Relaxation Exercise.The dependent variables of the study are
 physiological parameters, pain, anxiety and serum cortisol. In the research, "Individual
 Characteristics Form" and "Patient Follow-up Form" prepared by the researcher in line with
 the literature will be used as data collection tools.
Inclusion Criteria:

 -  Being 18 years or over,

 -  Consenting to participate in the study with verbal and written declaration after being
 informed,

 -  Being scheduled for elective laparoscopic colorectal cancer surgery,

 -  Not participating in another randomized controlled study simultaneously.

 Exclusion Criteria:

 -  Having a health problem that will alter cortisol release,

 -  Preoperative and postoperative unconsciousness,

 -  Having a psychiatric problem,

 -  Having a disease that requires corticosteroid therapy,

 -  Developing any complications during the operation.