Title: Effectiveness of Progressive Muscle Relaxation and Activity Schedule on Depression and Activities of Daily Living Among Elderly Patients

Authors: Jayapriya. R, Santhi. S, Sujatha. V

 DOI:  http://dx.doi.org/10.18535/jmscr/v4i2.33

Abstract

Most commonly the depressive syndrome is observed among the elderly. Depression is a syndrome and a disorder; it involves episodes of sadness, loss of interest, pessimism, negative beliefs about the self, decreased motivation, behavioural passivity, suicidal thoughts and impulses, changes in sleep, appetite and sexual interest. Depression is a mental illness, which currently accounts for nearly 30% of people between the age of 45 and 75years in India. The title of the study was to assess the effectiveness of progressive muscle relaxation and activity schedule on depression and activities of daily living among elderly patients. The research design adopted for this study was quasi-experimental pretest and posttest with control group design. The tool used for this study was Geriatric depression scale and ADL checklist. PMR and AS was given to the patients on an one-to-one basis to each participant to reduce muscle tension and motivated them to do their daily living activities independently. The study result showed that the mean value of depression in the study group decreased from 17.27 to 12.73 (p <0.001 level) and the mean value of ADL in the study group increased from 2.87 to 4.33 (p <0.001 level) and in the control group and there was no significant change in the mean score of depression and ADL. Also there was a significant difference in the posttest mean score of level of depression and ADL between the study and control group at p <0.001 level. So, PMR and ADL was found to be more effective in reducing the level of depression and improving to do their daily living activities of elderly patients independently.

Keywords: depression, progressive muscle relaxation, activities of daily living, independently.

References

1.      Basavanthappa, B. T. (2007). Nursing Research. (2nd ed). New Delhi: Jaypee Publishers.

2.      Blumenthal & Endicott (1997), Barrier’s to seeking treatment for major depression, journal of depression and anxiety 4(6); 273-8, retrieved from  http:// www.ncbi.nlm.nih.gov/pubmed/9166655.

3.      Chemeriniski, R.G.Robinson & J.T. Kosier., (2001), improved recovery in ADL associated with remission of post stroke depression, journal of neurological sciences 02/2004, 32(1); 113-119, retrieved from http://www.researchgate.net/12192113.

4.      Chalise H,M.,(2014) Depression among elderly living in old age home and hospitals, advances in aging research 3,6-11. http://doi.org.10.4236/aar.2014.31002.

5.      Chalise,H.M., Saito.T &  Kai.I.,(2008) Situation of functional disability in activities of daily living and instrumental activities of daily living among elderly, Journal of Public health; 122,394-396. http://dx.doi.org110.1016.puhe.2007.7.015

6.      Cheung.Y.L., Alexander Molassiotis & Anne M Chang., (2002) Effects of PMR training on anxiety and quality of life after stoma surgery in colorectal cancer patients, Journal of psycho-oncology 12-3, 254-266. http://doi:10.1002/pon638

7.      Chou, K. L., & Yu, K. M. (2013). Atypical depressive symptoms and obesity in a national sample of older adults with major depressive disorder. Journal of Holistic Nursing, 30(6), 574-579. http://doi:10.1002/da.22098

8.      Filipa.A.P, Rosa Marina Alfonsa & Henrique.,(2012) Depression and social support in oldage, Journal of research unit education on adult and the elderly,13. Retrieved from www.scielo.ocesmctes.pt/scielo2012008.

9.      Ghafari.S., F.Ahmadi, M. Nabavi, K. Anoshirvan, R. Memarain & M.Rafatbaksh, (2009) Effectiveness of applying PMR technique on quality of life of patients with Multiple Sclerosis, Journal of clinical nursing.10(15) 2171-2179,2009. http://doi:10.11.11/j.1365-2702.2009.02787x.

10.  Jui Das, Fahmida Dil Farzana, Farzana Ferdous, Shahnawaz Ahamed, Sarah Tegenfeldlt & Repon Chandra Paul., et.al, (2014) Factors associated with elderly depression among rural Bangaladesh individuals, American Journal of Psychiatry and neuroscience 2014;2(1):1-7, http://doi:10.11648/j.20140201.11.

11.  Hamidizadeh.S, Ahmadi.F & Asghari.M.,(2006) Reviewing the relaxation techniques on anxiety and stress of elderly patients with hypertension, Journal of medical sciences 2006; 8(2) 45-51, www.-ncbi,nlm.gov/pmc/articles/pmc3590692.

12.  Kashani.F, Sima Babaee,Masouel Bahrami & Mahboobeh Valiani.,(2012) effects of relaxation on reducing depression, anxiety and stress in women who underwent mastectomy for breast cancer, Iranian journal of nursing and midwifery research 2012 Jan-Feb; 17(1):30-33,

www.ncbi,nlm.gov/ijn/articles/ijn4567390

13.  Lolak.S, Connors.G.L, Sheridan.M.J & Wise.T.N., (2008) effects of PMR training on anxiety and depression in patients enrolled in an outpatients pulmonarybreh abilitation programe, Journal of psychotherapy, psychosom; 2008 77(2):119-25, www.biomeddefine.com/sdx/t30all/100/depression.

14.  Lucelia, Justino Borges, Tania R Bertoldo Benedetti, Andre Junqueira Xavier, Eleonorad & Orsi, (2013) Associated factors of depressive symptoms in the elderly: Revista Saude publication 47 no 4 Aug-2013, http://dx.doi.org/10. 1590/S0034-8910.2013047003844.

15.  Lucas.M, Rania Mekary, Anpan, Fariba Mirzaci & Eilis, et,al., (2011) Relation between clinical depression risk and physical activity and time spent watching television in older women; American journal of epidemiology;174 (9),1017-1027,

http://doi:10.1093/aje/kwr28october7,2011

16.  Ling Yang .X, Huan-Huan Li, Ming-Huang Hong, Henry.S.R & Kao., (2010) effects of Chinese calligraphy handwriting and relaxation training in Chinese nasopharyngeal carcinoma patients, International journal of nursing studies, may 2010, vol 47(50 550-559, http://dx.doi.org/10.1016/j.ijnurstu2009.10.014.

17.  Mohamad Rodi Isa, Foang Ming Moy, Azad Hassan Abdul Razack, Zulkifli, Zainuddin & Nor Zuraida Zainal, (2013), Impact of applied PMR training on the level of depression, anxiety and stress among prostate cancer patient, Asian pacific journal of cancer prevention 14(4), 2237-2242, http://dx.doi.org/10.73141apcp.2013.14.4223.

18.  Prameelarani Bommareddy, Blessy Pradha Valsaraj & Shalini, (2014), Jacobson’s progressive muscle relaxation (JPMR) training to reduce anxiety and depression among people living with HIV, Nitte university journal of health science 4(1), 2014, 2249-7110, Retrieved from http://www.ntte.edu.in.

19.  Karl Peltezer and Nancy Phaswana Mafuya,(2013), Depression and associated factors in older adults in South Africa, Global health action journal 2013, http://dx.doi:10.3402/gha.v6io.18871

20.  Payahoo.L, Yaser Khaye-Bishak, Bahram pourghassem Garigari & Mohammad Bagher Kabir-Alavi, (2013), Assessment of nutritional and depression staus in free-living elderly in Tabriz, Northwest Iran, Health promotion perspectives 2013, 3(2): 288-293, http://www.dx.doi:10.5681/hpp2013.033

21.  Polit, D. F., & Hungler, B. P. (2004). Nursing Research Principles and Methods. (6th ed). Philadelphia: Lippincott Publishers.

22.  Potvin., RitchiePotvin, O., Bergua, V., Swendsen, J., Meillon, C., Tzourio & C., et al. (2013). Depression and anxiety in elderly. International journal of Geriatric and Gerontology, 30(6), 554-563. doi: 10.1002/da.22101. 59.

23.  Sundar Rao, P. S. S. (2006). Introduction to Biostatistics and Research Method. (4th ed). New Delhi: Prentice Hall of India private Limited.

24.  Suresh Sharma. (2011). Nursing Research and Statistics. (1st ed). New Delhi: Elsevier Publication.

25.  Schneider.R, Charles.N, Alexander, Frank stagger’s, David.W, Orme, Johnson, et.,al, (2004), A randomized controlled trail of stress reduction for hypertention for over one year, American journal of hypertension, 2005, Jan 18(1), 88-98, http://www.doi.10.1016/j.amjhyper.2004,08.027.

26.  Rojan. J & D. Almeida Victoria, (2013), Effectiveness of Jacobson’s Progressive Muscle Relaxation (JPMR) on Blood Pressure(BP) and health related stress level among patients with Hypertension in a selected hospital of Manglore, International journal of nursing education, 2013 5(2) 171-175, http://www.doi:10.5958/j.0974-9357.5.2.089.

27.  Tendias.I, Barbara Figueiredo, Jorge Mota & Ana Conde, (2011), Physical Activity, health related quality of life and depression during pregnancy, Cad Saude publication 28(2) Feb 2011, http://www.dx.doi.org/10.590/S0102-311X2011000200003.

28.  Teychenne.M, Kylie Ball & Jo Salmon, (2008), Association between physical activity and depressive symptoms in women, Journal of behavioural nutrition and physical activity 2008, 5: 27, http://www.doi:10.1186/1479-5868-5-27.

29.  Thorson (2000), Assessment of functional disabilities among geriatric patients, a model of functional independence measure, journal of Rehabilitation psychology, 45(1); 49-64. http:// www.doi:10.1080/08952841/2013.79751.

30.  Unsar.S, et,al, (2008), Depression and health status in elderly hospitalized patients with chronic illness, Journal of Gerontology, geriatric 2010 Jan-Feb; 50(1): 6-10. http://www.doi.10.1016/j.archger.2008.12.011.epub2009feb.8.

31.  Van Uffelen.J, Van Gellecum.Y.R, Burton.N.W, Peeter’s.G, Heesch.K.C &  Brown.V.J, (2013), Sitting time, physical activity and depressive symptoms in mid-aged women, Journal of preventive medicine 2013, 45(3): 276-81, http:/ /www.doi:10.1016/j.amepre2013.04.009.

32.  World Health Organization (WHO)(2005), world health report 2005, http:// www.who.int/whr/2005/annexes-en.pdf.

33. Yesavage.J. Brink, T.Rose & T.etal, (1983), Development and validation of Geriatric depression screening scale, Journal of psychiatric research, 17,3749, http://www.dx.doi,org/10.1016/002-3956(82090033-4

Corresponding Author

Jayapriya. R

Sri Ramachandra University, Faculty of Nursing

Chennai, Tamilnadu 600116, India

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.