Comparison of the Effectiveness of Visual Imagery Technique and Progressive Relaxation Technique on Anxiety and Depression in Subjects With Moderate Chronic Obstructive Pulmonary Disease

Abstract

Objectives: (1) To determine the effectiveness of visual imagery technique (VIT) on anxiety and depression in moderate chronic obstructive lung disease, (2) to determine the effectiveness of progressive relaxation technique (PRT) on anxiety and depression in moderate chronic obstructive lung disease (COPD), and (3) to compare the effectiveness of VIT and PRT on anxiety and depression in moderate COPD.Methods: Ethical clearance was obtained from the institutional ethical committee. A total of 45 stable moderate COPD patients were selected by simple random sampling, according to inclusion and exclusion criteria. 22 patients of Group A received VIT and 23 of Group B received PRT with a baseline treatment of conventional physiotherapy in both groups for 60 minutes twice a day for 5 days in the Pulmonology Department, Krishna Hospital, Karad.Result: Statistics was analyzed using paired t-test and unpaired t-test. In pre-intervention, there was no statistically significant difference seen for depression anxiety stress scale (DASS21) (p=D 0.0189, A 0.0002, S <0.0001) (t=D 2.440, A 4.053, S 5.105), hospital anxiety depression scale (HADS) (p=D 0.7677, A 0.5121) (t=D 0.2973, A 0.6610), and 6-min walk test (6MWT) (p=D 0.5948, RPE 0.0658) (t=D 0.5359, RPE 1.888). On comparing, the post-interventional values between the two groups using unpaired t-test proved that there was extremely statistically significant difference seen for DASS21 (p=D 0.0011, A <0.0001, S <0.0001) (t=D 3.504, A 9.220, S 13.508), HADS (p=D <0.0001, A <0.0001) (t=D <0.0001, A <0.0001), and 6MWT (p=distance 0.7041, RPE <0.0001) (t=distance 0.3824, RPE <0.0001).Conclusion: VIT along with conventional physiotherapy was significant both statistically and clinically compared to PRT on anxiety and depression in moderate COPD patients.

Effectiveness of Progressive Muscle Relaxation and Meditation Relaxation Treatment of Reduction of Blood Pressure in Hypertension Patients in the Village of Sindangagung Kuningan District

“…DISCUSSION PMR is a relaxation technique through two processes, namely tensing and relaxing the muscles of the body, which is a combination of breathing exercises and movements [8] . Based on the results of the study, the group undergoing progressive muscle relaxation therapy was found to have decreased systolic pressure by 9.67 mmHg, as well as diastolic pressure, which had a significant decrease of 6.33 mmHg and based on further analysis it was found that the p value was 0,000, which means that there were differences significant systolic and diastolic pressures before and after progressive muscle relaxation therapy.…”

The Comparison of Progressive Muscle Relaxation Frequency on Anxiety, Blood Pressure, and Pulse of Haemodialysis Patients

“…relaxation two times a day for 5-6 days per week can reduce anxiety in leprosy patients who are hospitalised. Mhaske, Poovishnu Devi, and Jagtap (2018) state that progressive muscle relaxation two times a day for five days per week can reduce anxiety and depression in patients with chronic obstructive pulmonary disease. Progressive muscle relaxation interventions were more effective in reducing anxiety, fatigue and improving the sleep quality of patients with chronic kidney failure undergoing haemodialysis (Seyedi Chegeni et al 2018).…”

“…PMR is a relaxation technique through two processes, namely tensing and relaxing the muscles of the body, which is a combination of breathing and movement exercises (Mhaske, Poovishnu Devi, & Jagtap, 2018). PMR can reduce anxiety for five times per week (Ramasamy, Panneerselvam, Govindharaj, Kumar, & Nayak, 2018); improved physical function (Ublosakka-Jones, Tongdee, Pachirat, & Jones, 2018); sleeping disorder Seyedi Chegeni, Gholami, Azargoon, Hossein Pour, Birjandi, & Norollahi, 2018), mental (Li et al, 2015); and quality of life (Ramasamy et al, 2018).…”