scholarly journals The Effect of Exercise on Postpartum Women’s Quality of Life: A Systematic Review

Jurnal NERS ◽  
2020 ◽  
Vol 14 (3) ◽  
pp. 146
Author(s):  
Ni Putu Dian Ayu Anggraeni ◽  
Lucky Herawati ◽  
Melyana Nurul Widyawati ◽  
I Komang Leo Triandana Arizona

Postpartum mothers are vulnerable to several problems during the puerperium, such as fatigue, sleep disorders, anxiety, depression, sexual problems, physical functioning and dissatisfaction with partner support that can affect their quality of life. The aim of this systematic review is to explore the effect of exercise on postpartum women’s quality of life. Comprehensive searches including experimental studies (including RCTs and non-randomized trials) from several databases, namely Scopus, PubMed, and Science-Direct, were used to search for scientific contributions published between 2009 and 2019. The articles are identified using the relevant keywords. This systematic review is guided by PRISMA. Fourteen of the 636 articles met both the inclusion and exclusion criteria. The postpartum exercises found in this study were Yoga, Pelvic Floor Muscle Training (PFMT), Pilates, Postnatal Exercise, Aerobic Exercise and Progressive Muscle Relaxation (PMR). This review cannot provide definitive conclusions about the best form of exercise, the suggested duration or the timing needed to improve the quality of life for postpartum women. However, Yoga and Pilates are proven to effectively improve maternal well-being because this exercise focuses on increasing the physical, psychological and social support during the postpartum period. Further research is needed to provide evidence and to strengthen the results of this systematic review.

Author(s):  
Ida Trisnawati ◽  
Novita Fajriyah ◽  
Wahyu Sukma Samudera

Background: Various complications caused by causing diabetes mellitus patients to undergo treatment at the Hospital to overcome the complaints that arise. This causes the patient to experience stress physically and psychologically. Objective: To explain the effect of progressive muscle relaxation on the stress response, blood glucose levels, and quality of life in patients with diabetes mellitus. Method: This systematic review used the PRISMA approach. The database used in this study were Scopus, Pubmed, Proquest, and Science Direct in English. Results: Progressive Muscle Relaxation (PMR) could reduce muscle tension, stress, lower blood pressure, increased tolerance for daily activities. Regular exercise can make it easier for patients to concentrate and relax conditions will be more quickly achieved thereby increasing the performance of the adrenal glands to produced sedative hormones which will have an impact on reducing stress and decreasing blood glucose levels so that the quality of life of DM patients increased. Conclusion: PMR influences the stress response, blood glucose levels, and quality of life in patients with diabetes mellitus. Keywords: progressive muscle relaxation; stress; blood glucose level; quality of life; diabetes mellitus ABSTRAK Latar belakang: Berbagai komplikasi yang ditimbulkan menyebabkan pasien diabetes mellitus harus menjalani perawatan di Rumah Sakit untuk mengatasi keluhan yang ditimbulkan. Hal ini menyebabkan pasien mengalami stres secara fisik maupun secara psikologis. Tujuan: Untuk menjelaskan pengaruh progressive muscle relaxation terhadap respon stres, kadar glukosa darah dan kualitas hidup pada pasien Diabetes Melitus. Metode: Systematic review ini menggunakan pendekatan PRISMA. Database yang digunakan adalah Scopus, Pubmed, Proquest, dan Science Direct menggunakan bahasa Inggris. Hasil: Progressive Muscle Relaxation (PMR) mampu mengurangi ketegangan otot, menurunkan stress, menurunkan tekanan darah, meningkatkan toleransi terhadap aktivitas sehari-hari. Latihan yang teratur dapat membuat pasien lebih mudah untuk memusatkan pikiran dan kondisi rileks akan lebih cepat tercapai sehingga meningkatkan kinerja kelenjar adrenal untuk memproduksi hormon penenang yang akan berdampak pada penurunan stres dan penurunan kadar glukosa darah sehingga kualitas hidup pasien DM meningkat. Kesimpulan: PMR memiliki pengaruh terhadap respon stres, kadar glukosa darah, dan kualitas hidup pada pada pasien diabetes melitus. Kata kunci: progressive muscle relaxation; stres; kadar glukosa darah; kualitas hidup; diabetes melitus


2016 ◽  
Vol 15 (4) ◽  
pp. 465-473 ◽  
Author(s):  
Panagiotis Pelekasis ◽  
Ifigeneia Matsouka ◽  
Anna Koumarianou

ABSTRACTBackground:Many cancer patients use a wide variety of techniques to improve their physical and mental well-being, including relaxation therapy and, specifically, Progressive Muscle Relaxation (PMR). However, there is no strong evidence that supports the efficacy of this technique.Objective:Our aim was to review the evidence regarding the use of PMR as a supportive intervention for cancer patients undergoing chemotherapeutic treatment.Method:Six databases were electronically searched: AMED, the Cochrane Library, MEDLINE, PsychINFO, Scopus, and the Web of Science. After removing duplicates, 700 publications were screened and 57 identified as potentially relevant. The flow of information from record identification to study inclusion was conducted in accordance with the PRISMA statement. Original articles published in peer-reviewed journals that studied the use of PMR as an intervention, were randomized or included a matched control group, and that included patients receiving chemotherapy were included. Studies that combined PMR with other interventions were excluded. The methodological quality of included trials was assessed using the Jadad Scale and the CONSORT guidelines.Results:A total of 5 of the 57 papers fulfilled the preset criteria and were included in our systematic review. Our findings indicate that PMR might improve comfort and reduce the anxiety levels and side effects caused by chemotherapy, with the exception of vomiting. Nonetheless, the quality of all the included studies was extremely low.Significance of results:There is evidence that PMR might have a few benefits for patients undergoing chemotherapy. Still, the small number of studies included and their poor quality limit the significance of our results. Despite the fact that pharmaceutical approaches for controlling side effects might be reaching their full potential and that there might be further usefulness for such integrative treatments as PMR, the need to run more high-quality trials testing the efficacy of this technique is warranted before suggesting its adoption as part of standard cancer care.


2017 ◽  
Vol 7 (11) ◽  
pp. 92
Author(s):  
Marjorie A. Schaffer ◽  
Mary Kalfoss ◽  
Kari Glavin

This review analyzes how nurse-led public health interventions promote quality of life (QoL) among older populations. Using Medline and Cinahl databases, authors completed a systematic review of experimental and quasi-experimental studies published between January 2010 and March 2016 that described interventions used by public health nurses to address health needs of older adult populations. Lawton’s theoretical QoL concepts and the Public Health Intervention Wheel model, which names interventions at the individual, community and systems levels, were used to interpret results. The 23 studies were widely distributed geographically. Four of Lawton’s theoretical QoL domains (Health, Functional Health, Personal Competency, Psychological Well-Being) were addressed in the majority of studies. Although public health nurses used Wheel interventions at all levels of practice, individual level interventions were featured in studies to a greater extent in comparison to community and systems level interventions. Few studies used QoL measures to determine intervention effectiveness.  Nurses should consider QoL domains, as they design individual, community, and systems level interventions to improve the health of older adult populations.


2021 ◽  
Vol 3 (1) ◽  
pp. 34-42
Author(s):  
Sholihin Yusuf ◽  
Tria Anisa Firmanti ◽  
Muhammad Nashir ◽  
Roudlotun Nurul Laili

Patients with cancer experience emotional distress which characterized by psychological symptoms such as anxiety or depression, psychological symptoms that arise and complex cancer processes have negative impact on their quality of life. Many cancer patients use a wide variety of techniques to improve their psychological symptoms and quality of life including relaxation therapy and specifically, Progressive Muscle Relaxation (PMR). The systematic review purpose was to review the evidence regarding the use of PMR intervention for cancer patients. Thirty four published studies and nine identified original article as potentially relevant , undertaken in the past six years until now (2013 to 2019) with data bases in Scopus, Proquest, Google Scholar, Oxford, and Science direct Searches. The information flow chart from record identification to study inclusion was conducted in accordance with the PRISMA and extracted data with PICOT. The impact of progressive muscle relaxation interventions remained in effect for between seven days and six month after the interventions.. Progressive muscle relaxation intervention is the technique including continous and systematic stretching and relaxing of the muscles until the whole body becomes relaxed. It has effects in improving depression, stress, anxiety and quality of life via physical relaxation.


1970 ◽  
Vol 4 (2) ◽  
Author(s):  
Aan Nuraeni ◽  
Ristina Mirwanti ◽  
Anastasia Anna ◽  
Ayu Prawesti ◽  
Etika Emaliyawati

Prevalensi Penyakit Jantung Koroner (PJK) terus mengalami peningkatan setiap tahunnya dan menjadi masalah kesehatan utama di masyarakat saat ini. PJK berdampak terhadap berbagai aspek kehidupan penderitanya baik fisik, psikososial maupun spiritual yang berpengaruh terhadap kualitas hidup pasien. Isu kualitas hidup dan faktor-faktor yang berhubungan didalamnya belum tergambar jelas di Indonesia. Tujuan dari penelitian ini adalah mengidentifikasi faktor yang memengaruhi kualitas hidup pada pasien PJK yang sedang menjalani rawat jalan. Faktor-faktor yang diteliti dalam penelitian ini meliputi jenis kelamin, tingkat penghasilan, revaskularisasi jantung, rehabilitasi jantung, kecemasan, depresi dan kesejahteraan spiritual. Kecemasan diukur dengan Zung Self-rating Anxiety Scale, depresi diukur dengan Beck Depression Inventory II, kesejahteraan spiritual diukur dengan kuesioner Spirituality Index of Well-Beingdan kualitas hidup diukur menggunakan Seattle Angina Questionnaire. Penelitian ini menggunakan rancangan kuantitatif deskriptif dan analitik multivariatedengan regresi logistic. Diteliti pada 100 responden yang diambil secara randomdalam kurun waktu 1 bulan di Poli Jantung. Hasil penelitian menunjukkan faktor yang memengaruhi kualitas hidup pada pasien PJK adalah cemas (p) 0,002; Odd Ratio(OR) 4,736 (95% confidence interval(CI), 1,749 – 12,827); depresi (p) 0,003; OR 5,450 ( 95% CI, 1,794 – 16,562); dan revaskularisasi (p) 0,033; OR 3,232 (95% CI, 1,096 – 9,528). Depresi menjadi faktor yang paling berpengaruh terhadap kualitas hidup pasien PJK. Faktor yang memengaruhi kualitas hidup pada pasien PJK meliputi depresi, cemas dan revaskularisasi. Dari ketiga variabel tersebut depresi merupakan variabel yang paling signifikan berpengaruh, sehingga manajemen untuk mencegah depresi perlu mendapatkan perhatian lebih baik lagi dalam discharge planningataupun rehabilitasi jantung.Kata kunci: Cemas, depresi, faktor yang memengaruhi, kualitas hidup, spiritual.Factors Influenced the Quality of Life among Patients Diagnosed with Coronary Heart Disease AbstractCoronary Heart Disease (CHD) has affected multidimensional aspects of human live nowadays. Yet, quality of life and factors associated with quality of life among people who live with heart disease has not been explored in Indonesia. This study aimed to identify factors influenced the quality of life among people with CHD received outpatient services. Those factors are gender, income, revascularization, cardiac rehabilitation, anxiety, depression and spiritual well-being. Zung Self-rating Anxiety Scale was used to measure anxiety where depression level measured using Beck Depression Inventory II. Spirituality index was used to measure spiritual well-being. The quality of life level was measured using the Seattle Angina Questionnaire. This study used quantitative descriptive with multivariate analysis using logistic regression. 100 respondents were randomly selected from the Cardiac Outpatient Unit. Findings indicated factors influenced the quality of life of CHD patients using a significance of ƿ-value < 0.005 were: anxiety (ƿ=0,002, OR = 4,736, 95% CI, 1,749 – 12,827); depression (ƿ=0,003; OR=5,450, 95% CI, 1,794 – 16,562); and revascularizations (ƿ=0,033; OR=3,232, 95% CI, 1,096 – 9,528). Depression was considered as the most significant factor; therefore, managing depression is a priority in the discharge planning or cardiac rehabilitation programme. Keywords: Anxiety, depression, quality of life, spiritual, well-being.


2021 ◽  
pp. 026921632199472
Author(s):  
Natalia Salamanca-Balen ◽  
Thomas V Merluzzi ◽  
Man Chen

Background: The concept of hope is an important theme in chronic illness and palliative care and has been associated with increased psycho-spiritual well-being and quality of life. Psycho-spiritual interventions have been described in this population, but no systematic review of hope-enhancing interventions or hopelessness-reducing interventions has been conducted for persons with palliative care diseases. Aim: To describe and assess the effectiveness of interventions in palliative care that measure hope and/or hopelessness as an outcome. Design: This systematic review and meta-analysis was pre-registered (Prospero ID: CRD42019119956). Data sources: Electronic databases, journals, and references were searched. We used the Cochrane criteria to assess the risk of bias within studies. Results: Thirty-five studies (24 randomized controlled trials, 5 quasi-experimental, 6 pre-post studies) involving a total of 3296 palliative care patients were included. Compared with usual/standard cancer care alone, interventions significantly increased hope levels at a medium effect size ( g = 0.61, 95% confidence interval (CI) = 0.28–0.93) but did not significantly reduce hopelessness ( g = −0.08, 95% CI = −0.18 to 0.02). It was found that interventions significantly increase spirituality ( g = 0.70, 95% CI = 0.02–1.37) and decrease depression ( g = −0.29, 95% CI = −0.51 to −0.07), but had no significant effect over anxiety, quality of life, and symptom burden. Overall, quality of evidence across the included studies was rated as low. Conclusions: Evidence suggests that interventions can be effective in increasing hope in palliative care patients.


2021 ◽  
Vol 19 ◽  
Author(s):  
Jen Sze Ong ◽  
Shuet Nee Wong ◽  
Alina Arulsamy ◽  
Jessica L. Watterson ◽  
Mohd. Farooq Shaikh

: Epilepsy is a devastating neurological disorder that affects nearly 70 million people worldwide. Epilepsy causes uncontrollable, unprovoked and unpredictable seizures that reduces the quality of life of those afflicted, with 1-9 epileptic patient deaths per 1000 patient occurring annually due to sudden unexpected death in epilepsy (SUDEP). Predicting the onset of seizures and managing them may help patients from harming themselves and may improve their well-being. For a long time, electroencephalography (EEG) devices have been the mainstay for seizure detection and monitoring. This systematic review aimed to elucidate and critically evaluate the latest advancements of medical devices, besides EEG, that have been proposed for the management and prediction of epileptic seizures. A literature search was performed on three databases; PubMed, Scopus and EMBASE. Following title/abstract screening by two independent reviewers, 27 articles were selected for critical analysis in this review. These articles revealed ambulatory, non-invasive and wearable medical devices such as the in-ear EEG devices, the accelerometer-based devices and the subcutaneous implanted EEG devices might be more acceptable than traditional EEG systems. In addition, extracerebral signal-based devices may be more efficient than EEG-based systems, especially when combined with an intervention trigger. Although further studies may still be required to improve and validate these proposed systems before commercialization, these findings may give hope to epileptic patients, particularly those with refractory epilepsy, to predict and manage their seizures. The use of medical devices for epilepsy may improve patients' independence and quality of life and possibly prevent sudden unexpected death in epilepsy (SUDEP).


2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Anastasia Diah Larasati ◽  
Anggorowati Anggorowati ◽  
Andrew Johan

Based on epidemiological data, the incidence recorded globally by theInternational Agency for Research On Cancer (IARC) in 2012, as many as 43.3women had breast cancer. The patient will undergoing chemotherapy andexperience various disturbing symptoms. Various complaints can affect QOL.One of the therapies recommended by the journal Oncology Nursing is thetherapy of Progressive Muscle Relaxation (PMR).Objective: To find out the benefits of PMR as one of the nursing interventions indealing with the quality of life for women Ca. Mammae is undergoingchemotherapyThe method used in this paper is a review literature study. Databases used insource search are CINAHL, PubMed, Science Direct, and Medline. The criterionof inclusion in literature search is the year of article publishing starting in 2010until 2018, and the English full article. Search keywords are Progressive MuscleRelaxation, breast cancer, quality of life and chemotherapy. Literature analysisuses PICOT (Population, Intervention, Comparison, Outcome, and Time).Based on the analysis found 5 themes, namely the quality of life characteristicsof patients undergoing chemotherapy, PMR as a relaxation therapy, PMR as apsychological stress reduction intervention, PMR as an intervention to increasemuscle metabolism, and PMR as a pain reduction intervention.Patients who undergoing chemotherapy will experience a decrease in QOL. PMRis a recommended intervention to improve patient QOL.


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