Document Type : Research articles
Authors
1
Assistant professor , Obstetric & Gynecologic Nursing, Faculty of Nursing, Alexandria University
2
nursing specialist El- shatby maternity university hospital, Alexandria University
3
Professor Obstetric & Gynecologic Medicine, Faculty of Medicine, Alexandria University
4
Lecturer Obstetric & Gynecologic Nursing, Faculty of Nursing, Alexandria University
5
Lecturer Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria University
Abstract
Background: Infertility represents a pressing global health issue, exerting
considerable repercussions on both the affected individuals and the broader societal
context. Infertility frequently coexists with elevated stress and anxiety, resulting in a
complex burden for individuals undergoing reproductive treatments. The Progressive
Muscle Relaxation (PMR) method is one of the many interventions intended to address
the psychological elements of infertility. Objective: To determine the effect of
progressive muscle relaxation technique on stress, anxiety, & ovulatory predictors
among infertile women undergoing ovulatory induction. Setting: The study was carried
out at the infertility clinic in El-Shatby Maternity University Hospital, affiliated to
Alexandria University. Subjects: A convenience sample of 80 infertile women
attending the previously mentioned setting. Tools: four tools were used. Infertile
women's socio-demographic and clinical data structured interview schedule &
Fertility problem inventory (FPI) questionnaire & Spielberger State-Trait Anxiety
Inventory (STAI) questionnaire & Ovulatory predictors assessment sheet. Results: The
study showed a statistically significant difference between the study and control groups
regarding the stress level at days 2, 9, & 11 after intervention
(p = <1.010, <1.001, <1.010), respectively. Moreover, a statistically significant
difference between the study and control groups regarding the stress level at days 2, 9,
& 11 after intervention (p = <1.014, <1.001, <1.001), respectively. Additionally, a
statistically significant difference was observed among the study and control groups
regarding E2 level at days 2, 9, and 11 from induction, where (p = 0.039* and p =
0.001* & p < 0.001*) in favor of the study group. Finally, a statistically significant
difference was observed among the study and control groups regarding the diameter of
follicles at days 9 and 11 from induction, where (p < 0.001* and p < 0.001*),
respectively, in favor of the study group. Conclusion: Based on the findings of the
present study, it can be concluded that the progressive muscle relaxation technique
significantly reduced both stress and anxiety levels among infertile women who
participated in the intervention. Additionally, this technique had a notable positive
effect on improving the ovulation rate in this population So, the study aims and
hypotheses were achieved within the framework of the present study.
Recommendations: The progressive muscle relaxation technique should be offered as
a standard component of care for women undergoing infertility treatment. This
integration can help address the psychological aspects of infertility and improve
overall treatment outcomes.
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