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Efficacy of Progressive Muscle Relaxation in Ulcerative Colitis: A Randomised Controlled Trial
Yağmur Artan1, Yasemin Yıldırım2, Nalan Gülşen Ünal3
1Faculty of Health Sciences, Nursing Department, Ardahan University, Ardahan, Turkey.
International Journal of Nursing Practice
|October 7, 2025
Summary
Progressive muscle relaxation significantly improved quality of life, anxiety, and sleep quality in ulcerative colitis patients. This accessible nursing intervention offers a valuable approach for managing patient well-being.
Area of Science:
- Gastroenterology
- Psychoneuroimmunology
- Nursing Research
Background:
- Ulcerative colitis (UC) is a chronic inflammatory bowel disease impacting patients' psychological and functional status.
- Current management often focuses on disease activity, with less emphasis on holistic patient well-being.
- Exploring non-pharmacological interventions is crucial for improving the quality of life for UC patients.
Purpose of the Study:
- To evaluate the impact of progressive muscle relaxation (PMR) on disease activity, anxiety, sleep quality, and quality of life in individuals with ulcerative colitis.
- To compare PMR with relaxing music and standard care in managing UC patient outcomes.
- To determine the efficacy of PMR as a nursing intervention for UC.
Main Methods:
- A randomized, assessor-blinded, three-arm study involving 60 ulcerative colitis patients.
- Patients were allocated to progressive muscle relaxation, relaxing music, or standard care groups for 8 weeks.
- Outcomes including disease activity, anxiety, sleep quality, and quality of life were assessed using validated instruments.
Main Results:
- The progressive muscle relaxation group demonstrated significant improvements in quality of life, anxiety levels, and sleep quality compared to the other groups.
- No statistically significant differences in disease activity were observed between the progressive muscle relaxation, relaxing music, and standard care groups.
- PMR was associated with enhanced psychological and functional outcomes in patients with ulcerative colitis.
Conclusions:
- Progressive muscle relaxation is an effective, affordable, and easily implementable nursing intervention for improving psychological and functional outcomes in ulcerative colitis patients.
- PMR offers a valuable non-pharmacological adjunct to standard care for enhancing patient well-being.
- Further research may explore PMR's long-term effects and its impact on disease activity markers in UC.
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