The Effect of Guided Relaxation on Anxiety and Pain Intensity in Patients with Total Knee Replacement
MetadataShow full item record
Purpose: The purpose of this project is to determine if guided relaxation affects pain intensity and anxiety rating in patients undergoing total knee replacement. Background: Approximately 80% of patients with post-operative pain do not receive adequate pain management. Opioids are the mainstays of treatment for acute pain. Many of these surgical patients have prolonged opioid use that has led to the development of chronic pain. A promising approach to manage pain is the use of non-pharmacologic modalities such as guided relaxation. Theoretical Framework: Kolcaba’s Comfort Theory was used to guide this study. Methods: Randomized control trial with 2 groups; the intervention group, and the control group. The intervention group listens to the guided relaxation tape daily, while the control group receives normal care. Data analysis included independent t-tests to assess for baseline differences, and paired t-tests to compare the two groups pre and post intervention. A p-value of <0.05 was statistically significant. Results: The paired t-test showed that anxiety and pain decreased in the intervention group. The results were statistically significant with anxiety (p= .014) and pain intensity (p= .029). The control group did not show significant decreases in pain (p=.93) or anxiety (p= .14). Conclusion: Promising preliminary results show that guided relaxation techniques can help decrease both pain intensity and anxiety rating in knee replacement patients post-operatively.