The use of relaxation for the promotion of comfort and pain relief in persons with advanced cancer
Rod Sloman
Faculty of Health Sciences, University of Sydney, NSW
Peter Brown
Senior Lecturer in Nursing, Faculty of Health Sciences, University of Sydney, NSW
Edna Aldana
Clinical Nurse Consultant, Concord Hospital, NSW
Elaine Chee
Nursing Unit Manager, Oncology Unit, Concord Hospital, NSW
PP: 006 - 012
Abstract
The efficacy of a relaxation technique involving deep breathing, muscle relaxation, and imagery was tested as a nursing intervention for the promotion of comfort and pain relief in hospitalized oncology patients.
The intervention was implemented in accordance with Orem's self-care approach to nursing practice. Sixty-seven new admissions to an oncology ward were randomly assigned to receive relaxation training by audio tapes, live relaxation training by nurses, or no relaxation training. Relaxation training was conducted twice weekly over a period of three weeks. All subjects were pre-tested and post-tested with the McGill Pain Questionnaire and Visual Analogue Scale for pain. Analgesic medication was monitored throughout the study.
Data analysis showed significant reductions in subjective pain ratings by subjects receiving relaxation training. There was also a significant reduction in non-opiate p.r.n. analgesic intake which suggested a reduced incidence of breakthrough pain.
Keywords
cancer pain, relaxation, relaxation techniques, muscle relaxation, guided imagery
References
Adams RD and Victor M (1985) Principles of neurology 3rd edn. McGraw Hill, New York.
Benson H (1976) The relaxation response. William Morrow, New York.
Cobb SC (1984) Teaching relaxation techniques to cancer patients. Cancer Nursing 7(2): 157-162.
Donovan MI (1980) Relaxation with guided imagery: A useful technique. Cancer Nursing 3(1): 27-32.
Fishman B and Loscalzo M (1987) Cognitive behavioral interventions in management of cancer pain: principles and applications. Medical Clinics of North America 71(2): 271-287.
Jacobson E (1976) You must relax. McGraw Hill, New York.
Linton SJ (1982) A critical review of behavioural treatments for chronic benign pain other than headache. British Journal of Clinical Psychology 21: 321-337.
Lyles JN, Burnish TG, Krozely MG and Oldham RK (1982) Efficiency of relaxation training and guided imagery in reducing the aversiveness of cancer chemotherapy. Journal of Consulting and Clinical Psychology 50: 509-524.
McCaffery M and Beebe A (1989) Pain: clinical manual for nursing practice. Mosby, St Louis.
Orem DE (1985) Nursing concepts of practice 3rd edn. McGraw Hill, New York.
Philips HC (1988) Changing chronic pain experience. Pain 32: 164-172.
Rider MS (1985) Entertainment mechanisms are involved in pain reduction, muscle relaxation, and music mediated imagery. Journal of Music Therapy 22: 183-192.
Rowden L (1984) Relaxation and visualisation techniques in patients with breast cancer. Nursing Times 37(8): 42-44.
Wells N (1989) Management of pain during abortion. Journal of Advanced Nursing 14: 56-62.
Wilkie DJ (1990) Cancer pain management. The Nursing Clinics of North America 25(2): 331-343.

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