The effect of progressive muscle relaxation on anxiety during the COVID-19 pandemic: A systematic review and meta-analysis

Document Type : Review Article

Authors

1 Mashhad University of Medical Sciences, Mashhad

2 دانشکده پرستاری مشهد

3 nursing and midwifery care research Center, Mashhad University of Medical sciences, Mashhad, Iran

10.22038/nnj.2024.77557.1433

Abstract

Background and purpose: People with Covid-19 experience high levels of anxiety due to uncertain results and quarantine. Progressive muscle relaxation shows promising therapeutic effects on anxiety in people with covid-19. This study was conducted with the aim of the effectiveness of progressive muscle relaxation in patients with covid-19.
method: Both experimental and non-experimental studies related to PMR and COVID-19 were systematically searched in PubMed, Scopus, Web of Sciences, Google scholar Science Direct, Cochrane Library Clinical trial.gov databases from the outbreak to December 2022. Study selection, methodological quality assessment and data extraction were done by 2 independent authors.
Results: The standardized mean difference between the two intervention and control groups was 3.35 (95% CI: 1.71-4.99), which was statistically significant (P=0.0001<0.05) and indicated the improvement of anxiety in the intervention group. The value of 98%, with a significant level of P<0.05 (P=0.0001), for the I2 index indicates the high heterogeneity of the studies. The results show that the effect of PMR on the anxiety of Covid-19 patients was significantly higher than that of the control group (z=4, p<0.0001). The SMD index of anxiety in two groups with a 95% confidence interval was 3.35 (95% CI: 1.71-4.99). Based on the results of the Egger test, the bias in publication is significant (p=0.001<0.05).
Conclusion: PMR interventions can improve anxiety in patients with covid-19 compared to routine care.

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