OJN  Vol.3 No.1 , March 2013
Relaxation technique training to alleviate emotional stress in patients with chronic pain: A report of two cases
ABSTRACT
Aim: Chronic pain can leads to uncomfortable sensory and emotional experiences and remarkably decrease one’s quality of life. The purpose of this report is to describe our experience of treatment with relaxation techniques for two outpatients with chronic pain-related emotional stress. Methods: We offer outpatient relaxation treatment as a specialized out-patient nursing service. Two patients were motivated to self-manage their pain, and thus sought outpatient instruction in relaxation techniques to provide methods of pain self-management. We examined the usefulness of relaxation techniques as pain self-management methods based on subjective information and the Mental Health Pattern questionnaire. Results: Two patients were able to incorporate the relaxation techniques into their daily schedules and control their symptoms. Ultimately, their attitudes toward their pain changed, which lessened their stress levels and improved their quality of life. Conclusions: Our results suggest that nursing care using continuous relaxation techniques improves pain self-management in patients with chronic pain.

Cite this paper
Kobayashi, S. , Yanagi, N. and Koitabashi, K. (2013) Relaxation technique training to alleviate emotional stress in patients with chronic pain: A report of two cases. Open Journal of Nursing, 3, 71-75. doi: 10.4236/ojn.2013.31009.
References
[1]   Dailey, P.A., Bishop, D.G., Russell, I.J. and Fletcher, E.M. (1990) Psychological stress and the fibrosists/fibromyalgia syndrome. The Journal of Rheumatology, 17, 1380-1385.

[2]   Japan Ministry of Health, Labour and Welfare (2010) Round table on chronic pain: Strategies for dealing with chronic pain from now on (statement). http://www.mhlw.go.jp/stf/houdou/2r9852000000ro8f-att/2r9852000000roas.pdf

[3]   Adopted in WHO Steering Group on Pain Guidelines (2008) Scoping document for WHO treatment guideline on non-malignant pain in adults.

[4]   Frank, H.L. and Srinivasa, N.R. (2011) Complementary and alternative medicine in chronic pain. PAIN, 152, 28-30. doi:10.1016/j.pain.2010.09.023

[5]   Practice Guidelines for Chronic Pain Management (2010) Anesthesiology, 112, 1-24. doi:10.1097/ALN.0b013e3181c5f88d

[6]   Chen, Y.L. and Francis, A.J. (2010) Relaxation and imagery for chronic, nonmalignant pain: Effects on pain symptoms, quality of life, and mental health. Pain Management Nursing, 11, 159-168. doi:10.1016/j.pmn.2009.05.005

[7]   Baird, C.L. and Sands, L. (2004) A pilot study of the effectiveness of guided imagery with progressive muscle relaxation to reduce chronic pain and mobility difficulties of osteoarthritis. Pain Management Nursing, 5, 97-104. doi:10.1016/j.pmn.2004.01.003

[8]   Bonnie, L.K., Karen, S.D. and Mark, R.S. (2009) Daily activity patterns of an adult experiencing lower back pain undergoing electro-acupuncture: A case study. Pain Management Nursing, 10, 188-196. doi:10.1016/j.pmn.2008.06.001

[9]   Hashimoto, K. and Tokunaga, M. (2000) Mental health patterns: A diagnostic inspection manual. Toyo Physical Co., Fukuoka.

[10]   Tsuji, S., Ushida, T., Arai, K., Suetomi, K., Nishihara, M., Ikemoto, T., et al. (2010) Guidelines for chronic painstandard neurological treatment-neurological therapeutics. Japanese Society of Neurological Therapeutics, 27, 591-622.

[11]   James, J.K., Tricia, A.M., Andrew, J.M. and Charles, R.R. (2008) Complementary/alternative medicine use among chronic pain clinic patients. Journal of PeriAnesthesia Nursing, 23, 17-23. doi:10.1016/j.jopan.2007.05.003

[12]   Anna-leila, W., Peter, V.N., Jane, D. and Ruth, M. (2012) Barriers to meditation by gender and age among cancer family caregivers. Nursing Research, 61, 22-27. doi:10.1097/NNR.0b013e3182337f4d

[13]   Rosenzweig, S., Greeson, J.M., Reibel, D.K., Green, J.S., Jasser, S.A. and Beasley, D. (2010) Mindfulness-based stress reduction for chronic pain conditions: Variation in treatment outcomes and role of home meditation practice. Journal of Psychosomatic Research, 68, 29-36. doi:10.1016/j.jpsychores.2009.03.010

[14]   Goossens, M.E., Vlaeyen, J.W., Hidding, A., Kole-Snijders, A. and Evers, S.M. (2005) Treatment expectancy affects the outcome of cognitive-behavioural interventions in chronic pain. Clinical Journal of Pain, 21, 18-26. doi:10.1097/00002508-200501000-00003

 
 
Top