Progressive muscle relaxation alleviates anxiety and improves sleep quality among healthcare practitioners in a mobile cabin hospital: a pre-post comparative study in China

Yuding Luo; Juan Du; Junqiu Wang; Pingchuan Liu; Zhongli Shi; Yu He; Guangyao Che; Ke Huang; Jian Wang

doi:10.3389/fpsyg.2024.1337318

Progressive muscle relaxation alleviates anxiety and improves sleep quality among healthcare practitioners in a mobile cabin hospital: a pre-post comparative study in China

Front Psychol. 2024 Apr 30:15:1337318. doi: 10.3389/fpsyg.2024.1337318. eCollection 2024.

Authors

Yuding Luo^#^{1

2}, Juan Du^#³, Junqiu Wang⁴, Pingchuan Liu^{1

2}, Zhongli Shi⁵, Yu He⁶, Guangyao Che⁷, Ke Huang², Jian Wang^{1

2}

Affiliations

¹ Department of Neurology, The Affiliated Hospital, Southwest Medical University, Luzhou, China.
² Department of Neurology, Ya'an People's Hospital, Ya'an, China.
³ Nursing Department, Ya'an People's Hospital, Ya'an, China.
⁴ Department of Orthopedics, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou, China.
⁵ Department of Gastroenterology, Ya'an People's Hospital, Ya'an, China.
⁶ Department of Respiratory and Critical Care Medicine, Ya'an People's Hospital, Ya'an, China.
⁷ Medical Department, Ya'an People's Hospital, Ya'an, China.

^# Contributed equally.

Abstract

Objective: To investigate the anxiety levels, sleep quality and potential risk factors of healthcare practitioners involved in the management of COVID-19 patients in a mobile cabin hospital, and further to assess the impact of progressive muscle relaxation (PMR) on their anxiety levels and sleep quality.

Methods: We conducted a pre-post self-controlled trial. Healthcare practitioners meeting the inclusion criteria underwent daily 30-min PMR sessions for seven consecutive days. The Pittsburgh Sleep Quality Index (PSQI) and Hamilton Anxiety Scale (HAMA) were used to assess the anxiety and sleep quality of subjects pre- and post-intervention. Statistical analysis was performed using the Wilcoxon test, Mann-Whitney U test, Kruskal-Wallis H test, and Spearman rank correlation.

Results: A total of 94 participants completed the study. No statistically significant differences in HAMA or PSQI total scores were observed between groups categorized based on demographic variables such as age, sex, and years of education (p > 0.05). The PSQI total score and its components (excluding sleep medication usage) exhibited a positive correlation with the HAMA total score and its psychological anxiety component (p < 0.05), and a correlation was observed between somatic anxiety manifestations and several components of the PSQI. The PSQI total scores before and after intervention were 10.0 (8.0, 13.0) and 8.0 (6.0, 9.0) respectively (p < 0.001); the HAMA total scores were 8.0 (5.0, 13.0) and 6.0 (4.0, 9.5) respectively (p < 0.001). The detection rates of poor sleep and anxiety states, along with their severity, significantly decreased post-intervention (p < 0.001).

Conclusion: Healthcare practitioners experience prominent anxiety and sleep issues in the mobile cabin hospital. PMR can be an effective intervention for improving the anxiety and sleep quality of healthcare professionals during support periods in the mobile cabin hospital. However, trials with larger samples are necessitated to further affirm these preliminary findings.

Keywords: COVID-19; anxiety; healthcare practitioners; mobile cabin hospital; progressive muscle relaxation; sleep quality.

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This study has received funding from Science and Technology Project of Sichuan Provincial Health Commission (Grant No. 23LCYJ034), Central Guiding Local Science and Technology Development Project (Grant No. 2022ZYD0097), Sichuan Medical Youth Innovation Research Project (Grant No. Q21049), and Ya’an Science and Technology Department Project (Grant No. 22KJJH0007).