Progressive Relaxation and Psychoeducation in Patients With Hematological Malignancies

NCT ID: NCT07251348

Last Updated: 2025-11-26

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 75 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2026-02-01
• Study Completion Date: 2026-11-30

Brief Summary

This study will be conducted to determine the effect of progressive relaxation and psychoeducation on perceived stress and hope in patients with hematological malignancies

Detailed Description

Being healthy requires being in a state of complete physical and mental well-being. Therefore, mental and physical well-being must be maintained together. While each individual already has different stressors, the fact that hematological malignancies are chronic and immune-mediated diseases increases the stress factors perceived by individuals, and the difficulty and uncertainty of the process reduces their level of hope. This triggers the use of ineffective coping methods. Patients with high perceived stress levels and declining hope levels are unable to adequately manage the disease process. Consequently, mortality and morbidity rates increase. This experimentally planned study will be conducted between February 2026 and November 2026 at the Adult Inpatient Hematology Clinic of Gazi University Faculty of Medicine Hospital. The study will involve 75 individuals hospitalized at the clinic who meet the inclusion criteria. It is a non-randomized study with 2 intervention groups and 1 control group. Intervention group A (progressive relaxation group, n=25), intervention group B (psychoeducation, n=25), and control group (routine care, n=25). Patients in intervention group A will undergo a 3-week, 6-session progressive relaxation exercise program, conducted individually and face-to-face. Intervention Group B will receive a 3-week, 6-session, individual, face-to-face psychoeducation program. The control group will receive 3 weeks of routine nursing care identical to that provided to the other groups. In this study, which will include pre- and post-tests, data will be collected face-to-face using the perceived stress level scale and the Herth hope index scale. The primary objective of this study is to examine the effects of progressive relaxation and psychoeducation interventions on perceived stress and hope levels in patients with hematological malignancies.

Conditions

Hematological Cancer

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: SEQUENTIAL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: NONE

Study Groups

Progressive relaxation

Progressive relaxation; n=25: After the pre-test, 6 sessions (2 sessions per week) were planned for 3 weeks for individuals in this group. Each session will be conducted individually with patients, face-to-face, and will last 40-45 minutes. The post-test was administered after 3 weeks.

PROGRESSIVE RELAXATION SESSION TITLES:

1. SESSION: Introduction, Establishing Trust and the Concept of Relaxation

2. SESSION: Coping with a Cancer Diagnosis & Introduction to the Progressive Relaxation Technique

3. SESSION: Progressive Muscle Relaxation Application - Upper Body3

4. SESSION: Progressive Muscle Relaxation - Lower Body

5. SESSION: Whole Body Relaxation - Reinforcing the Application

6. SESSION: Integrating Progressive Relaxation into Daily Life & Closing

Group Type: ACTIVE_COMPARATOR

Muscle Relaxation

Intervention Type: BEHAVIORAL

Progressive relaxation is a relaxation technique based on tensing and relaxing muscles in sequence. The goal is to achieve physical and mental relaxation by feeling the difference between tension and relaxation. It is frequently used for stress, anxiety, sleep problems, and psychosomatic disorders. When practiced regularly, it increases a person's ability to relax and contributes to their overall well-being.

• Teaching progressive relaxation exercises to individuals diagnosed with cancer and supporting psychological well-being by reducing stress levels and increasing hope levels through these exercises (emotional gain)
• Reducing muscle tension and providing physical relaxation (psychomotor gain)
• To reduce stress and anxiety (emotional gain)
• To increase body awareness (emotional gain)
• To teach mental and physical relaxation (psychomotor gain)
• To provide emotional relief (emotional gain)
• To develop self-relaxation skills (psychomotor gain)

psychoeducation

psychoeducation; n=25: After the pre-test, 6 sessions (2 sessions per week) were planned for 3 weeks for the individuals in this group. Each session will be conducted individually with patients, face-to-face, and will last 40-45 minutes. A post-test was administered after 3 weeks. Four expert opinions were obtained regarding the content.

PSYCHOEDUCATION SESSION TITLES:

1. SESSION: INTRODUCTION AND PROGRAM OVERVIEW 2nd SESSION: UNDERSTANDING THE DISEASE - EMPOWERING THROUGH KNOWLEDGE 3rd SESSION: IDENTIFYING PERCEIVED STRESS AND ITS EFFECTS 4. SESSION: COPING WITH STRESS AND INTRODUCTION TO HOPE 5. SESSION: UNDERSTANDING AND STRENGTHENING HOPE 6. SESSION: INTERNALIZING WHAT HAS BEEN LEARNED, MAINTAINING AND EVALUATING

Group Type: ACTIVE_COMPARATOR

psychoeducation or Atomoxetine or stimulants according to ADHD severity

Intervention Type: BEHAVIORAL

Psychoeducation is a structured educational process that provides individuals with information about mental illnesses, ways to cope with stress, and healthy living skills. The goal is to help the person understand their illness and symptoms, learn coping methods, and increase their compliance with treatment. It has both an informative and a supportive aspect.

INTERVENTION B (PSYCHOEDUCATION) GROUP APPLICATION:

• A total of 6 sessions will be held with patients in intervention group B, twice a week for 3 weeks.
• Each session will last an average of 45 minutes.
• The 'Perceived Stress Level' scale and the 'Herth Hope Index' scale will be administered after the first session.
• The 'Perceived Stress Level' scale and the 'Herth Hope Index' scale will be administered after the final session.

routine nursing care

routine nursig care; n=25 No intervention was performed after the pre-test; routine nursing care was administered. The post-test was administered after 3 weeks.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Muscle Relaxation

Progressive relaxation is a relaxation technique based on tensing and relaxing muscles in sequence. The goal is to achieve physical and mental relaxation by feeling the difference between tension and relaxation. It is frequently used for stress, anxiety, sleep problems, and psychosomatic disorders. When practiced regularly, it increases a person's ability to relax and contributes to their overall well-being.

• Teaching progressive relaxation exercises to individuals diagnosed with cancer and supporting psychological well-being by reducing stress levels and increasing hope levels through these exercises (emotional gain)
• Reducing muscle tension and providing physical relaxation (psychomotor gain)
• To reduce stress and anxiety (emotional gain)
• To increase body awareness (emotional gain)
• To teach mental and physical relaxation (psychomotor gain)
• To provide emotional relief (emotional gain)
• To develop self-relaxation skills (psychomotor gain)

Intervention Type: BEHAVIORAL

psychoeducation or Atomoxetine or stimulants according to ADHD severity

Psychoeducation is a structured educational process that provides individuals with information about mental illnesses, ways to cope with stress, and healthy living skills. The goal is to help the person understand their illness and symptoms, learn coping methods, and increase their compliance with treatment. It has both an informative and a supportive aspect.

INTERVENTION B (PSYCHOEDUCATION) GROUP APPLICATION:

• A total of 6 sessions will be held with patients in intervention group B, twice a week for 3 weeks.
• Each session will last an average of 45 minutes.
• The 'Perceived Stress Level' scale and the 'Herth Hope Index' scale will be administered after the first session.
• The 'Perceived Stress Level' scale and the 'Herth Hope Index' scale will be administered after the final session.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

1. 18 years of age or older

2. Diagnosis of hematologic malignancy

3. Ability to read and write

4. Volunteer to participate in the study

Exclusion Criteria

1. Dementia and/or organic mental disorder

2. Sensory loss related to vision and hearing

3. Communication barrier

4. Physical disability

5. Respiratory distress

6. Bone marrow transplant procedure

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Necmettin Erbakan University

OTHER

Sponsor Role: lead

Responsible Party

Tuba KORKMAZ ASLAN

ASSOCIATE PROFESSOR

Responsibility Role: PRINCIPAL_INVESTIGATOR

Central Contacts

TUBA KORKMAZ ASLAN, associate professor

Role: CONTACT

tkorkmazaslan@erbakan.edu.tr

+905376231630

Other Identifiers

NEÜ-SBF-TKA-02

Identifier Type: -

Identifier Source: org_study_id