Progressive Relaxation and Psychoeducation in Patients With Hematological Malignancies

Necmettin Erbakan University

Status: Not yet enrolling

Conditions: Hematological Cancer

Treatments: Behavioral: psychoeducation or Atomoxetine or stimulants according to ADHD severity; Behavioral: Muscle Relaxation

Study type: Interventional

Funder types: Other

Identifiers

NCT07251348

NEÜ-SBF-TKA-02

Details and patient eligibility

About

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

Full 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.

Enrollment: 75 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Supportive Care

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

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75 participants in 3 patient groups

Progressive relaxation

Active Comparator group

Description:

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

Treatment:

Behavioral: Muscle Relaxation

psychoeducation

Active Comparator group

Description:

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

Treatment:

Behavioral: psychoeducation or Atomoxetine or stimulants according to ADHD severity

routine nursing care

No Intervention group

Description:

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.