The Effects of Combined Progressive Muscle Relaxation (PMR) and Binaural Beat (Theta Wave) Stimulation on Pain Intensity and Analgesic Use in Post-Ureteroscopy (URS) Patients with Urinary Tract Stones
DOI:
https://doi.org/10.37287/ijghr.v8i5.2109Keywords:
binaural sound, postoperative pain, progressive muscle relaxation, ureteroscopyAbstract
Urinary tract stones are a common urological disorder in Indonesia and around the world. One common medical procedure used to treat urinary tract stones is ureteroscopy (URS). This case study aims to evaluate the combined effect of Progressive Muscle Relaxation (PMR) therapy and binaural sound stimulation (theta waves) on pain intensity and analgesic needs in patients following ureteroscopy (URS) for urinary tract stones. The method used was an experimental design with a pre-test and post-test design in four patients who met the inclusion criteria. The intervention was carried out once daily for 15–20 minutes, with blood pressure, pulse rate, and pain scale measurements before and after therapy. The data were analyzed descriptively by comparing pre- and post-intervention measurements to evaluate changes in pain intensity, blood pressure, pulse rate, and analgesic requirements following the combined PMR and binaural beat therapy. The results showed that all patients experienced a decrease in pain intensity from moderate (scale 5–7) to mild (scale 2–4), accompanied by a decrease in blood pressure and pulse rate after the intervention. These results indicate a relaxation response and decreased sympathetic nervous system activity. The combination of PMR and binaural sound stimulation has been shown to be effective as a safe and easy-to-implement non-pharmacological intervention in pain management after minimally invasive urological procedures.
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