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Het gebruik van ontspanningsoefeningen bij patiënten die zijn opgenomen voor een somatische aandoening

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semenvatting

Een verblijf in een ziekenhuis gaat meestal gepaard met spanningen. Ontspanningsoefeningen zijn effectief gebleken bij het verminderen van lichamelijke klachten bij poliklinische en klinische patiënten met somatische aandoeningen. Bij opgenomen patiënten zijn de belangrijkste indicaties voor ontspanningsoefeningen: spanning in reactie op klachten, onderzoek of behandeling, in- en doorslaapproblemen en de aanwezigheid van lichamelijke klachten die in stand worden gehouden of verergeren door spanningen. Standaardoefeningen worden aangepast aan het doel van de oefening, de lichamelijke gesteldheid van de patiënt en zijn persoonlijke behoeften en ervaringen. Aan de hand van gevalsbeschrijvingen worden verschillende van dergelijke aanpassingen besproken.

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Referenties

  • Arakawa, S. (1997). Relaxation to reduce nausea, vomiting and anxiety induced by chemotherapy in Japanese patients. Cancer Nursing, 20(5), 342-349.

    Article  CAS  PubMed  Google Scholar 

  • Ashton, C. Jr., Whitworth, G.C., Seldomridge, J.A., Shapiro, P.A., Weinberg, A.D., Michler, R.E., Smith, C.R., Rose, E.A., Fisher, S., & Oz, M.C. (1997). Self-hypnosis reduces anxiety following coronary artery bypass surgery. A prospective randomized trial. Journal of Cardiovascular Surgery, 38(1), 69-75.

    PubMed  Google Scholar 

  • Appels, A., Bar, F., Lasker, J., Flamm, U., & Kop, W. (1997). The effect of a psychological intervention program on the risk of a new coronary event after angioplasty: a feasibility study. Journal of Psychosomatic Research, 43(2), 209-217.

    Article  CAS  PubMed  Google Scholar 

  • Burish, T.G., & Jenkins, R.A. (1992). Effectiveness of biofeedback and relaxation training in reducing the side effects of cancer chemotherapy. Health Psychology, 11(1), 17-23.

    Article  CAS  PubMed  Google Scholar 

  • Eisenberg, D.M., Lansdsberg, L., Allred, E.N., Saper, R.B., & Delbanco, T.L. (1991). Inability to demonstrate physiological correlates of subjective improvement among patients taught the relaxation response. Journal of General Intestinal Medicine, 1(6), 64-70.

    Article  Google Scholar 

  • Dixhoorn, J.J. van (1997). Gunstige effecten van adem- en ontspanningsinstructies in de hartrevalidatie: een gerandomiseerd follow-uponderzoek gedurende 5 jaar. Nederlands tijdschrift voor geneeskunde, 141(11), 530-533.

    PubMed  Google Scholar 

  • Gift, A.G., Moore, T., & Soeken, K. (1992). Relaxation to reduce dyspnea and anxiety in copd patiënts. Nursing Research, 41(4), 242-246.

    Article  CAS  PubMed  Google Scholar 

  • Good, M. (1995). A comparison of the effects of jaw relaxation and music on postoperative pain. Nursing Research, 44(1), 52-7.

    Article  CAS  PubMed  Google Scholar 

  • Good, M., Stanton-Hicks, M., Grass, J.A., Cranston Anderson, G., Choi, C., Schoolmeesters, L.J., & Salman, A. (1999) Relief of postoperative pain with jaw relaxation, music and their combination. Pain, 81(1,2), 163-172.

    Article  CAS  PubMed  Google Scholar 

  • Hellström, K., Fellenius, J., & Öst, L-G. (1996). One versus five sessions of applied tension in the treatment of blood phobia. Behaviour research and therapy, 34(2), 101-112.

    Article  PubMed  Google Scholar 

  • Jacobson, E. (1929). Progressive Relaxation. Chicago: University of Chicago Press.

    Google Scholar 

  • Janke, J. (1999). The effect of relaxation therapy on preterm labor outcomes. Journal of obstetric, gynecologic, & neonatal nursing, 28(3), 255-263.

    Article  CAS  Google Scholar 

  • Lehrer, P.M., Hochron, S.M., Mayne, T., Isenberg, S., Carlson, V., Lasoski, A.M., Gilchrist, J., Morales, D., & Rausch, L. (1994). Relaxation and music therapies for asthma among patiënts prestabilized on asthma medication. Journal of behavioral medicine, 17(1), 1-24.

    Article  CAS  PubMed  Google Scholar 

  • Levin, R.F., Malloy, G.B., & Hyman, R.B. (1987). Nursing management of postoperative pain: use of relaxation techniques with female cholecystectomy patiënts. Journal of advanced nursing, 12(4), 463-72.

    Article  CAS  PubMed  Google Scholar 

  • Lichtstein, K.L., Peterson, B.A., Riedel, B.W., Means, M.K., Epperson, M.T., & Aquillard, R.N. (1999). Relaxation to assist sleep medication withdrawal. Behavior Modification, 23(3), 379-402.

    Article  Google Scholar 

  • Lukins, R., Davan, I.G., & Drummond, P.D. (1997). A cognitive behavioural approach to preventing anxiety during magnetic resonance imaging. Journal of behavior therapy & experimental psychiatry, 28(2), 97-104.

    Article  CAS  Google Scholar 

  • Meléndez, C., & McCrank, E. (1993). Anxiety-related reactions associated with magnetic resonance imaging examinations. Journal of the American Medical Association, 270, 745-747.

    Article  PubMed  Google Scholar 

  • Morin, C.M., Culbert, J.P., & Schwartz, S.M. (1994). Nonpharmacological interventions for insomnia: a meta-analysis of treatment efficacy. American journal of psychiatry, 151(8), 1172-1180.

    CAS  PubMed  Google Scholar 

  • Murtagh, D.R.R, & Greenwood, K.M. (1995). Identifying effective psychological treatments for insomnia: a meta-analysis. Journal of consulting and clinical psychology, 63(1), 79-89.

    Article  CAS  PubMed  Google Scholar 

  • Salkovskis, P.M. (1991). Somatic Problems. In K. Hawton, P.M. Salkovskis, J. Kirk, & D.H. Clarck, Cognitive Behaviour Therapy for psychiatric problems. A Practical Guide (pp. 235-276). Oxford University Press.

    Google Scholar 

  • Schultz, J.H. (1932). Das Autogene Training: Konzentrative Selbstentspannung. Versuch einer Klinisch-Praktische Darstellung. Berling: Georg Thieme Verlag.

    Google Scholar 

  • Sherman, R.A., Sherman, C.J., & Gall, N.G. (1980). A survey of current phantom limb pain treatment in the United States. Pain, 8, 85-90.

    Article  CAS  PubMed  Google Scholar 

  • Smyth, J.M., Soefer, M.H., Hurewitz, A., & Stone, A.A. (1999). The effect of tape-recorded relaxation training on well-being, symptoms, and peak expiratory flow rate in adult asthmatics: a pilot study. Psychology and Health, 14, 487-501.

    Article  Google Scholar 

  • Spinhoven, Ph., & Linssen, C. (1991). Hypnose en pijnbestrijding. In R. van Dyck, Ph. Spinhoven & J.W. van der Does, Hypnose en hypnotherapie (pp. 203-220). Houten/Antwerpen: Bohn Stafleu Van Loghum.

    Google Scholar 

  • Syrjala, K.L., Donaldson, G.W., Davis, M.W., Kippes, M.E., & Carr, J.E. (1995). Relaxation and imagery and cognitive-behavioral training reduce pain during cancer treatment: a controlled clinical trial. Pain, 63(2), 189-198.

    Article  CAS  PubMed  Google Scholar 

  • Vasterling, J., Jenkins, R.A., Tope, D.M., & Burish, T.G. (1993). Cognitive distraction and relaxation training for the control of side effects due to cancer chemotherapy. Journal of behavioural medicine, 16(1), 65-80.

    Article  CAS  Google Scholar 

  • Verbeek, I., Schreuder, K., & Declerck, G. (1999) Evaluation of short-term nonpharmacological treatment of insomnia in a clinical setting. Journal of psychomatic research, 47(4), 369-383.

    Article  CAS  Google Scholar 

  • Vinck, J., Arickx, M., & Hongenaert, M. (1987). Predicting interindividual differences in bloodpressure response to relaxation training in normotensives. Journal of behavioural medicine, 10(4), 395-410.

    Article  CAS  Google Scholar 

  • Wesolowski, J.A., & Lema, M.J. (1994). Phantom limb pain, a clinical review. nvb p ijnbulletin, 14(3,4), 7-11.

    Google Scholar 

  • Yung, P.M.B., & Keltner, A.A. (1996). A controlled comparison on the effect of muscle and cognitive relaxation procedures on blood pressure: implications for the behavioural treatment of borderline hypertensives. Behavior research and therapy, 34(10), 821-826.

    Article  CAS  Google Scholar 

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Abstract

Having to stay at a hospital is an unpleasant and stressful experience for most patients. Relaxation techniques are effective in reducing physical symptoms of in- and out-patients with somatic disorders. Relaxation training is indicated in the case of stress as a result of physical symptoms, medical investigations or treatment, sleeping problems and physical symptoms which are sustained by stress. Standardized relaxation exercises are adjusted to the purpose of the intervention, and to the physical condition, personal needs and experiences of the patients. Case descriptions elucidate the adjustments made.

werkt als psycholoog op de polikliniek psychiatrie van het Leids Universitair Medisch Centrum.

is als verpleegkundig specialist hoofdafdeling psychiatrie werkzaam bij dezelfde instelling.

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van Rood, Y., Ouwehand, A. Het gebruik van ontspanningsoefeningen bij patiënten die zijn opgenomen voor een somatische aandoening. DITH 21, 73–79 (2001). https://doi.org/10.1007/BF03060255

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