Document Type : Original Article


1 Department of Nursing, School of Nursing and Midwifery

2 Department of Nursing, Holistic Research Center, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord

3 Department of Mathematics, School of Basic Sciences, Shahrood University, Shahrood

4 Department of Nursing, School of Nursing and Midwifery, Islamic Azad University, Bojnourd Branch, Bojnourd, Iran


Background and Aim: The postpartum period is a critical then effects on the structure of the
family. Most women in the postpartum period may place at risk of undesirable experiences such
as changes in sleep patterns. Therefore, this study aimed to identify the efficacy of the relaxation
program on sleep quality of mothers with premature infants. Materials and Methods: This
study is a clinical trial that 60 mothers with premature infants. The mothers in the intervention
group were trained for muscle progressive relaxation by Jacobson method within 24–72 h
after delivery. Research tool was the Pittsburgh Sleep Quality Index, which was completed by
the mother at the beginning of the study, end of the first and the second 4‑week. Data were
analyzed using parametric statistics tests by SPSS software version 16. Results: No significant
difference was observed between two groups in terms of underlying characteristics (P < 0.05).
The independent t‑test at the beginning of the study showed that the comparison of the mean
scores of mothers’ sleep quality has no significant difference between two groups (P = 0.43).
But, 1‑month after the intervention (P = 0.024) and 2 months after the intervention (P > 0.001),
mean sleep quality score in the intervention group was significantly less than the control group.
Conclusion: Relaxation training can improve mothers’ sleep quality at postpartum period.


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