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March 2, 2022, 9 p.m. irct

[{"arm_notes": "", "treatment_id": null, "treatment_name": "TODO OtherIntervention group: Before performing the intervention, after explaining the objectives of the study, informed consent will be obtained from the patients of the intervention group and in order to observe research ethics, they will be assured about the confidentiality of information and the possibility of leaving the study at any stage. The intervention will be performed on patients in this group. Prior to the intervention, demographic questionnaires, physiological criteria and Adaptation to the intensive care environment (ATICE), new sedation assessment instrument will be completed. In this group, in addition to routine care, the intervention will be an explanation of the goals of guided imagery and progressive muscle relaxation , an explanation of the positive effects and usefulness of this method, based on the article by Ghaffari et al. (2007), guided imagery and progressive muscle relaxation as a non-pharmacological treatment will be held individually for 4 days a week for 30 minutes every other day. The researcher will be present at each patient's bedside and will teach guided imagery and progressive muscle relaxation techniques. In this way, in the evening shift, when the ward is quieter and environmental stimuli such as noise and commuting caused by visits are less, he is present in the intensive care unit and is present at each patient's bedside and tells the patient about guided imagery and progressive muscle relaxation. guided imagery and progressive muscle relaxation are often used together because visualization can enhance the relaxation process and enhance its effect. This method is one of the components of cognitive-behavioral therapy that is designed to reduce stress and anxiety through muscle relaxation. In the first session, regarding the goals and stages of the training program, theoretical foundations related to the guided imagery and progressive muscle relaxation technique, introducing muscles and muscle groups, training on how and steps to perform the relaxation technique along with guided imaging and the time of relaxation technique. Will be trained. During the second to fourth sessions to start the exercises, for physical relaxation, the patient is asked to be in the supine position, after a few deep breaths of the abdomen and diaphragm with the eyes closed and comfortable, in the best position in which he feels relaxed. In the first 20 minutes of the session, relaxation exercises will be performed, during which the mind will focus on the contraction of the muscles of different parts of the body and then their rest. Relaxation exercises for 8 muscle groups including arm muscles, upper arm muscles, shoulder and neck muscles, back and shoulder muscles, facial muscles, chest muscles involved in the process of breathing exercises, abdominal muscles, muscles The first step is to consciously relieve tension on the muscles, and in the final 10 minutes of the session, guided imagery with a focus on depicting a desirable scene and custom (forest, beach, religious places, hospital discharge and presence with family, reducing the need for oxygen therapy and comfortable breathing ...) will be done. During the imaging, the patient will visualize a scene in which he feels safe and free from tension and anxiety, and with the voice of the researcher, the imaging is done for the patient and the patient enters a pleasant atmosphere that is his favorite. In general, people are encouraged to take deep abdominal and diaphragmatic breaths and then combine muscle release with depictions of landscapes such as forests, the beach, or places of pilgrimage. Progressive muscle relaxation and visualization are often used together because visualization can enhance the relaxation process and increase its effectiveness. The patient will perform sedation technique under the supervision of the researcher and feedback will be taken from the patient after each session. Before the start of each session, the researcher will answer patients' possible questions about the relaxation technique and feedback on the positive experiences of the previous session. Patients' physiological criteria will also be recorded before and after each relaxation session. At the end of the session, patients are asked to write down the number of times they do relaxation exercises and guided imagery. Finally, after the end of the fourth session, the information of this group will be collected using questionnaires and will be analyzed according to the goals of the study.", "treatment_type": "TODO", "pharmacological_treatment": "TODO"}, {"arm_notes": "", "treatment_id": null, "treatment_name": "TODO OtherControl group: informed consent will be obtained from the patients of the control group and in order to observe research ethics, they will be assured about the confidentiality of information and the possibility of leaving the study at any stage. Questionnaires of demographic characteristics, physiological criteria and Adaptation to the intensive care environment (ATICE), new sedation assessment instrument will be completed in patients in the control group. In this group, patients will receive only routine sedation care in the form of sedatives prescribed by a physician. After a week, the information of the control group will be collected using questionnaires and will be analyzed according to the goals of the study.", "treatment_type": "TODO", "pharmacological_treatment": "TODO"}]

[{"arm_notes": "", "treatment_id": 837, "treatment_name": "Muscle relaxation", "treatment_type": "Rehabilitation", "pharmacological_treatment": "Non pharmacological treatment"}, {"arm_notes": "", "treatment_id": 2188, "treatment_name": "Standard of care", "treatment_type": "Standard of care", "pharmacological_treatment": "Standard of care"}]