Date of Graduation
Doctor of Nursing Practice (DNP)
School of Nursing and Health Professions
Psychiatric Mental Health Nurse Practitioner
Background: This Quality Improvement project sought to determine if a brief progressive muscle relaxation (PMR) session could decrease patient anxiety before receiving intramuscular (IM) injections for ketamine-assisted therapy. Problem: The Kerstin Helgason, NP clinic does ketamine-assisted therapy, and many patients express anxiety beforehand, either due to a fear of needles or nerves surrounding the medication treatment. Intervention: This project implemented a brief progressive muscle relaxation therapy for patients with anxiety before receiving their IM injection. Measures: The patient’s anxiety levels were measured before and after the PMR therapy using a five-point Likert scale ranging from none to very severe. Results: The data was analyzed using both paired t-tests and the Wilcoxon signed-rank tests and both found that there was a significant difference between pre- and post-anxiety levels. Conclusions: Utilizing brief progressive muscle relaxation sessions decreases anxiety in patients receiving IM ketamine-assisted therapy injections. Dissemination: The following are to expand research of brief PMR into other procedural areas and research into its effects on blood pressure and the psychedelic journey.
Paulo, Kiera, "A Quality Improvement Project on Anxiety Management Before Ketamine-Assisted Psychotherapy" (2023). Doctor of Nursing Practice (DNP) Projects. 346.