Effect of nursing interventions like meditation, progressive muscle relaxant exercises, and counselling on lifestyle and diet modification on marital relationship among women undergoing infertility treatment: randomized controlled trial: a pilot study


  • Rajbir Kaur Aulakh Department of Obstetrics and Gynecological Nursing, Sri Guru Ram Das College of Nursing, SGRD University of Health Science, Vallah, Amritsar Punjab, India
  • Harjit Kaur Uppal Department Medical and Surgical Nursing, Bhai Gurdas Institute of Nursing Education, Baba Farid University of Health Sciences, Sangrur, Punjab, India
  • Sangeeta Pahwa Department of Obstetrics and Gynecology, Sri Guru Ram Das Medical College, Vallah, Amritsar, Punjab, India




Effect, Infertility treatment, Nursing intervention, Marital relationship, Women


Background: Infertility has an impact on marital pleasure. Couples who are unhappy in their relationship are also more likely to have various negative psychological, social and physical health issues. Nurses can play a significant role in the management of infertility and its consequences. The recent study aimed to evaluate the effect of nursing interventions on marital relationship among women undergoing infertility treatment.

Methods: By using a systematic sampling technique, 60 infertile women with marital disharmony (30 experimental and 30 control group) were included in the current randomized control trial. After getting their consent relationship assessment scale was used to estimate the marital relationship. The experimental group underwent the nursing intervention (Raja yoga meditation, progressive muscle relaxant exercises, advices on lifestyle and diet modification) for 5 subsequent visits apart from 15 days and the control group underwent standard medical care. Succeeding the intervention after one month’s last intervention, the relationship assessment scale was again applied to both groups.

Results: Before the interventions both the groups were homogenous according to mean, SD and chi square values. After applications of dependent t-test, the mean score before and after nursing interventions the mean score was 13.70 SD 3.99 and 18.33 SD 2.89 respectively. The mean difference of marital relationship was 4.633 (t29=10.640, p=0.001). Independent t test was applied which reveals that the mean difference between experimental and control group was 3.867 (t58=4.215, p=0.001) which was statistically highly significant at 0.001 level.

Conclusions: After implementing the nursing intervention, the study’s finding showed an improvement in the quality of marital relationship.


Nyarko SH, Amu H. Self-reported effects of infertility on marital relationships among fertility clients at a public health facility in Accra, Ghana. Fertil Res Pract. 2015;1:10.

Whether or not to have Children - The School Of Life, 2010. Available at: https://www.theschooloflife.com/article/whether-or-not-to-have-children/. Accessed on 25 February 2023.

WHO. Infertility. Available at: https://www.who.int/news-room/fact-sheets/detail/ infertility. Accessed on 7 October 2022.

Reasons why the prevalence of infertility is high in India despite advanced treatment options. Free Press Journal. Available at: https://www.freepressjournal. in/health/fertility-treatments-in-india-needs-to-be-amped-up. Accessed on 28 September 2022.

Hirsch AM, Hirsch SM. The effect of infertility on marriage and self‐concept. J Obstet Gynecol Neonat Nurs. 1989;18(1):13-20.

Sci TJM, Tüzer V, Tuncel A, Göka S, Bulut SD, Yüksel FV, et al. Original Article. 2010.

Cooper S. Sex, relationships and infertility: fact sheet 14. Resolve, Mclean; 2007. Available at: http://familybuilding.resolve.org/site/DocServer/14_Sex_Marriage_and_Infertility.pdf?docID=5704. Accessed on 12 December 2017.

Kushwaha C, Sinha P, Gupta U, Srivastava K. Impact of infertility on marital relationships among infertile couples attending OPD of a tertiary health care centre. Int J Reprod Contracept Obstet Gynecol. 2018;7(3):1164-7.

Poorheidari M, Ganji J, Hasani-Moghadam S, Azizi M, Alijani F. The effects of relationship enrichment counseling on marital satisfaction among infertile couples with a history of domestic violence. J Nurs Midwife Sci. 2021;8(1):1.

Satheessan S, Satyaranayana V. Quality of marital relationship, partner violence, psychological distress, and resilience in women with primary infertility. Int J Community Med Public Health. 2018;5:734.

Pasha H, Basirat Z, Esmailzadeh S, Faramarzi M, Adibrad H. Marital intimacy and predictive factors among infertile women in northern Iran. J Clin Diagn Res. 2017;11(5):QC13-7.

Ardabily HE, Moghadam ZB, Salsali M, Ramezanzadeh F, Nedjat S. Prevalence and risk factors for domestic violence against infertile women in an Iranian setting. Int J Gynaecol Obstet. 2011;112(1):15-7.

Sudha G, Reddy KS. Infertility: gender based domestic violence against women in Chittor District of Andra pradesh. Asia Pac J Soc Sci. 2011;3(1):90-101.

Krishna Y. Upaya Yoga. Upaya Yoga 2019. Available at: https://upaya-yoga.com/concept-and-benefits-of-raja-yoga/. Accessed on 21 November 2022.

How to live at peace with yourself and others - by BK Shivani. Brahma Kumaris. 2018. Available at: https://www.youtube.com/watch?v=-g1rmCtokAY. Accessed on 7 October 2022.

El-Sayed IR, Hagrasy HAE, Ali MHS, Abd Elagamy EEM. Effectiveness of progressive muscle relaxation on minimizing stress among women with infertility. Egypt J Health Care. 2020;11(4):806-15.

Hussein A. Effect of psychological intervention on marital satisfaction rate of infertile couples. Int J Educ Polic Res Rev. 2014;2360:7076.

Kharde SN, Patted S. A randomised controlled trial to evaluate the effectiveness of psychological interventions on emotional distress among women undergoing infertility treatment. Int J Nurs Care. 2013;1(2):117.

Yekta FF, Yaghoubi H, Ghomian S, Fesharaki MG. Mediators for Effect of Mindfulness in Promoting Marital Satisfaction: Modeling Structural Equations in an Experimental Study. Iran J Psychiatr. 2022;17(1):72.

Alirezaei S, Taghipour A, Latifnejad Roudsari R. The effect of infertility counselling interventions on marital and sexual satisfaction of infertile couples: A systematic review and meta-analysis. Int J Reprod Biomed. 2022;20(10):795-806.

Ahmadi K, Etemadi A, Fathi-Ashtiani A, Shokooh NN. Effect of intervention to change life style to increase marital adjustment. Jo Appl Sci. 2007;7(17):2430-6.

Najafi M, Soleimani AA, Ahmadi K, Javidi N, Kamkar EH. The effectiveness of emotionally focused therapy on enhancing marital adjustment and quality of life among infertile couples with marital conflicts. Int J Fertil Steril. 2015;9(2):238-46.




How to Cite

Aulakh, R. K., Uppal, H. K., & Pahwa, S. (2023). Effect of nursing interventions like meditation, progressive muscle relaxant exercises, and counselling on lifestyle and diet modification on marital relationship among women undergoing infertility treatment: randomized controlled trial: a pilot study. International Journal Of Community Medicine And Public Health, 10(3), 1149–1155. https://doi.org/10.18203/2394-6040.ijcmph20230631



Original Research Articles