scholarly journals Pengaruh Latihan Relaksasi Otot Progresif terhadap Kualitas Tidur Lansia

1970 ◽  
Vol 4 (1) ◽  
Author(s):  
Sulidah Sulidah ◽  
Ahmad Yamin ◽  
Raini Diah Susanti

Lansia merupakan kelompok orang yang paling sering mengalami penurunan kualitas tidur. Beberapa penelitian menunjukkan manfaat latihan relaksasi otot progresif untuk menghadirkan rasa nyaman yang dibutuhkan dalam mereduksi penyebab gangguan tidur. Penelitian ini untuk mengidentifikasi pengaruh relaksasi otot progresif terhadap kualitas tidur lansia. Rancangan penelitian ini Quasi Experimental dengan pendekatan Pretest-Posttest Control Group Design. Sampel diambil secara Purposive Sampling. Besar sampel 51 responden, terdiri dari 26 responden kelompok intervensi dan 25 responden kelompok kontrol. Kelompok intervensi melakukan latihan relaksasi otot progresif selama empat minggu. Kualitas tidur diukur sebelum dan sesudah latihan relaksasi otot progresif menggunakan instrumen PSQI. Pengukuran dilakukan empat kali, yaitu sebelum intervensi (pre test), dua minggu setelah intervensi (post test 1), tiga minggu setelah intervensi (post test 2), dan empat minggu setelah intervensi (post test 3). Data dianalisis menggunakan t test dan Repeated Anova. Hasil Uji t berpasangan kelompok intervensi menunjukkan nilai t hitung > t tabel, dengan p = 0,000. Pada kelompok kontrol diperoleh nilai t hitung < t tabel, dengan p > 0,05. Uji Repeated Anova memeroleh nilai F hitung (71,415) > F tabel (3,89) dengan p=0,000. Uji t tidak berpasangan didapatkan skor pretest, posttest 1, posttest 2 dan posttest 3 berbeda signifikan antara kelompok intervensi dan kelompok kontrol dengan p < 0,05. Rata-rata skor PSQI kelompok intervensi menunjukkan kecenderungan penurunan setelah latihan relaksasi otot progresif, sedang kelompok kontrol tidak menunjukkan perubahan skor secara bermakna. Hal ini dimungkinkan karena latihan relaksasi otot progresif bermanfaat menimbulkan respon tenang, nyaman, dan rileks. Implikasi penelitian ini bahwa latihan relaksasi otot progresif secara bermakna meningkatkan kualitas tidur lansia sehingga dapat dipertimbangkan sebagai terapi komplementer dalam tatalaksana gangguan tidur pada lansia sebagai tindakan mandiri keperawatan.Kata kunci: Kualitas tidur, lansia, relaksasi otot progresif.The Effect of Progressive Muscle Relaxation Exercise towards Older People’s Quality of SleepAbstractOlder people are the group of people who often experience the decreasing of quality of sleep. Few studies showed the benefit of progressive muscle relaxation exercise to give comfort that is needed to reduce the cause of sleep disturbance. This study aimed to examine the effect of progressive muscle relaxation exercise towards older people’s quality of sleep. The research design is quasi experimental using pretest-posttest control group design. The sample were recruited using purposive sampling. The total sample were 51 participant which consist of 26 participants in intervention group and 25 participants in control group. Intervention group were conducted progressive muscle relaxation exercise for four weeks. The quality of sleep were measured before and after the exercise using PSQI instrument. The measurements were conducted four times, which were before intervention (pretest), two weeks after intervention (posttest 1), three weeks after intervention (posttest 2), and four weeks after intervention (posttest 3). The data were analyzed using t-test and Repeated ANOVA. The paired t-test for intervention group showed that the score of counted t > table t, with p = 0.000. In the control group, the results showed that counted t < table t score, p >0.005. The repeated ANOVA showed that counted F (71.415) > table F (3.89) with p= 0.000. Independent t-test showed that scores of pretest, posttest 1, posttest 2 and posttest 3 were different significantly between intervention and control groups with p<0.05. The average PSQI scores in intervention group showed a tendency of decreasing after progressive muscle relaxation exercise, while in the control group there was no significant changes in the scores. This is because the progressive muscle relaxation exercise is benefit to give calming, comforting and relaxing responses. The implication of this study is that progressive muscle relaxation exercise can significantly improve the quality of sleep of older people so that this exercise can be considered as a complementary therapy for management of sleep disturbance among older people as an independent nursing care.Keywords: Older people, progressive muscle relaxation exercise, quality of sleep.

2019 ◽  
Vol 8 (2) ◽  
pp. 71
Author(s):  
Claudia Fariday Dewi

Introduction: Stress among teachers has a significant relationship with the psychosomatic and depressive symptoms. Community nurses need to make efforts in preventing the adverse effects of stress on teachers. Progressive muscle relaxation with music and aromatherapy is an alternative intervention which can be practiced to reduce the level of stress among teachers. This study aimed to investigate the effects of progressive muscle relaxation which was combined with music and aromatherapy on decreasing the level of stress in teachers.Methods:This study employed a pre-post test quasi-experimental design with a control group. The samples were 46 teachers recruited by purposive sampling and were assigned to the intervention group (n=23) and the control group (n=23). The intervention of progressive muscle relaxation with music and aromatherapy was given to the intervention group for four sessions in four days; each session lasted for 20 minutes. The data were analyzed using the t-test to know the effects of the intervention on decreasing the stress level.Results:The results showed that the average level of stress of the teachers in the intervention group decreased from 50.65 ± 3.761 to 32.78 ± 8.426 after the intervention. Meanwhile, in the control group, the average stress level slightly decreased from 49.87 ± 3.348 to 49.17 ± 4.868. The result of the t-test obtained a p-value of 0.000 (<0.,05), indicating that there were significant differences in the stress levels between the intervention and the control group.Conclusion:Progressive muscle relaxation with music and aromatherapy could reduce the level of stress in school teachers. Based on the findings, it is recommended that the school teachers perform this relaxation therapy to decrease the stress level. The teachers could practice the therapy by the help of training from the community nurses.


2020 ◽  
Vol 26 (3) ◽  
Author(s):  
Keristina Ajul ◽  
Yakobus Siswadi ◽  
Wilhelmus Hary Susilo

adalah suatu kelainan berupa inflamasi kronik saluran napas yang mengakibatkan penyempitan saluran napas, sehingga meningkatkan resistensi aliran udara dan menurunkan laju aliran ekspirasi. Selain terapi farmakologis, penatalaksanaan asma  juga dapat dilakukan secara non farmakologis, diantaranya dengan latihan incorporating progressive muscle relaxation dan diaphragm breathing exercise yang dapat meningkatkan aliran puncak ekspirasi. Tujuan penelitian ini adalah untuk mengetahui pengaruh incorporating progressive muscle relaxation dan diaphragm breathing exercise terhadap peningkatan aliran puncak ekspirasi (APE) pasien asma. Metode penelitian adalah quasy experimental pre-test dan post-test with control group. Jumlah responden penelitian adalah 80 orang yang dibagi menjadi 2 kelompok yaitu 60 orang kelompok intervensi dan 20 orang kelompok kontrol. Hasil uji beda paired sample t-test pada kelompok intervensi menunjukkan perbedaan yang signifikan APE sebelum dan sesudah intervensi (65,05% vs 81,17%, p=0,00). Hasil uji independen t-test menunjukkan perbedaan yang signifikan APE kelompok intervensi dengan kelompok kontrol (81,17% vs 65,10%, p=0,00). Penelitian ini menyimpulkan bahwa latihan incorporating progressive muscle relaxation dan diaphragm breathing exercise berpengaruh pada peningkatan APE.


2021 ◽  
Vol 8 (3) ◽  
Author(s):  
Mr. Israel Jeba Prabu prabhu ◽  
Dr. C.P Sharma sharma

The objectives of the study were to 1. determine the pre-test and post-test level of blood pressure among patients with Hypertension in experimental and control group.2. assess the efficacy of Jacobson’s progressive muscle relaxation exercise on blood pressure among patients with Hypertension in experimental group.3. Associate the selected socio demographic variables with the level of blood pressure in experimental group. Hypothesis H0: There will not be a significant difference between pre and post test level of blood pressure after Jacobson’s progressive muscle relaxation exercise among patient with Hypertension in experimental and control group. H1: There will be a significant decrease in the level of blood pressure after Jacobson’s progressive muscle relaxation exercise among patient with Hypertension in experimental group. H2:There will be significant association between post test levels of blood pressure with selected demographic variables in experimental group. H01: There will not be significant association between post test levels of blood pressure with selected demographic variables in experimental group. Review of literature was organised based on review related to Jacobson’s progressive muscle relaxation and Jacobson’s progressive muscle relaxation on blood pressure. The tool was validated by experts and found to be valid for the study. Sampling Technique: Sample was selected by using non probability convenience sampling method. Results: the data was tabulated, analyzed and interpreted by using descriptive and inferential statistics. After the detailed analysis this study leads to following conclusions, longer day of intervention shows significant decrease in the level of blood pressure. Major findings show that there is significant decrease in the level of blood pressure after Jacobson’s progressive muscle relaxation exercise among patient with Hypertension in experimental group. It was statistically significant at (P<0.001). Hence the sta


2019 ◽  
Author(s):  
Santi Herlina

Fatigue is a major complaint of patients undergoing long-term hemodialysis, which has a high value, so it will affect the quality of life of patients. The purpose of this study was to determine the influence of PMR on the level of fatigue in patients with chronic kidney disease undergoing hemodialysis. This study used a quasi experiment design approach pretest-posttest control group. The number of respondents in the study were 32 patients divided into 2 groups: the 16 intervention group and 16 control group. The research concludes that there are significant differences on the level of fatigue in the intervention group between before and after PMR with p = 0.000. Suggested training PMR can be used as an independent nursing intervention in reducing fatigue in patients with chronic kidney disease undergoing hemodialysis.


2020 ◽  
Vol 9 (2) ◽  
pp. 886-892
Author(s):  
Denis Farida ◽  
Retno Ayu Yuliastuti

Quasi-experimental research design with a pre-post-test control group design approach. The sample size was 32 respondents divided into 16 intervention groups and 16 control groups. The intervention group was given a combination of PMR with music for 1 month. The control group was not given an action. The instrument uses an observation sheet. The study used a paired t-test and independent t-test with α <0.05. The results showed the mean value. intervention group before exercise 0.74 and after exercise 0.90 mg / dl. The control group before treatment has obtained an average. 0.77 and after treatment an average ABI was 0.75. Based on the independent t-test, blood sugar levels were obtained ρ 0.000 (α <0.05). So that H0 is rejected, meaning that there is an effect of the combination of PMR and music on (ABI). The combination of PMR with music that is routinely performed can increase the ABI value


2018 ◽  
Vol 3 (3) ◽  
pp. 14 ◽  
Author(s):  
Nemat Ismail Abdel Aziz Ismail ◽  
Wafaa Taha Ibrahim Elgzar

Background: Pain, sleep disturbances, and physical activity limitation are the most tiresome complains of the women post caesarian section (Cs). Progressive muscle relaxation is a promising intervention for these complains. This study aimed to determine the effect of progressive muscle relaxation technique on post-cesarean section pain, quality of sleep and physical activities limitation. Research design: Randomized controlled clinical trial. Setting: post-partum unit at Damanhour National Medical Institute. Sample: A purposive sample of 80 women undergoing Cs was recruited. Randomization block was done to randomly assign 40 women for the study group and 40 for the control group. Tools: Four tools were used for data collection: structured interview schedule, short-form McGill Pain Questionnaire, Physical activities limitation Questionnaire and Groningen Sleep Quality Scale. Results: After the intervention, PMR significantly decreased pain severity among study group in Pain Rating Index scale, Visual analogue pain scale, and Present Pain Intensity scale compared to the control group. The severe physical activities limitation significantly absent from the entire study group, while it was significantly present among 70% of the control group. About two-thirds (62.5%) of the study group had a good quality of sleep compared to 5% of the control group. Conclusion: PMR significantly decreased pain, improved physical activities and quality of sleep among women after Cs. Recommendation: PMR should be incorporated in the nursing intervention protocols post-Cs.


2020 ◽  
Vol 6 (3) ◽  
pp. 293-297
Author(s):  
Rahmi Nurrasyidah

ABSTRACT  Background : Sleep disturbance is a problem that is often complained of by women who experience a menopause transition. This has an impact on quality of life, moods, productivity, and physical health. Foot massage therapy is a non-pharmacological therapy performed to improve sleep quality. Non-pharmacological therapy is an option because it is cheaper and more effective when compared with medical administration.  Purpose :This study determined an effect of foot massage on the sleep quality of menopausal mothers.  Method : This is an experimental study with a post test only control group design. The sample consisted of 23 respondents aged 45-55 years. The intervention group included 12 respondents and the control group included 11 respondents. The intervention group performed foot massage for 10 minutes on each leg. Sleep quality in the intervention group was measured 24 hours after massage. The control group did not do foot massage. Results :  the average respondent of intervention and control groups were in the best sleep quality (76100). In the control group, poor sleep quality was found in the wakefulness sleep category. There was no difference in the average quality of sleep in mothers who did foot massage and did not do foot massage (p> 0.001) with a difference in average (95% CI) 4.5 (3.6-12.5). Conclusion : There was no difference in the average quality of sleep between intervention and control group.  Sugestion : Based on the results of the study, the authors recommend the need for further research on foot massage with an increase in  duration of the intervention and it is necessary to investigate the variations of foot massage methods with aromatherapy to improve sleep quality. Further research needs to be done with more samples and better RCT methods.  Keywords: Foot massage, sleep quality, Menopause   ABSTRAK  Latar Belakang : Gangguan tidur adalah masalah yang sering dikeluhkan ibu yang mengalami transisi menopause. Hal ini berdampak pada kualitas hidup, suasana hati, produktivitas, dan kesehatan fisik. Terapi pijat kaki merupakan terapi non farmakologi yang dilakukan untuk meningkatkan kualitas tidur. Terapi non-farmakologi menjadi pilihan karena biaya yang lebih murah dan lebih efektif bila dibandingkan dengan pemberian medikamentosa. Tujuan : Untuk mengetahui pengaruh pijat kaki terhadap kualitas tidur ibu menopause.  Metode : Desain Penelitian ini adalah penelitian eksperimental dengan desain post test only control group desain. Sampel terdiri dari 23 responden yang berumur 45-55 tahun dengan rincian kelompok intervensi 12 responden dan kelompok kontrol 11 responden. Kelompok intervensi dilakukan pijat kaki selama 10 menit pada setiap kaki. Kualitas tidur pada kelompok intervensi diukur 24 jam setelah dilakukan pemijatan. Kelompok kontrol tidak dilakukan pijat kaki.  Hasil : Rata-rata responden pada kelompok intervensi maupun kontrol berada pada kualitas tidur terbaik (76-100). Pada kelompok kontrol, didapatkan kualitas tidur yang buruk pada kategori terbangun saat tidur (Awakenings). Tidak terdapat perbedaan rerata kualitas tidur pada ibu yang dilakukan pijat kaki dan tidak dilakukan pijat kaki (p>0,001) dengan perbedaan rerata (IK 95%) 4.5 (3.6-12.5).  Kesimpulan : Tidak terdapat perbedaan rerata kualitas tidur pada kelompok intervensi maupun kontrol. .  Saran  : Penulis merekomendasikan perlunya dilakukan penelitian lebih lanjut mengenai pijat kaki dengan peningkatan durasi intervensi serta perlu diteliti mengenai variasi metoda pijat kaki dengan aromaterapi untuk meningkatkan kualitas tidur. Penelitian selanjutnya perlu dilakukan dengan sampel yang lebih banyak dengan metode uji kilnis yang lebih baik.  Kata Kunci : Pijat kaki, kualitas tidur, Ibu Menopause


2019 ◽  
Vol 19 (1) ◽  
pp. 11
Author(s):  
Mareta Akhriansyah

Hypertensioncan we call as “silent killer” because it could be making an ice mountain fenomenal. Hypertension prevalence will increasing with getting older of that people. Identical of Hypertension is a increasing of blood pressure more than normal limit.The aim of this study was to know an influence of relationship between  progresive muscle relaxationtoward decreasing blood pressure of old peoplehypertension in Nursing Home. This study used“Quasi Experimental Pre-Post Test With Control Grup”design withProgresive Muscle Relaxation (PMR) intervension, sample is taking by purposive sampling technique with 30 respondents, which they are divided into 2 group as treatment group and control group. Both of that groups are getting measurement of their blood pressure. The result showed that after Progresive Muscle Relaxation Exercise there is a decreasing systolic of blood pressure 28,7 mmHg and decreasing dyastolic of blood pressure 18 mmHg.And finally this study having conclusion that Progresive Muscle Relaxation Exercise can make decreasing blood pressure systolic and dyastolic with certainly result(p=0.000<α =0.05). To increasing a healthy Old People meassurement there must be a policy development  to make progressive muscle relaxation exercise will application well to Old People Hypertension


2021 ◽  
Vol 14 (1) ◽  
pp. 24
Author(s):  
Dewi Suryandari ◽  
Irna Kartina

Abstrak. Stroke adalah cedera vaskuler pada otak atau adanya suatu cedera yang berat serta mendadak. Pencegahan adanya komplikasi lanjutan dari hipertensi yang mengarah pada stroke perlu dilakukan. Kesembuhan dan pencegahan pada pasien stroke dapat dilakukan melalui obat-obatan selama rumah sakit dan ditunjang dengan rehabilitasi atau latihan fisik. Salah satu latihan fisik adalah dengan melakukan senam. Senam stroke merupakan salah satu bentuk latihan fisioterapi yang disusun sedemikian rupa untuk dapat memberikan rangsangan kepada beberapa reseptor yang akan dibawa ke otak untuk diproses dan menghasilkan output berupa gerakan yang terkoordinasi. Metode penelitian ini adalah kuantitatif dengan Pre and   Post   Test  Nonequivalent   Control   Group dengan sampel sebanyak 30 responden. Kualitas tidur telah diukur dengan PSQI. Hasil mean skor kualitas tidur pada kelompok intervensi sebesar 5.00 dan pada kelompok kontrol 8.71 dengan standar deviasi sebesar 1.309 pada kelompok intervensi dan 2.199 pada kelompok kontrol. Kesimpulan dari penelitian ini adalah senam stroke memiliki pengaruh yang signifikan  p value < 0.00. terhadap kualitas tidur pada pasien dengan hipertensi.  Kata kunci: senam stoke, hipertensi, kualitas tidur   The Effect of Stroke gymnastics toward Quality of Sleep in Patients with Hypertension  Abstract. Stroke is a vascular injury that can happen in the brain suddenly or immediately after ther accumulation of tension or obstruction, it is also incleded as severe injury. One condition can lead stroke attack is hypertension, regarding this complication, prevention of further  complication needs to be prepared. Healing and prevention in stroke patients can be done through drugs during the hospital and supported by rehabilitation or physical exercise. One of physical exercises  is to do gymnastics. Stroke gyme is a kind of  physiotherapy exercises that arranged in such a way as to be able to provide stimulation to several receptors that will be brought to the brain to be processed and produce output in the form of coordinated movements. This research method was quantitative with Pre and Post-Test Nonequivalent Control Group with sample 30 respondents, quality of sleep was measured by PSQI,  Results showed that mean of PSQI score in the intervention group was 5.00 and in the control group 8.71 with a standard deviation of 1.309 in the intervention group and 2,199 in the control group. Conclusion of this study is  Stroke gymnastics significantly(p value <0.00) effected the quality of sleep in patients with hypertension .  Keywords: stroke exercise, hypertension, sleep quality


2019 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Kasron Kasron

Patients with hypertension patients can have sleep disorders such as dizziness or headache,. This study aimed to evaluate the effect of spiritual emotional freedom tehnique (SEFT) and progressive muscle relaxation (PMR) on sleep quality in patients with hypertension in South Cilacap City. The research used quasi-experiment with two group pre-post test group. Respondents were patients with hypertension, with the criteria forthose who were active in health care programme, able to perform independent activities, consume of anti-hypertensive drugs, have done SEFT and PMR regularly for 7 days. Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep quality twice, before and 7 days after interventions SEFT. Statistic analysis used Mann-Whitney test. 32 respondents included in the criteria. The quality of sleep before treatment SEFT was 43.8% poor, 56.3% very bad. After treatment SEFT was 25% rather good, 75% less good. The quality of sleep before treatment PMR was 43.8% poor, 56.3% very bad. After treatment PMR was 18.8% rather good, 81.3% less good. The analysis shown the sleep quality was difference between SEFT and PMR after intervention with p-value 0.002. The study shows there is difference between SEFT and PMR after intervention in hypertensive patients in South Cilacap


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