scholarly journals The effectiveness of TIPER (Tailor Made Interventional Package to Enhance Relaxation) on depression, anxiety and stress among elders at old age homes, Puducherry

2019 ◽  
Vol 10 (2) ◽  
pp. 1124-1126
Author(s):  
Prakash P ◽  
Nappinai Seran ◽  
Navaneetha ◽  
Malarvizhi ◽  
Pradeep Thilakan

A Quasi-experimental study was conducted to explore the effectiveness of Tailor Made Interventional Package(TIPER) among the elders at Voluntrait, POINCARE (Pondicherry Society Care for the Aged), Clunny Home for aged and Anbu Nilayam in Puducherry. TIPER consists of Jacobson Progressive Muscle Relaxation, Guided Imagery and Mindfulness Meditation Total enumerative sampling technique was adopted with 211 samples in phase one, and 90 samples were obtained in phase two was randomized into study and control group of 45 each. Control group samples were administered with physical exercises. A tool used in this study was Socio-demographic Variables, Mini-Mental Status Examination, Modified Kuppusamy Socio-Economic Scale, Depression Anxiety Stress Scale(DASS-21), ICD-10 Criteria for Depression & General Anxiety, State and Trait Anxiety Scale. Results reveal that analysis of pre-test and post-test score in study group using paired ‘t' test shows the ‘p' value was <0.01 level were as in control group was not less than 0.01 level. Hence, TIPER was found effective in reducing the level of depression, anxiety and stress among elders at old age homes.

2021 ◽  
Vol 2 (3) ◽  
pp. 592-598
Author(s):  
Barto Mansyah ◽  
Ns. Syam’ani

Diabetes mellitus is one of the diseases with great impact on health and society, not only for its high prevalence but also for chronic complications and high mortality.. The psychological impact of diabetes began to be felt by the patient since he was diagnosed the doctor. Patients begin to experience psychological disorders such stress on himself related to the care and treatment should be undertaken. Conditions of emotional stress that require proper handling in order not to fall on the more severe conditions. This study aims to identify the influence of combination therapy progressive muscle relaxation and deep breathing relaxation against stress levels of patients with diabetes mellitus in Prolanis BPJS Kesehatan Kota Palangka Raya. The design used in this study using the design of the study : “PRE-TEST-POST-TEST DESIGN WITH CONTROL GROUP”. In this study population was patients with diabetes mellitus in Prolanis BPJS Kesehatan Kota Palangka Raya. The sampling technique in this study using total sampling technique, as many as 48 people. This research is expected to contribute positively to the management of emotional stress in patients with diabetes mellitus.


2021 ◽  
Vol 6 (2) ◽  
pp. 45-52
Author(s):  
Reny Sulistyowati

Fatigue is a widespread clinical complaint among adults with type 2 diabetes. Fluctuating glucose levels can cause fatigue. Several factors are associated with fatigue in diabetic patients, including physiological factors such as hypoglycemia or hyperglycemia, psychological factors such as depression associated with diabetes. Progressive muscle relaxation is a procedure to get relaxation in the muscles through two steps, namely by applying tension to a muscle group and stopping the tension then focusing on how the muscle relaxes, feeling the sensation of relaxation and fatigue is reduced. The aim of this study was to identify the effect of progressive muscle relaxation on fatigue symptoms in type II DM clients in 15 control groups and 15 intervention groups. The research method used a quasi-experimental design with a pretest-posttest control group design approach, consisting of one treatment (in the intervention group) and a control group. Data analysis was performed using univariate and bivariate analysis using t-independent and t-dependent tests. Wilcoxon test results in the intervention group and the control group showed a significant p-value of 0.002 (<0.05), meaning that there was a significant difference in fatigue symptoms in the intervention group before and after the intervention. This shows that there was a decrease in fatigue symptoms in the intervention group before and after combination OHO therapy and progressive muscle relaxation exercises (previously the average respondent in the intervention group experienced symptoms of severe fatigue, after intervention, the average value of fatigue symptoms turned into mild fatigue ). Conclusion: Progressive muscle relaxation combined with OHO therapy can reduce symptoms of fatigue compared to only OHO therapy.


Author(s):  
Ifa Roifah ◽  
Amar Akbar

Hemodialysis is a renal replacement therapy for patients with cronic renal disease who are decline of renal fuction. The complex therapy and physical condition of chronic kidney disease and hemodialysis patient involve a severe stressor that lead to depression. Progressive muscle relaxation technique is one of nonpharmacoloical therapies that treat depression. This research aimed to prove the influence of progressive muscle relaxation technique to changes in depression level in cronic kidney disease with hemodialysis in Dr. WahidinSudiroHusodoMojokertohospital. In this research design used is Quasy experiment with pre-test post-test control group design. Sample of 30 people were taken by simple random sampling. 15 people from experimental group were given routine progressive muscle relaxation technique in 2 times a day of the week and 15 people from control group were given not routine progressive muscle relaxation techniques in 2 day one time in a week . The research instrument was Beck Depression Inventory. Wilcoxon  Signed Rank Test shows that p value (0.001) < α (0.05), so it is accepted  that there is an effect of progressive muscle relaxation on the depression level of cronic kidney disease patient undergoing hemodialysis. To test the U-Mann Whitney shows that p value (0.005) < α (0.05), so that H0 is rejected it means there is different of the channge depression level between experiment group and the control group.this therapy can increase the production of melatonin and serotonin, reduce stress hormone cortisol. PMR also, lowering the muscle tension ,do make positive thinking so,  throught that is influence to decrease in depression level. Routine muscle relaxationdistractify the stressor everyday in training.


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.


2021 ◽  
Vol 5 (1) ◽  
pp. 400-407
Author(s):  
Helena Fira ◽  
Apriza Apriza ◽  
Nila Kusuma Wati

during menstruation or dysmenorrhea is often complained by teenage girls who have entered puberty as an uncomfortable sensation such as pain in the abdomen, cramps and pain in the waist that can interfere with daily activities. One of the non-pharmacological treatments for dysmenorrhea is progressive muscle relaxation techniques, which are very suitable for reducing dysmenorrhea pain. Purpose: This study was to determine the effect of progressive muscle relaxation techniques on the scale of menstrual pain (dysmenorrhea) in young women in Pulau Jambu village, the working area of the Kuok Community Health Center in 2020. Methods: This type of research uses a quasi-experimental method with a non-equivalent pretest-posttest plan. The sampling technique used purposive sampling with a sample size of 30 people. The data collection tool used was an observation sheet using the Numeric Rating Scale (NRS) pain scale. Data processing used univariate and bivariate analysis with the Wilcoxon Signed Rank Test with the SPSS 17 program. Results: this study shows that progressive muscle relaxation techniques have an influence on the scale of dysmenorrhea in young women in Pulau Jambu village, the working area of the Kuok Health Center in 2020 with a p value of 0.000. (


2018 ◽  
Vol 1 (1) ◽  
pp. 59-66
Author(s):  
Rizky Rahma Nova ◽  
Roxsana Devi Tumanggor

Patient with breast cancer is experienced a psychological pressure with cancer diagnosis. This condition leads to anxiety and hopeless feeling toward life. One of the therapies which found effective to minimize anxiety is progressive muscle relaxation. The objective of the reasearch was to find the influence of progressive muscle relaxation therapy as the nursing intervention in reducing the anxiety level of the patient with breast cancer. The research applied quasi experiment method with pre-test and post-test control group design. The samples involved are 26 patients with breast cancer, which consist of 13 patients with intervention and 13 patient without intervention. The research instrument used to assess the anxiety level was HRS-A (Hamilton Rating Scale-Anxiety) questionnaire. The research conducted at RSUP Haji Adam Malik Medan from May to June,2016. Progressive muscle relaxation theraphy was carried out in 3 days with the frequency of 6 times exercise. The result of the research showed that t-value was -4.275 and p-value=0.000 or p-value < 0.05 (0,000) which indicated that there was the influence of progressive muscle relaxation therapy on the decrease in the level of anxiety of breast cancer patients. Therefore, nurse can use progressive muscle relaxation as non-pharmacological in coping with breast cancer patients. Patient with breast cancer mostly experienced  psychological pressure . This condition leads to anxiety and hopeless feeling toward life. One of the therapies which regarded effective to minimize anxiety is progressive muscle relaxation. The objective of this study was to determine the effects of progressive muscle relaxation therapy as  intervention in reducing the anxiety level of the patient with breast cancer. This study employed quasi experiment method with a pre-test and post-test control group design. The sample was composed of 26 breast cancer patients; 13 patients with intervention and 13 patients without intervention. The research instrument used to assess the anxiety level was HRS-A (Hamilton Rating Scale-Anxiety) questionnaire. The study was conducted in Haji Adam Malik Hospital Medan from May to June, 2016. Progressive muscle relaxation theraphy was carried out for 3 days, with a frequency of 6  exercises  The results showed that t-value was -4.275 and p-value=0.000  indicating that there was an effect of progressive muscle relaxation therapy in reducing the level of anxiety of breast cancer patients. Therefore, nurse can use progressive muscle relaxation as non-pharmacological in coping with breast cancer patients.


2021 ◽  
Vol 24 (1) ◽  
pp. 39-46
Author(s):  
Ida Rosdiana ◽  
Yanti Cahyati

disorder in hemodialysis patients, which will cause a decrease in quality of life. Aromatherapy combined with progressive muscle relaxation are expected to increase the effects of relaxation on the patient so that the patient's sleep quality can improve optimally.Objective: The study aimed to investigate the effect of the progressive muscle relaxation combined with lavender aromatherapy on insomnia among patients undergoing hemodialysis. Material and Methods: The design of this study included a quasi-experiment with a pretest-posttest control group approach. The sample selection was performed using a consecutive sampling technique and involved 50 respondents, divided into two equal control and study group. Patients in study group recommended to do progressive muscle relaxation at least four times per week for three weeks and were told to drop two – three drops lavender aromatherapy on a pillow 30 minutes before bedtime at least 4 nights per week for three weeks. The control group recommended to do muscle relaxation and daily routine care at least four times per week for three weeks. Results: The results showed that both study and control groups were equal in terms of demographics, and scores of insomnia at the baseline. There no significant difference between the mean insomnia scores of two group before intervention, while the difference was statistically significant after the intervention. The mean insomnia scores were lower in study group than in the control group.Conclusion: Progressive muscle relaxation and lavender aromatherapy were effective in decreasing insomnia scores among patients undergoing hemodialysis.


2019 ◽  
Vol 7 (3) ◽  
Author(s):  
Kushariyadi Kushariyadi ◽  
Grysha Viofananda Kharsima Ade Agung ◽  
Faizatul Mazuin ◽  
Fitriany Fitriany

The condition of nursing faculty students has many academic tasks such as attending classes, taking exams, socializing, adjusting to fellow students with different characteristics and backgrounds, developing talents and interests through non-academic activities. This condition causes students to not be able to manage time well so that they experience distress. Quasy experiment research used two groups pre-post-test design. The sample included 15 control groups and 15 treatment groups. The sampling technique uses simple random sampling. Research variables include spiritual deep breathing therapy and distress rate. The instrument uses depression anxiety stress scale-42 (DASS-42) in the form of a Likert scale. This type of unfavorable questionnaire contains 42 questions. The spiritual instrument deep breathing therapy is about 20 minutes a day for seven days. Statistical test using Wilcoxon signed rank test against both groups. There was a significant effect on the treatment group (p-value 0.001). In the control group there was no effect (p-value 0.263). Distress conditions in a person can be overcome with one therapy such as spiritual deep breathing therapy. Spiritual deep breathing therapy as a therapy for nursing modalities can optimize oxygen demand for cells that are distressed, blood flow to the muscles decreases otherwise blood flows to the brain and skin increases so as to provide a sense of warmth, comfort and calm.


Author(s):  
KASRON KASRON ◽  
SUSILAWATI SUSILAWATI

Introduction : Patients with hypertension patients can have sleep disorders such as dizziness or headache, feeling tired during the day, anxiety, decreasing concentration and irritability. This study aimed to evaluate the effect of progressive muscle relaxation (PMR) on sleep quality in patients with hypertension in South Cilacap City. Method : The research used quasi-experiment with pre-post test without control group. Respondents werw patients with hypertension in South Cilacap City, with the criteria forthose who were active in health care programme, able to perform independent activities, consume of anti-hypertensive drugs, have done PMR regularly for 7 days, and the exclusion criteria was patients with impaired osteoarthritis and rheumatoid arthritis. Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep quality twice, before and 7 days after interventions PMR. Statistic analysis used wilcoxon test. 16 respondents included in the criteria. Result : The quality of sleep before treatment PMR was 7 people (43.8%) poor, 9 people (56.3%) very bad. After treatment PMR was 3 people (18.8%) rather good, 13 people (81.3%) less good. The analysis shown the sleep quality was difference between before and after PMR with p-value <0.001. Discussion : The study shows there is difference between before and after PMR in hypertensive patients in South Cilacap. PMR can be used to improve the sleep quality of hypertensive patients.


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