scholarly journals THE INFLUENCE OF PROGRESSIVE MUSCLE RELAXATION TECHNIQUES ON DEPRESSION LEVEL OF CRONIC KIDNEY DISEASE PATIENT UNDERGOING HEMODIALYSIS 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.

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.


2021 ◽  
Vol 12 (1) ◽  
pp. 58-67
Author(s):  
Nurvita Risdiana ◽  
Jefry Leo Sandy ◽  
Johan Johan

Background: Objective Structured Clinical Examination (OSCE) is an instrument for an evaluation test to asses observable skills. However, this situation of the test can lead to anxiety for students expressed in affective and somatic signs. Progressive muscle relaxation technique is one of non-pharmacology therapies and can be used to decrease the affective and somatic signs in the students. Objective: This study aims to determine effects of the progressive muscle relaxation technique on affective and somatic signs in nursing students when taking the OSCE. Methods: This study was a quasi-experimental with a pre-test and post- group design. Fifty eight participants were selected by inclusion criteria and divided into two groups (a treatment group and a control group). The progressive muscle relaxation before the OSCE was conducted for 30 minutes. Zung’s self-rating anxiety (ZSAS) was applied to measure the affective signs. A sphygmomanometer, manual heart rate palpation, and thorax inspection were used to measure the somatic signs. The data were analysed by using a Wilcoxon test. Results: The Wilcoxon test showed that the effects of progressive muscle relaxation technique on the affective signs indicated p-value of 0.0001 (p<0.005). Then it also affected the somatic signs as occurred in systolic blood pressure with p-value of 0.00, diastolic blood pressure with p-value of 0.004, heart rate with p-value of 0.00, and respiration rate with p-value of 0.00. The affective and somatic signs in the treatment group decreased after the treatment was given. However, they were not found in the control group. Conclusion: There are effects of progressive muscle relaxation technique on affective and somatic signs in nursing students when taking the OSCE. The affective and somatic signs in the treatment group were lower than in the control group.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Rosliana Dewi ◽  
Fanny Dwi Agustina ◽  
Johan Budhiana ◽  
Syiva Dwi Fatmala

Diabetes mellitus (DM) can cause physical and psychological changes for sufferers. Psychological changes include changes in self-concept and depression. Psychological changes can be treated with nonpharmacological therapies, one of which is five-finger relaxation technique. The research aimed to reveal the effect of five-finger relaxation technique on depression experienced by type 2 DM patients. The five-finger relaxation technique is one of the generalist relaxation techniques by recalling pleasant experiences. This research is a quasi-experiment. Samples of this research were 34 respondents whom were selected using purposive sampling.  The intervention was carried out once a day for 3 consecutive days.  In order to measure depression, a valid and reliable questionnaire of Indonesian version of the Beck Depression Inventory (BDI) was employed.  Data were analyzed using the Wilcoxon Test and the Mann-Whitney Test. The results showed the was a decrease in depression in the control group (p-value of 0.008) and the intervention group (p-value of 0.000) and there were differences in depression in the control group and the intervention group (p-value of 0.000). It can be concluded that there is an effect of five-finger relaxation technique on depression in type 2 DM patients<em>.</em>


Author(s):  
Ni Komang Ayu Juni Antari ◽  
Alex Pangkahila ◽  
Muh. Ali Imron ◽  
I Putu Adiartha Griadhi ◽  
Luh Made Indah Sri Handari Adiputra ◽  
...  

ABTSRACT Introduction: Physical exercise as anticipate of hypertension along with nutrition and medicines. One of physical exercise that can be applicated here is relaxation techniques which is showed positive impact in decreased blood pressure. Objective: Determine the difference between PMR intervention with SSBM intervention to reduce blood pressure for grade I hypertension patients whose consumed anti-hypertension medicine in badung regency. Methods: Experimental method Pre and post-test control group design and used 24 subjects, divided in to 2 groups, in which the experimental group I (n=12) received progressive muscle relaxation (PMR) while the treatment group 2 (n=12) received slow stroke back massage (SSBM). Intervention is given 3 times a week for 4 weeks. This study was using simple random sampling. Blood pressure was measured by sphygmomanometer and stethoscope. Result: Independent Sample T-test showed there was significant difference between Group 1 and Group 2 which (p<0.05) for systolic and diastolic blood pressure. Conclusion: Progressive muscle relaxation intervention decrease blood pressure more than slow stroke back massage intervention in patients grade I hypertension whose consumed anti-hypertension medicine in Badung Regency.Keywords: progressive muscle relaxation, slow stroke back massage, grade I hypertension, blood pressure


Healthcare ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1319
Author(s):  
Mei-Li Tsai ◽  
Tsan-Hwang Cheng ◽  
Yen-Kuang Yang ◽  
Chi-Jane Wang

(1) Background: A variety of stressors may be potentially harmful to adolescents’ health and well-being. Relaxation techniques have been recognized as a valid method for stress release, but the challenge is to apply them practically in schools to produce the desired effects. (2) Methods: This feasibility study used the Perceived Stress Scale (PSS) and hair cortisol concentration (HCC) to test the effects of an abbreviated progressive muscle relaxation (APMR) program on female adolescents. The participants were recruited from a high school and assigned by class cluster to either the experimental group (EG, n = 40) or the control group (CG, n = 35). Both received 4 weeks of stress-related lessons. The EG received 60 additional sessions of APMR over 12 weeks. (3) Results: The program dropout rate of the participants was 1.3%. The EG’s program adhesion rate was 99.1%, and nearly half felt satisfied with the program. After adjusting for the BMI and the pretest in the ANCOVA, it was found that the CG had a greater change in HCC between the pre- and post-tests than the EG, while the PSS did not change significantly in either group. (4) Conclusion: APMR is a valid practice for physiological homeostasis of HCC for female adolescents, but it has no significant effect on perceived stress.


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.


2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Jajat Darajat Kusumah Negara ◽  
Titik Syadiah

Tujuan penelitian ini untuk mengetahui dan menganalisis pengaruh  penerapan teknik rileksasi progresif jacobsen dan latihan konsentrasi software schulte terhadap peningkatan kemampuan konsentrasi siswa. Kemampuan konsentrasi pada siswa bersifat fluktuatif, untuk itu perlu ditingkat kemampuan konsentrasinya agar proses pembelajaran dapat berjalan dengan efisien. Kemampuan konsentrasi dapat ditingkatkan melalui banyak cara diantaranya teknik rileksasi jacobsen penerapan dengan software schulte, akan tetapi belum banyak peneliti yang menganalisis besar pengaruh terhadap kemapuan konsentrasi siswa. Metode yang digunakan adalah metode ekperimen dengan menggunakan desain Pre-postest Group Design. Populasi pada penelitian ini adalah siswa siswi kelas VII dan VIII SMP Negeri 9 Bandung. Sampel pada penelitian ini adalah 70 siswa. Teknik pengambilan sampel menggunakan  Proportionate Stratified Random Sampling yang dibagi ke dalam dua kelompok yaitu 35 siswa ke dalam  rileksasi Jacobsen, dan 35 siswa pada kelompok latihan konsentrasi. Ringkasan hasil penghitungan hasil paired t-test  hipotesis 1 adalah (11,14±3,55) vs (16,85±3,48) dengan p-value 0.000**, hipotesis 2 adalah (13,40±2,92) vs (18,45±3,53) dengan p-value 0,000**, hipotesis 3 (5,71±4,61) vs (5,06±3,15) beda pengaruh 12,85% dengan p-value 0,488. Kesimpulan 1) terdapat peningkatan kemampuan konsentrasi sebesar 51,23% dengan menerapkan teknik rileksasi otot progresif Jacobsen; 2) terdapat peningkatan kemampuan konsentrasi 37,69% dengan menerapkan software schulte; 3) tidak ada perbedaan kemampuan konsentrasi antara penerapan teknik rileksasi otot Jacobsen dengan penerapan software schulte.  ABSTRACTThe purpose of this study was to determine and analyze the effect of the application of jacobsen’s progressive relaxation techniques and schulte software concentration training on improving students' concentration ability. The concentration ability on students is fluctuating, so it is necessary to increase their concentration ability so that the learning process can be efficiently. Concentration ability can be improved through many ways, such as applying jacobsen relaxation techniques and schulte software, but not many researchers have analyzed the influence of students' concentration. The method used is the experimental method using the pre-postest group design. The population in this study were students of middle scholl at 7th and 8th classes in Bandung. The sample in this study were 70 students. The sampling technique used proportional stratified random sampling which was divided into two groups: 35 students into Jacobsen's relaxation, and 35 students in the concentration training group. Summary of the results of the calculation of the results of paired t-test in the 1st hypothesis is (11.14±3.55) vs (16.85±3.48) with p-value 0.000**, 2nd hypothesis is (13.40±2.92) vs (18.45±3.53) with p-value 0.000**, 3rd hypothesis is (5.71±4.61) vs (5.06±3.15) difference in influence 12.85% with p-value 0.488. Conclusion first, there was significant an increased in concentration ability of 51.23% by applying Jacobsen's progressive muscle relaxation technique; second, there was significant an  increased in the ability to concentrate 37.69% by applying schulte software; 3) there was no significant difference in concentration ability between the application of Jacobsen's muscle relaxation technique and the application of schulte software.


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.


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.


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.


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