scholarly journals Therapy of Effective Progressive Muscle Relaxation to Reduce Insomnia in Elderly

2019 ◽  
Vol 8 (2) ◽  
pp. 165-171
Author(s):  
Desi Natalia Trijayanti Idris ◽  
Kili Astarani

Elderly experiencing problems sleeping disorders one of which is insomnia. One of the efforts to overcome insomnia is progressive muscle relaxation therapy. This study aims to analyze the effect of progressive muscle relaxation therapy on insomnia in the elderly. This research was designed using Pre Experimental, one group pre-test - post-test design. Data collected through observation and interviews before. It is analyzed using the Wilcoxon Signed Rank Test. The independent variable of this study was progressive muscle relaxation therapy and the dependent variable was insomnia. The results showed there was an effect of progressive muscle relaxation therapy with insomnia based on the Wilcoxon test (p = 0.004), and z score = 2.850. This study states that non-pharmacological therapy of progressive muscle relaxation therapy can be a nurse's independent action in providing nursing care to patients, especially in elderly patients who experience insomnia

2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Chilyatiz Zahroh ◽  
Khamida Khamida ◽  
Nanang Rokhman Saleh

Surgery is a medical action can cause stress on the patient. Stress patient who will undergo surgery must be well managed in order not to harm patients. The purpose of this study was to analyze the influence of Islamic progressive muscle relaxation (IPMR) against the patient's decrease cortisol levels. This research was experimental research with approach of pre-post test design. The population were all patients treated in Azzahra during September 2017, with research samples of 30 respondents obtained via simple random sampling techniques. Independent variables was Islamic progressive muscle relaxation, whereas cortisol levels was dependent variables. The data of Cortisol levels was collected through the patient's blood sample. Data were analyzed with a Wilcoxon signed rank test. Results of the study indicate that there are significant levels of cortisol after patient's IPMR. Cortisol levels in the normal range can modulate the immune system so as to strengthen the body's immune. Nurses can make the effort an effective, easy and cheap to reduce stress to patients who will undergo surgery with technique IPMR. Keywords: Islamic, Progressive, Muscle, Relaxation, Cortisol, Stress


2019 ◽  
Vol 26 (3) ◽  
pp. 18-27
Author(s):  
Devi Listiana ◽  
Buyung Keraman ◽  
Kurnia Esti

Healthy heart exercises can be used as non-pharmacological therapy in the treatment of hypertension. The aims of this study to determine Effect of Heart Exercise to Blood Pressure on Elderly with Hypertension at PSTW Pagar Dewa Bengkulu City. Design of this study was Pre-Experimental Design with Pre-Test and Post-Test Group Design, observation design which was conducted twice, that were before and after the experiment. Aneroid sphgmomanometer measuring devices, stethoscopes and digital tension and measuring methods by measuring blood pressure elderly. Population in this study were all the elderly who had hypertension were in PSTW Pagar Dewa Bengkulu City, with the amounted of 44 people and the sample used according to criteria was 26 people. Data analysis used the Wilcoxon Signed-Rank Test. The results of this study have an influence, obtained Systolic Blood Pressure values in the Elderly before and after Healthy Heart exercised Z = -4,282 with p = value = 0,000 0.05 means significant diastolic Blood Pressure in the Elderly before and after Healthy Heart exercised  Z = - 4,314 with p = value = 0,000 0.05 means significant. Suggestions elderly who suffer from hypertension can used healthy heart exercises as non-pharmacological therapy. Keywords: elderly, heart exercises, hypertension


2021 ◽  
Vol 12 (2) ◽  
pp. 411
Author(s):  
Rusnoto Rusnoto ◽  
Nur Laily Prasetyawati

Latar Belakang : Diabetes Melitus merupakan salah satu penyakit degenerative. Terdapat lebih dari 220 juta DM diseluruh dunia pada tahun 2011 dan 80% lebih penderita berada di negara berkembang termasuk Indonesia (Soegondo, 2009). Kurang lebih 5-10% pasien diabetes menderita DMT1, selebihnya sekitar 90-95% pasien diabetes menderita DMT2 (Smeltzer & Bare, 2002). Beberapa faktor yang dapat meningkatkan kejadian DM adalah umur, keturunan, pola makan yang salah, aktivitas fisik kurang gerak, obesitas, stres, dan pemakaian obat-obatan. Salah satu factor yang dapat meningkatkan kejadian DM yaitu stres. Stres yang menetap menimbulkan respon stres berupa aktivasi sistem saraf simpatis dan peningkatan kortisol. Kortisol ini akan meningkatkan konversi asam amino, laktat, dan piruvat di hati menjadi glukosa melalui proses glukoneogenesis, dengan demikian stres akan meningkatkan kadar glukosa darah.                                                                                                        Tujuan : Mengetahui pengaruh progressive muscle relaxation terhadap penurunan kadar gula darah sewaktu pada pasien Diabetes Mellitus di Puskesmas Keling 1 Jepara Tahun 2021.                                                   Metode : Metode dalam penelitian ini adalah kuasi eksperimen dengan rancangan control group pre-test and post-test. Sampel 50 responden yang terdiri dari kelompok intervensi dan kelompok kontrol. Alat ukur yang digunakan glukometer digital, lembar observasi latihan PMR. Analisis data menggunakan uji wilcoxon.                                                                                                                   Hasil Penelitian : Hasil analisis uji wilcoxon signed rank test didapatkan bahwa p value = 0,001 (p value < α) maka dapat disimpulkan Ho ditolak dan Ha diterima yang berarti ada pengaruh progressive muscle relaxation terhadap penurunan kadar gula darah sewaktu  pada pasien Diabetes Mellitus di Puskesmas Keling 1 Kabupaten Jepara Tahun 2021.                                                                                                                                 Kesimpulan : Ada pengaruh progressive muscle relaxation terhadap penurunan kadar gula darah  sewaktu pada pasien Diabetes Mellitus di Puskesmas Keling 1 Kabupaten Jepara Tahun 2021. Dengan penelitian ini diharapkan ada kelanjutan penelitian ini dengan metode lebih baik.


2019 ◽  
Vol 11 (3) ◽  
pp. 225-230
Author(s):  
Iqra S

Gangguan  pemenuhan  kebutuhan tidur sering kali menjadi masalah yang dialami lanjut usia sehingga mengalami penurunan kualitas tidur. Menurunnya kualitas tidur bagi lansia yang tidak ditangani dapat mengakibatkan terjadinya permasalahan lain seperti gangguan memori dan mood, depresi, resiko terjatuh, hingga menurunnya kualitas hidup. Penelitian ini bertujuan untuk mengetahui pengaruh latihan relaksasi otot progresif terhadap kualitas tidur lansia di Panti Sosial Tresna Werdha Minaula Kendari. Penelitian ini merupakan penelitian Pre Experimental Design dengan pendekatan one group pre test-post test design. Populasi adalah seluruh lansia yang terdaftar di Panti sosial Tresna Werdha Minaula tahun 2017 sebanyak 95 orang dan sampel 49 orang, data diperoleh menggunakan kuesioner dan di uji menggunakan uji Wilcoxon Sign Rank Test. Hasil penelitian menunjukan bahwa kualitas tidur lansia sebelum latihan relaksasi otot progresif diperoleh rata-rata skor 6,18 dan setelah dilakukan relaksasi otot progresif diperoleh rata-rata skor 3,84. Hasil analisis statistik diperoleh nilai p value < 0,001. Kesimpulan dalam penelitian ini adalah ada pengaruh latihan relaksasi otot progresif terhadap kualitas tidur lansia di panti sosial Tresna Werdha Minaula Kendari.   Kata kunci: relaksasi otot progresif, kualitas tidur, lansia PROGRESSIVE MUSCLE RELAXATION EXERCISE ON QUALITY OF ELDERLY SLEEP   ABSTRACT Disorders of meeting the needs of sleep are often problems experienced by the elderly resulting in decreased sleep quality. Decreased quality of sleep for the elderly who are not treated can lead to other problems such as impaired memory and mood, depressed, the risk of falling, to decreased quality of life. This study aims to determine the effect of progressive muscle relaxation exercises on the quality of elderly sleep at Tresna Werdha Minaula institution Kendari. This research is Pre Experimental Design with one group pre-test-post test design. Population is all elderly registered in Tresna Werdha Minaula year 2017 were 95 people and sample 49 people, data obtained using questionnaire and tested using wilcoxon sign rank test. The results showed that the elderly sleep quality before progressive muscle relaxation exercise obtained an average score of 3.84 and after progressive muscle relaxation obtained an average score of 6.18. The result of statistical analysis obtained p value <0,001. The conclusion of this research is that there is an effect of progressive muscle relaxation training on the quality of elderly sleep at Tresna Werdha Minaula Institution Kendari.   Keywords: progressive muscle relaxation, sleep quality, elderly


2018 ◽  
Vol 3 (2) ◽  
pp. 26-35
Author(s):  
Indra Hizkia P ◽  
Ance Siallagan ◽  
Mega Tresna Hulu

Hypertension in the elderly is characterized by an increase in systolic and diastolic blood pressure of ≥ 140/90 mmHg persistently and often occurs in ± 55 years old elderly. Progressive Muscle Relaxation is one technique that can relax muscle tension and create a relaxed feeling that can lower blood pressure. Goals : This study aims to determine the effect of progressive muscle relaxation on blood pressure decrease in elderly with hypertension in Dusun IV Tanjung Anom Medan Year 2018. Methods : The design used design is one group pretest and post test design with purposive sampling method that is 28 respondents elderly who are in Dusun IV Tanjung Anom Medan. The Instruments used for taking data were SOP, observation sheet, stethoscope, sphygmomanometer Result : Data analysis showed the result of pre intervention blood pressure mostly on 1st degree of hypertension 16 people (57,1%) and post intervention mostly on 2 prehypertension were 13 people (46,4%). The result of Wilcoxon Sign Rank Test statistic shows that p = 0,000 (p <0,05) means the effect of progressive muscle relaxation on blood pressure drop in elderly with hypertension in Dusun IV Tanjung Anom Medan Year 2018. Conclutions : The result of this study is expected elderly able to apply this progressive muscle relaxation routinely.


Author(s):  
Syaifurrahman Hidayat ◽  
Millatul Hanifah

Sleep is an important aspect for maintaining a healthy body. This study aims to determine the effect of progressive muscle relaxation on sleep patterns in the elderly in Daleman Hamlet Poreh Village Lenteng District. Research design pre experiment use one group pre-post test design.The population in this study is elderly in Dusun Daleman Village Poreh Lenteng District as many as 103 people with a sample of 30 people. The sampling technique used is proporsive sampling. Using statistical tests Wilcoxon with α 0,05.The result of the research before progressive muscle relaxation in elderly mostly experienced bad sleep pattern asmuch as (63%) that is 19 people, then after progressive muscle relaxation there was improvement of good sleep pattern as much as 60% that is 18 people.The result of data analysis using Wilcoxon test obtained p = 0,000 (<0,05) which mean there is influence of progressive muscle relaxation to sleep pattern at elderly in Daleman hamlet Porah Village Lenteng Subdistrict.Progressive muscle relaxation may be used in the elderly especially those experiencing poor sleep patterns, as progressive muscle relaxation may facilitate sleep can also be usefulfor anxiety, reduce fatigue, muscle cramps and neck and back pain so as to improve comfort during sleep.Keywords: Progressive Muscle, Sleep Pattern, Elderly


2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Ferawato Ferawati

ABSTRAKReumatoid Artritis (RA) merupakan penyakit muscoloskelektal yang sering terjadi pada usia lanjut. Gangguan pada system muscoloskelektal yang ditandai dengan munculnya nyeri sendi dan kekakuan yang mengakibatkan penurunan kemampuan fisiologis atau kualitas hidup lansia. Dampak dari Reumatoid Artritis dapat menimbulkan beberapa keluhan dan dapat menyebabkan kelumpuhan. Untuk menganalisis efektifitas kompres jahe merah hangat dan kompres serai hangat terhadap penurunan intensitas nyeri artitris remauthoid pada lanjut usia.Metode Penelitian: Jenis penelitian adalah quasy experimental dengan two group pre – post test design. Subjek adalah sebagian lansia yang penderita Arthritis Remathoid di Desa Sumberagung Kecamatan Dander Kabupaten Bojonegoro. Subjek dibagi menjadi dua kelompok yaitu kelompok I (n=15) diberi perlakuan kompres jahe hangat dan II (n=15) diberi perlakuan kompres serai hangat. Analisis yang digunakan uji Mann Whitney U Test dan Wilcoxon Signed Ranks Test dengan ingkat kemaknaan α = 0,05.Hasil uji Wilcoxon Signed Rank Test, didapat keduanya mempunyai nilai kemaknaan yaitu ρ value = 0,000. Nilai ρ = 0,031 pada kelompok kompres serai hangat dan kelompok kompres jahe merah ρ value = 0,165. Hasil uji Mann Withney U Test pada Post perlakuan kedua terapi diperoleh selisih nilai nyeri pada kompres jahe ρ= 0,003 dan selisih nilai nyeri kompres serai ρ value = 0,001.Penggunaan kompres jahe merah lebih efektif dibandingkan dengan kompres serai terhadap penurunan intensitas nyeri arthritis remathoid. Kata Kunci: usia lanjut, Reumatoid Artritis (RA), jahe merah, serai, perbedaan efektifitas.    ABSTRACTReumatoid Artritis (RA) is a musculoskeletal which frequently occurs in the elderly. The disorders in the musculoskeletal system are noted by the occurrence of pain in the joints and stiffness which reduces the physiological abilities or life quality of the elderly. The disease causes many such complaints and  consequences of the disease rheumatoid arthritis may experience paralysis. The aims of this study is to analyze the effect of warm red ginger compress therapy and warm lemongrass compress therapy against of  Decreased pain intensity in  the elderly  with  artitris remauthoid. The study was Queasy experimental with two group pre – post test design. Subjects were some elderly people with Arthritis Remathoid in Sumberagung Village, Dander Sub District, Bojonegoro District. Subjects were divided into two groups: group I (n-15) with warm ginger compress therapy, and II (n=15) with warm lemongrass compress therapy. The analyses used in this study were the Mann Whitney U Test and Wilcoxon Signed Ranks Test with α of 0.05. Results of Wilcoxon Signed Rank Test obtained Both have meaning p value of  0.000. ρ value = 0,031 in a warm lemongrass compress therapy group and obtained of warm ginger compress therapy group ρ value = 0,165. The results of Mann Withney U Test on Post treatment second therapy, obtained difference of warm ginger compress therapy with ρ value= 0,003 and difference of warm lemongrass compress therapy with ρ value = 0,001.The use of warm ginger compresses therapy are more effective than a warm lemongrass compress therapy against decreased pain intensity in  the elderly  with  artitris remauthoid.  Keywords: elderly, artitris remauthoid, red ginger, lemongrass, differences in effectiveness


MEDIKORA ◽  
2019 ◽  
Vol 18 (1) ◽  
pp. 12-16
Author(s):  
Muhammad Rifqi Fatoni ◽  
Sigit Nugroho

Akumulasi pertandingan dengan masa pemulihan yang singkat menyebabkan kelelahan, kerusakan dan inflamasi otot yang dapat menurunkan daya tahan otot dan meningkatkan resiko cedera. Pada keadaan cedera akut, penggunaan terapi dingin dapat mencegah kerusakan jaringan yang lebih luas. Penelitian ini bertujuan untuk mengetahui efektivitas Cold Water Immersion (CWI) suhu 15°C dan 25°C terhadap daya tahan dan persepsi nyeri otot tungkai pada pemain sepak bola usia dini. Desain yang digunakan dalam penelitian ini adalah eksperimen semu dengan pola Two Group Pretest-Posttest. Instrumen yang digunakan adalah tes dan pengukuran nyeri dan daya tahan otot tungkai. Subjek penelitian ini adalah atlet sepak bola Sekolah Sepak Bola (SSB) KKK Klajuaran usia 9-11 tahun. Teknik sampel menggunakan quota sampling dengan subyek sebanyak 14 orang. Subyek dibagi menjadi dua kelompok yaitu, perlakuan CWI 15°C (G15) dan CWI suhu 25°C (G25). Data pretest pada kedua perlakuan dan data post test kedua perlakuan diuji dengan uji Mann Whitney. Daya tahan otot dan persepsi nyeri sebelum dan sesudah perlakuan pada masing masing kelompok terkumpul dianalisis secara deskriptif dan diuji dengan analisis Wilcoxon Signed Rank Test. Uji efektivitas dihitung dengan membandingkan selisih data post test dan pretest terhadap data pretest. Tidak ditemukan perbedaan daya tahan otot dan persepsi nyeri sebelum dan sesudah perlakuan antara kedua kelompok perlakuan. Pada kelompok G15 terjadi penurunan persepsi nyeri sebesar 55% dengan uji wilcoxon dengan nilai p = 0,018, akan tetapi tidak ditemukan perubahan daya tahan otot setelah perlakuan. Hasil yang sama ditemukan pada kelompok G25 dimana terdapat penurunan persepsi nyeri sebesar 58% dengan uji wilcoxon dengan p = 0,018 serta tidak ditemukan perubahan daya tahan otot tungkai. Dapat disimpulkan bahwa perlakuan CWI 15°C dan 25°C dapat menurunkan nyeri tapi tidak mempengaruhi daya tahan otot. Tidak terdapat perbedaan efektivitas kedua jenis perlakuan tersebut dalam menurunkan persepsi nyeri dan meningkatkan daya tahan otot. EFFECTIVENESS OF COLD WATER IMMERSION TEMPERATURE OF 15 ° C AND 25° C AGAINST IMPROVEMENT IN ENDURANCE AND PERCEPTION OF LEG MUSCLE PAIN IN EARLY AGE FOOTBALL PLAYERSAbstractAccumulation of matches with a short recovery period causes fatigue, damage and inflammation of the muscles which can reduce muscle endurance and increase the risk of injury. In the case of acute injury, the use of cold therapy can prevent damage to broader tissue. This study aims to determine the effectiveness of Cold Water Immersion (CWI) temperatures of 15 ° C and 25 ° C on the endurance and perception of leg muscle pain in early age soccer players.The design used in this study was quasi-experimental with Two Group Pretest-Posttest patterns. The instrument used was a test and measurement of pain and endurance of leg muscles. The subjects of this study were the soccer athletes of Klajuaran KKK Soccer School (SSB) aged 9-11 years. The sampling technique uses quota sampling with subjects as many as 14 people. The subjects were divided into two groups namely, 15 ° C (G15) CWI treatment and 25 ° C (G25) CWI treatment. Pretest data on both treatments and post-test data on both treatments were tested with the Mann Whitney test. Muscle endurance and pain perception before and after treatment in each group collected were analyzed descriptively and tested with the Wilcoxon Signed Rank Test analysis. The effectiveness test is calculated by comparing the difference between the post test and pretest data against the pretest data. There were no differences in muscle endurance and pain perception before and after treatment between the two treatment groups. In the G15 group there was a decrease in pain perception by 55% with the Wilcoxon test with a value of p = 0.018, but there was no change in muscle endurance after treatment. Similar results were found in the G25 group where there was a decrease in pain perception by 58% with the Wilcoxon test with p = 0.018 and no changes in endurance of leg muscles were found. It can be concluded that the CWI treatment of 15 ° C and 25 ° C can reduce pain but does not affect muscular endurance. There is no difference in the effectiveness of the two types of treatment in reducing pain perception and increasing muscle endurance.


2020 ◽  
Vol 5 (2) ◽  
pp. 96
Author(s):  
Marice Oktavia Hutagalung ◽  
Joni Haryanto ◽  
Rista Fauziningtyas

Pendahuluan: Disabilitas merupakan masalah yang paling umum dihadapi oleh lansia. Hal tersebut dapat mempengaruhi kualitas hidup lansia, sehingga dibutuhkan perawatan dari keluarga. Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberdayaan keluarga terhadap self-efficacy dan kualitas hidup lansia.Metode: Rancangan penelitian ini adalah penelitian Quasy Experimental dengan menggunakan data kuantitatif. Sampel sejumlah 39 responden yang berkunjung di Puskesmas Oebobo Kota Kupang Nusa Tenggara Timur dengan menggunakan teknik purposive sampling. Data diperoleh dari kuesioner General self efficacy scale (GSES) dan kualitas hidup lansia menggunakan WHOQOL – BREF. Analisis dengan menggunakan uji statistik wilcoxon test dan mann- whitney.Hasil: Hasil uji wilcoxon signed rank test menunjukkan adanya pengaruh pemberdayaan keluarga terhadap kualitas hidup lansia sebelum dan sesudah intervensi dengan nilai p = 0,034 atau ≤ 0,05. Uji mann whitney post-test kelompok perlakuan dan kelompok kontrol menunjukka terdapat perbedaan yang bermakna antara nilai post-test kecemasan kelompok perlakuan dibandingkan kelompok kontrol dengan nilai p = 0,000 atau p ≤ 0,05.Kesimpulan: Terdapat hubungan yang positif pada pemberdayaan keluarga dalam meningkatkan self efficacy dan kualitas hidup lansia. Semakin baik pola peran keluarga maka semakin baik tingkat self efficacy dan kualitas hidup lansia. Perawat komunitas dapat memberikan edukasi atau penyuluhan tentang pemberdayaan keluarga dalam ikutserta perawatan pada lansia untuk meningkatkan kualitas hidup lansia.


2020 ◽  
Vol 3 (1) ◽  
pp. 21-26
Author(s):  
Siti Sarah Bintang Sarah Bintang ◽  
Novi Wulandari Tinambunan ◽  
Sabirin Berampu ◽  
Miftahul Zannah ◽  
Isidorus Jehaman

The fitness condition of the elderly is an indicator that can be used to determine the health level of the elderly. The level of physical activity is one of the factors that determine body composition from childhood to old age, proper flexibility helps people to have a functional balance throughout their life and to participate fully in countless recreational and communitarian activities. Lack of reasonable flexibility a greater chance of developing lesions and functional problems. Gymnastics for the elderly is a sport that can be done regularly so that the fitness of the elderly can increase. The study was to determine the effect of elderly exercise on improving fitness and flexibility and speed in the elderly in Sionom Hudon Selatan Village in 2020. Method of research is Quasi Experiment or quasi-experimental research with the design or research design used is one group pre and post test conducted in the Village of Sionom Hudon Selatan.The sample consisted of 12 people in each action taken. The results of the hypothesis test with the Wilcoxon signed rank test test p value α = (0.002 <0.05) which means "There is an effect of Giving Elderly Gymnastics Against Improvement of Fitness and Flexibility and Speed in the Elderly in the Village of Zion South Hudon in 2020".


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