scholarly journals Pengaruh Terapi Relaksasi Otot Progresif Terhadap Tingkat Kecemasan Pasien Kanker Payudara di RSUP Haji Adam Malik, Medan

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.

2019 ◽  
Vol 3 (2) ◽  
pp. 34
Author(s):  
Danang Tri Yudono ◽  
Shanti Wardaningsih ◽  
Novita Kurniasari

Breast cancer patients who undergo chemotherapy often experience psychologic disorders in the form of anxiety. One of the efforts of medical treatment for cancer treatment is chemotherapy. Chemotherapy action resulted in physical and psychological side effects, one of the psychological effects that arise that is anxiety. Generally, management of anxiety can be pharmacological and non-pharmacological, one of the non-pharmacological management of Progresife Muscle Relaxation and dhikr therapy. The purpose of this study is to analyze the effect of therapy (dzhikr) and Progressive Muscle Relaxation therapy with caring approach to the anxiety level of patients Breast cancer with chemomotherapy. This research used Quasi Experiment design with pretest and posttes with control design, with total sample 44 which is divided into control and intervention group, sampling technique used purposive sampling according to inclusion and exclusion criteria. Instruments research used Zung Self Anxiety Rating Scale (ZSAS) questioner and checklist dzhikr and PMR. Analysis of research data used paried t-test and indenpenden t-test samples. The results showed that there was influence of therapy zhikr and Progressive Muscle Relaxation with caring approach to the anxiety level of ca mamae patients with chemomotherapy with p value=0,007(p value < 0,05). Conclusion research there was influence of therapy zhikr and Progressive Muscle Relaxation with caring approach to the anxiety level of ca mamae patients with chemomotherapy.


2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e12051-e12051
Author(s):  
Zehra Gok Metin ◽  
Nur Izgu ◽  
Canan Karadas ◽  
Leyla Ozdemir ◽  
Umut Demirci

e12051 Background: Breast cancer patients often suffer from fatigue during adjuvant paclitaxel regimen which frequently impairs quality of life (QOL). Therefore, this three-arm randomized controlled study aimed to examine the effects of mindfulness-based stress reduction (MBSR) and progressive muscle relaxation (PMR) on fatigue and QOL in breast cancer patients receiving adjuvant paclitaxel. Methods: Participants were randomly assigned to either a MBSR (n = 20), (PMR) (n = 19) or control group (CG) (n = 15). Participants in the intervention groups were instructed on MBSR and PGE, the steps of interventions were recorded a voice recorder and a WhatsApp group was designed by the principal investigator. Participants were asked to listen the recorded audio files during exercises. The intervention groups continued MBSR or PMR 20 min. each day, totally 12 weeks at their home. The CG received only an attention placebo education on breast cancer. Data collection tools included Brief Fatigue Inventory (BFI) and Functional Living Index-Cancer (FLIC). Data were collected at three time points: baseline (T1), week 12 (T2), and week 14 (T3) for follow-up assessment. Kruskal Wallis tests was used for data analysis. Results: BFI scores were significantly lower in the MBSR, PMR groups compared with the CG at T2 and at T3 (p < .01). As for FLIC scores, there were no significant differences between the study groups at T2 and at T3 (p > 0.05). Conclusions: A brief, MBSR and PMR initiated concurrently with adjuvant paclitaxel regimen decreased fatigue severity. Based on the results, MBSR and PMR can be recommended as supportive therapies for breast cancer patients receiving adjuvant paclitaxel.


2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Weny Amelia ◽  
Dewi Irawaty ◽  
Riri Maria

ABSTRACTBreast cancer is the abnormal growth of cells that occurs in breast tissue. The problem often arises in patients with breast cancer is pain. Guided Imagery is a nonpharmacological strategi that can reduce pain. The aimed of this research was to identify the effect of Guided Imagery to the scale of pain in breast cancer patients admited in female surgical wards Dr. M. Djamil hospital Padang. The study design was quasi experimental using pretest-posttest with control group and using a consecutive sampling. The number of samples was 30 people (15 control group and 15 the intervention group). Pain was measured by the Numeric Rating Scale (NRS). The statistical test was two different test mean. The result was a significant effect on the pain scale Guided Imagery in breast cancer patients (P Value = 0.000; α = 0.05). There was a significant relationship between the age with the pain scale (P Value = 0.000; α = 0.05), and there is no relationship between the tribe with the pain scale. The results of this study recommends Guided Imagery being implemented as nursing interventions to reduce the pain of breast cancer.


2018 ◽  
Vol 2 (2) ◽  
pp. 37-46
Author(s):  
Dedeh Komalawati

Myalgia can be occured by side effect of chemotherapy. The purpose of this study was to identify the effect of PMR against myalgia in lung cancer patients undergoing chemotherapy. This study design was a quasi experiment, used pre and post test with control group. Samples were 32 patients, recruited by consecutive sampling. Measuring pain assessment used numeric rating scale. The intervention group had been provided PMR fifteen minutes twice a day for five days post chemotherapy. The results showed significantly different reduction of pain intensity before and after providing PMR in the intervention group and control group as well (p value = 0,001). There was a significantly different reduction of myalgia intensity between both group after giving intervention with mean difference 0,81 (p value = 0,001). It can be concluded that PMR can reduce myalgia in lung cancer patients undergoing chemotherapy. Suggestion, PMR becomes one of the complementary therapies to overcome myalgia


2021 ◽  
Vol 15 (1) ◽  
pp. 1-7
Author(s):  
Sapti Ayubbana ◽  
Uswatun Hasanah

The effectiveness of peppermint aromatherapy on nausea and vomiting among breast cancer patients undergoing chemotherapyBackground: Breast cancer is a type of cancer and is one cause of death in the world. Chemotherapy is the use of chemical agents to control and destroy cancerous cells. Chemotherapy can induce nausea and vomiting, resulting in discomfort. One intervention that makes patients feel comfortable is giving peppermint aromatherapy.Purpose: To determine the effectiveness of peppermint aromatherapy on nausea and vomiting among breast cancer patients undergoing chemotherapy.Method: A quasi-experimental pretest-posttest group design, with a purposive sampling method of collecting samples. The study sample was 34 breast cancer patients who underwent chemotherapy. The sample divided into 2 groups as intervention & control groups. Measurement of nausea and vomiting used the Rhodes Index Nausea Vomiting & Retching (INVR) instrument.Results: Finding by the Man Whitney test, it showed that there was a difference in the scores for nausea and vomiting between the intervention group and the control group (p value = 0.008).Conclusion: Peppermint aromatherapy is effective in reducing nausea and vomiting among breast cancer patients undergoing chemotherapy.Keywords: Breast cancer; Chemotherapy, Nausea; Vomiting; Peppermint aromatherapyPendahuluan: Kanker  payudara  merupakan salah satu  jenis kanker dan menjadi salah satu penyebab kematian di dunia.  Kemoterapi merupakan penggunaan agen kimiawi untuk mengontrol dan  menghancurkan sel yang bersifat kanker.Kemoterapi dapat menginduksi mual dan muntah mengakibatkan ketidaknyamanan. Salah satu intervensi yang membuat pasien merasa nyaman adalah dengan pemberian aromaterapi pepermint.Tujuan: Mengetahui efektifitas aromaterapi pepermint terhadap mual muntah pada pasien kanker payudara yang menjalani kemoterapi.Metode : Penelitian quasi experimental pretest-posttest group design, dengan metode pengumpulan sampel secara purposive sampling. Sampel penelitian sebanyak 34 pasien kanker payudara yang menjalani kemoterapi. Sampel terbagi atas dua kelompok; intervensi & kontrol. Pengukuran mual muntah menggunakan instrumen Rhodes Index Nausea Vomiting & Retching ( INVR).Hasil :  Dengan menggunakan man whitney test menunjukkan bahwa terdapat perbedaan skor mual muntah antara kelompok intervensi dengan kelompok kontrol  (p value = 0,008).Simpulan: Aromaterapi peppermint efektif menurunkan mual muntah pada pasien kanker kayudara yang menjalani kemoterapi.


2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
S. H. Kim ◽  
Y. H. Kim ◽  
H. J. Kim

The purpose of this study was to examine the effect of a therapeutic laughter program and the number of program sessions on anxiety, depression, and stress in breast cancer patients. A randomized controlled trial was conducted involving 31 patients who received four sessions of therapeutic laughter program comprised and 29 who were assigned to the no-program control group. Scores for anxiety, depression, and stress were measured using an 11-point numerical rating scale. While no change was detected in the control group, the program group reported reductions of 1.94, 1.84, and 2.06 points for anxiety, depression, and stress, respectively (p<0.01,p<0.01, andp<0.01). Scores decreased significantly after the first therapeutic laughter session (p<0.05,p<0.01, andp<0.01). As the therapeutic laughter program was effective after only a single session in reducing anxiety, depression, and stress in breast cancer patients, it could be recommended as a first-line complementary/alternative therapy.


Author(s):  
Rizki Sari Utami Muchtar ◽  
Marlian Marlian

Chronic kidney disease (CKD) has increased these years. Datas from Muhammad Sani Hospital showed number of patients underwent hemodialysis (HD) were 34 in 2015, and has become 77 in April of 2019. One of the replacement therapy in CKD patient was hemodialysis. HD intended to take over renal function to prolong in improve patient’s quality of life.  Patients who undergo HD will experience anxiety caused by some stressors, such as pain at the location of needle insertion. One of the approach to overcome patients from the pain in HD is a non-farmacologic one, which is progressive muscle relaxation (PMR). This study intended to find the effect of PMR to the anxiety level of HD patients. It was a quantitative study, with a quasi experiment using pre and post test without control. Sampling method was purposive sampling and the size was 20 respondents. We used Hamilton Anxiety Rating Scale (HARS) to detrrmine the level of anxiety, and the intervention was PMR. Paired T-Test was applied, with a normality test (Shapiro Wilk) previously done. We found that the effect of PMR was significant, with a p-value 0,000 (<0,005) and the mean of the anxiety level before and after intervention were respectively 22,65 and 16,30 From all 14 parameters in the questionnaire, from the highest score found in this study were respectively: Sleep Disorder, Depression, Stress, Sensoric related Symptom and Gastrointestinal related Symptoms. Based on this study,there was significant effect of PMR in decreasing the anxiety level, and so it is recommended to use PMR in overcoming anxiety problem in HD patients


2020 ◽  
Vol 7 (2) ◽  
pp. 118-123
Author(s):  
Indah Sri Wahyuningsih ◽  
Fitria Endah Janitra ◽  
Erna Melastuti

Depression is one of the psychological responses experienced by breast cancer patients. One of the actions to reduce the psychological impact of breast cancer patients is with music therapy. Music effects can calm the soul, provide comfort, calm, so that arises a sense of enthusiasm and positive thoughts. The music used in this study is nature sounds. This music is very close to the environment and each individual recognizes the sounds of nature so that it is more easily and efficiently applied. Natural sound music with a combination of dzikir can be used as an alternative therapy to improve the mental status of breast cancer patients who experience depression. This study aims to determine the effect of combination therapy of nature sound and dhikr on the level of depression in breast cancer patients. The method used in this study is a quasi-experimental approach with a pre-equivalent non-equivalent without control group approach, to see differences in the average level of depression before and after giving a combination of music therapy and dhikr. Giving music therapy is given with a rhythm of 60-80 bpm, stable, low frequency and relaxing melody has been done 2 times a week. The data was processed with SPSS statistical software version 20.0 with normality test and paired t test. The results showed that the majority of patients aged 36-45 years (46.7%) and undergoing 3rd cycle chemotherapy (33.3%). Natural sound music therapy and dzikir significant to reduce depression scores with p value = 0.001. In conclusion, this study proves that nature sounds music therapy effectively to reduce depression scores in breast cancer patients


2021 ◽  
pp. 344-355
Author(s):  
. Sutinah ◽  
. Maulani ◽  
Rasyidah Azhari ◽  
Isti Harkomah

Cancer diagnosis and chemotherapy cause physical, psychological, social, and spiritual problems for sufferers. Cancer patients who experience emotional distress need to be appropriately managed through good coping mechanisms. The purpose of this study was to analyze the effectiveness of progressive muscle relaxation, spiritual guided imagery and music for coping and resilience of cancer patients undergoing chemotherapy. This study was a quasi-experimental design. A total of 62 respondents (intervention and control groups) were determined using a purposive sampling technique. The independent variable was Progressive Muscle Relaxation therapy with Spiritual Guided Imagery and Music. Meanwhile, the dependent variable was coping and resilience. The instrument used The-14 items Resilience Scale and The Cancer Coping Questionnaire. Data were analyzed using the General Linear Model Repeated Measures. The results showed that coping mechanisms improved in the first week, while resilience was only developed in the second week after being given the intervention. The results of statistical tests are less than a p-value <0.05. In general, there were significant differences in the effect of coping scores and resilience between the treatment group and the control group after being given therapy. The combination of Progressive Muscle Relaxation therapy with Spiritual Guided Imagery and Music can improve coping and resilience in cancer patients undergoing chemotherapy. The government and health workers are expected to consider these findings that can be used as interventions to enhance coping and resilience.   Keywords: coping, resilience, cancer, chemotherapy


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