scholarly journals PENGARUH TERAPI RELAKSASI OTOT PROGRESIF TERHADAP KEKUATAN OTOT DAN KUALITAS TIDUR LANJUT USIA

2020 ◽  
Vol 8 (2) ◽  
pp. 306
Author(s):  
Abdul Muhith ◽  
Teguh Herlambang ◽  
Atika Fatmawati ◽  
Dyah Siwi Hety ◽  
I Wayan Surya Merta

Physiological changes in the elderly can cause a change in the neural system that is a disorder towards sleep quality while changes in the musculoskeletal system are the occurrence of muscle strength decline. Progressive Muscle Relaxation Therapy is a therapy which can improve sleep quality and muscle strength. The purpose of this research is to analyze the effect of progressive muscle relaxation therapy towards muscle strength and sleep quality of the elderly at House Technical Implementation. The research type used is quasi-experiment design with pretest and posttest nonequivalent control group design. The population in this research were all elderly as many as 40 elderly people. The sampling technique used was Total Sampling which was then divided into intervention group which consists of 20 respondents and control group which consists of 20 respondents. The measurement tool used was PSQI (Pittsburgh Sleep Quality Index) questionnaire for sleep quality and the MMT (Manual Muscle Testing) observation sheet for muscle strength. The data were analyzed using Paired T-test and Independent T-test. Based on Paired T-test, it was obtained that p value = 0.000 (p

Author(s):  
Emira Apriyeni ◽  
Helena Patricia

Background: Sleep is one part of physiological needs and it is a basic need which is needed by all humans to be able to function optimally. However, the elderly will often experience sleep disorders. Sleep disorders in the elderly will affect the quality of sleep. One of nursing intervention that can improve the elderly sleeping quality is progressive muscle relaxation therapy. This study aims to determine the differences of sleep quality before and after having progressive muscle relaxation therapy toward the elderly with sleep disorders.Methods: This research was conducted at the Tresna Werdha Sabai Nan Aluih Social Home, Sicincin in 2019. The research was conducted for 2 weeks with one-week intervention. This research is a Quasy experiment using one group pre-test and post-test without control group design approach. This study used the sample of 16 respondents taken by purposive sampling. The analysis of data uses dependent T-test with a significance level of 95% (α 0.05).Results: The results of the study found that the average sleep quality of the elderly before being given the intervention was 13.63 and after the intervention it became 8.44 with p value of 0.000.Conclusions: The results showed that there were significant differences before and after the intervention. For this reason, it is recommended for the elderly with sleep disorders to be able to do progressive muscle relaxation therapy to improve sleep quality.  


2020 ◽  
Vol 2 (3) ◽  
pp. 587-595
Author(s):  
Kemala Sari ◽  
Hesti Wulansari ◽  
Erman Syukur Laowa ◽  
Ronatama Paulina ◽  
Elis Anggeria

ABSTRACT : THE EFFECT OF PROGRESSIVE MUSCLE RELAXATION TECHNIQUES ON SLEEP QUALITY AND PHYSICAL FATIGUE IN THE ELDERLY AT THE FOUNDATION GUNA BUDI BAKTI MEDAN Background: The elderly experience various health problems, one of which is sleep disturbance and physical fatigue. The elderly require handling sleep problems so that optimal sleep needs are met. Ways to improve sleep quality and physical fatigue are progressive muscle relaxation that can overcome or reduce anxiety, reduce pain, reduce muscle and bone tension.Purpose: This study aims to know the effect of progressive muscle relaxation techniques on sleep quality and physical fatigue of the elderly at the Guna Budi Bakti Foundation in Medan.Methods: This research uses quantitative with a quasi-experimental design through the one group pre-test and a post-test design approach. The time of the study was in May 2020. The population is all elderly. The sampling technique uses a saturated sampling technique and a sample of 73 people. Data collection methods used in the form of questionnaires and observation sheets. Univariate data analysis is displayed in the frequency distribution table, and bivariate with statistics using paired t-test. Results: The results of the study get the majority aged 61-80 years, female gender, self-employed work, and Buddhism. Data results before the majority intervention of sleep quality are less, and physical fatigue is high. After majority intervention of sleep quality is sufficient, and physical fatigue is low. The effect of progressive muscle relaxation techniques on sleep quality and physical fatigue of the elderly, using the paired t-test obtained sig values. (2-tailed) 0,000.Conclusion: There is an influence of progressive muscle relaxation techniques on sleep quality and the physical fatigue of the elderly.      Keywords: Elderly, Quality of sleep, Physical fatigue, Relaxation       INTISARI : PENGARUH TEKNIK RELAKSASI OTOT PROGRESIF TERHADAP KUALITAS TIDUR DAN KELELAHAN FISIK PADA LANSIA DI YAYASAN GUNA BUDI BAKTI MEDAN Pendahuluan: Lansia mengalami berbagai masalah kesehatan salah satunya gangguan tidur dan kelelahan fisik. Lansia memerlukan penanganan masalah tidur sehingga terpenuhi kebutuhan tidur yang optimal. Cara untuk meningkatkan kualitas tidur dan kelelahan fisik yaitu relaksasi otot progresif yang dapat mengatasi atau mengurang kecemasan, mengurangi nyeri, menurunkan ketegangan otot dan tulang.Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh teknik relaksasi otot progresif terhadap kualitas tidur dan kelelahan fisik lansia di Yayasan Guna Budi Bakti Medan.Metode: Penelitian ini menggunakan kuantitatif dengan desain quasi-experiment melalui pendekatan one group pre test and post test design. Waktu penelitian pada bulan Mei 2020. Populasi adalah seluruh lansia. Teknik pengambilan sampel menggunakan teknik sampling jenuh, dan sampel sebanyak 73 orang. Metode pengumpulan data yang digunakan berupa kuesioner dan lembar observasi. Analisa data univariat ditampilkan dalam tabel distribusi frekuensi, dan bivariat dengan statistik menggunakan uji paired t- test.Hasil Penelitian: Hasil penelitian ini mendapatkan mayoritas berusia 61-80 tahun, berjenis kelamin perempuan, pekerjaan wiraswasta, dan beragama Budha. Hasil data sebelum intervensi mayoritas kualitas tidur kurang, dan kelelahan fisik tinggi. Setelah intervensi mayoritas kualitas tidur cukup, dan kelelahan fisik rendah. Pengaruh teknik relaksasi otot progresif terhadap kualitas tidur dan kelelahan fisik lansia, menggunakan uji paired t- test didapatkan nilai sig. (2-tailed) 0,000.Kesimpulan: Ada pengaruh teknik relaksasi otot progresif terhadap kualitas tidur dan kelelahan fisik lansia


2021 ◽  
Vol 4 (1) ◽  
pp. 37-47
Author(s):  
Nurul Faidah ◽  
Ni Wayan Suniyadewi Suniyadewi ◽  
Chani Mialuara Hutami

Pada lansia terjadi perubahan neurologis secara fisiologis mengalami penurunan jumlah dan ukuran neuron pada sistem saraf pusat yang mengakibatkan lansia tidak dapat memenuhi kebutuhan tidur normalnya. Salah satu terapi meningkatkan kualitas tidur pada lansia adalah melakukan pijat tengkuk menggunakan virgin coconut oil . Tujuan Penelitian: Penelitian ini bertujuan untuk mengetahui pengaruh pijat tengkuk dengan VCO terhadap kualitas tidur pada lansia. Metode:Desain penelitian yang digunakan pra eksperimental dengan One-group Pretest – Posttest Design, teknik sampling yang digunakan dalam penelitian ini adalah non Probability Sampling yaitu dengan purposive sampling. Populasi dalam penelitian ini yaitu, 33 responden dan diperoleh sampel sebanyak 15 responden adapun  kriteria inklusi dalam penelitian ini klien dengan gangguan tidur tanpa menggunakan obat penenang atau obat tidur, Klien yang kooperatif dan bersedia menandatangani informed concent, kriteria eksklusi Klien yang memiliki kesadaran composmentis Pelaksanaan penelitian untuk mengukur kualitas tidur diukur dengan Pittsburgh sleep quality index (PSQI) dari. pengukuran kualitas tidur lansia dilakukan sebelum dan sesudah pelaksanaan intervensi. instrumen yang digunakan dalam penelitian ini yaitu Pittsburgh sleep quality index. Intervensi pijat tengkuk dengan Virgin Coconut Oil ini dilakukan 2 kali dalam satu minggu selama 4 minggu. setelah dilakukan uji normalitas data diperoleh hasil 0,28 yang berarti data berdistribusi normal sehingga analisa menggunakan paired T-test.  Hasil:Hasil penelitian menunjukan kualitas tidur pre tes rerata kualitas tidur sebesar 7,9 dengan standar deviasi 1,4 dan post tes didapatkan rerata kualitas tidur sebesar 4,5 dengan standar deviasi 0,83. Berdasarkan analisa data menggunakan uji paired T-test diperoleh nilai p value = 0,000 <α (0.05) yang artinya ada pengaruh pijat tengkuk dengan Virgin Coconut Oil terhadap kualitas tidur pada lansia. Berdasarkan hasil penelitian tersebut, diharapkan lansia dengan masalah kualitas tidur agar rutin melakukan pijat tengkuk dengan VCO  secara teratur dan berkesinambungan. In the elderly, physiological changes occur physiologically decreasing the number and size of neurons in the central nervous system resulting in the elderly unable to meet their normal sleep needs. One of the therapies to improve sleep quality in the elderly is to massage the neck using virgin coconut oil (VCO). This study aims to determine the effect of cervical massage with VCO on sleep quality in the elderly. The research design used was pre-experimental with One-group Pretest - Posttest Design and the number of respondents was 20 people. The results showed sleep quality before being given progressive muscle relaxation therapy obtained an average sleep quality of 7.9 with a standard deviation of 1.4 and after being given progressive muscle relaxation a mean sleep quality of 4.5 with a standard deviation of 0.83. Based on data analysis using the Wilcoxon Sign Rank Test, p value = 0,000 <α (0.05) is obtained, which means there is an effect of nape massage with VCO on sleep quality in the elderly. Based on the results of the study, it is expected that the elderly with sleep quality problems can routinely perform neck massage with VCO regularly and continuously.


2020 ◽  
Vol 3 (2) ◽  
pp. 524-535
Author(s):  
M Miftahuzzubaidi

Balance exercise is one of the exercises that can be applied to the elderly. This exercise is a physical activity that is done to improve the stability of the body by increasing muscle strength in the legs. Muscle strength is a driving force for movement in completing tasks and can reduce falls especially for the elderly. A fall event is an event reported by a patient or witness, who sees an incident resulting in a person suddenly lying / sitting on the lower floor / place with or without loss of consciousness or injury. This type of research is quantitative, with a Quasi Experimental research design with a Pretest-Posttest Control Group Design approach. The sampling technique used is non probability sampling: purposive sampling with a sample of 34 respondents. data analysis techniques using paired t test. Based on the results of multivariate analysis paired t test on the fall event variable for the treatment group, the results obtained p value 0.006 <0.05. it means that there is a significant effect after being given the treatment of physical exercise balance and muscle strength on the incidence of falls in the elderly. Whereas in the control group, the result was p value 0.018 <0.05. it means that there is a significant effect after being given another treatment, namely gymnastics in the elderly towards the event of falling in the elderly. Balance and muscle strength training is very effective in reducing the number of falls in the elderly. Whereas the control group given elderly exercise also had the effectiveness to reduce the incidence of falls in the elderly. In an effort to reduce the incidence of falls, the elderly can do physical exercise balance and muscle strength regularly


2015 ◽  
Vol 2 (1) ◽  
pp. 1-14
Author(s):  
Andi Thahir

Sleep disturbance is also known as a significant cause of morbidity. There are some serious effects on sleep disturbance in the elderly. Based on the results of a preliminary study conducted by researchers at the beginning of March 2012 at Tresna Werdha Natar Elderly Social Institution, it was found that there were 103 elderly people who actively participated in health screening activities, 78 of whom had insomnia. The purpose of this study was to determine the effect of PMR (Progressive Muscle Relaxation) on insomnia in the elderly at Tresna Werdha Natar Elderly Social Institution in Lampung Province in 2012. The research method used was quasi-experimental with the Pre Post Test Control Group approach. The sample population taken in this study is 50 respondents divided into two groups, namely intervention and control. This study uses t-test analysis (paired t test) to measure the condition of insomnia before and after PMR and independent t-test to see differences between the intervention and control groups. This research was conducted on June 6-13 using a questionnaire and observation sheet. The results of this study are the level of insomnia before the elderly get progressive muscle relaxation, which is an average of 7.80. The level of insomnia after the elderly get progressive muscle relaxation is an average of 6.40. There is a difference in insomnia between before and after the elderly get progressive muscle relaxation, which is an average of 1.40. There is an influence of PMR (Progressive Muscle Relaxation) effect on insomnia in the elderly in social care institutions Tresna Werdha Natar Lampung Province with P Value 0,000 with a confidence level of 0.05 so that P Value α (0,000 0.05).


2015 ◽  
Vol 2 (2) ◽  
pp. 154-163
Author(s):  
Nawang Wulandari ◽  
Titin Andri Wihastuti ◽  
Titin Andri Wihastuti ◽  
Lilik Supriati ◽  
Lilik Supriati

Neurosa a psychic reaction with typical anxiety where clients are in fear that unconsciously displayed in various forms of behavior. Anxiety can leads physical imbalance such as increased blood pressure, insomnia, muscle tension and palpitations. Muscle tension and sleep difficulties are often experienced anxiety response. Some psychotherapy can be given to clients of anxiety one of which is progressive muscle relaxation therapy. The  aims of this study was to determine the effect of progressive muscle relaxation therapy to decrease anxiety and improve the quality of sleep in patients neurosa in Health Center Area Kepanjen Kidul Blitar. Research design was quasy experimental Pre-Post Test With Control Group with purposive sampling. Number of samples 26 respondents were divided into control and treatment groups. Collecting data using questionnaires that have tested the validity and reliability. Results of analysis of anxiety and sleep quality was obtained p <0.05 in the treatment group and control before and after treatment, the difference in scores of anxiety and sleep quality of patients neurosa between the treatment group and the control group after a given intervention p <0.05. There is no correlation between the anxiety with the quality of sleep with p> 0.05. Therapy progressive muscle relaxation and deep breathing therapy can be used to reduce anxiety and improve sleep quality in patients neurosa.


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.


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 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 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.


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