scholarly journals PENGARUH PROGRESSIVE MUSCLE RELAXATION (PMR) TERHADAP MYALGIA PADA PASIEN KANKER PARU YANG MENJALANI KEMOTERAPI

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

2020 ◽  
Vol 3 (1) ◽  
pp. 59
Author(s):  
Asri Wiwi Marwati ◽  
Cucu Rokayah ◽  
Yeti Herawati

Banyaknya ibu post section dapat menimbulkan masalah pada luka sayatan di area abdomen yaitu nyeri. Ibu paska operasi Sectio Caesaria merasakan nyeri yang lebih tinggi dibandingkan dengan persalinan secara pervaginam sehingga kebutuhan ibu akan mobilisasi, perawatan diri dan bayinya, serta pemberian ASI kerapkali terganggu. Penelitian ini bertujuan untuk mengetahui pengaruh Progressive Muscle Relaxation (PMR) terhadap skala nyeri pada pasien post sectio caesaria di RSKIA Kota Bandung. Jenis penelitian ini berupa quasi eksperimen dengan metode pre test dan post test. Populasi penelitian sebanyak 34 pasien dibagi menjadi dua kelompok yaitu kelompok kontrol dan intervensi masing-masing 17 pasien. Metode pengumpulan data dengan carapurposive sampling. Instrumen penelitian ini menggunakan skala NRS (Numeric Rating Scale). Hasil penelitian menunjukkan skala nyeri sebelum dilakukan teknik PMR pada kelompok kontrol berada pada tingkat nyeri sedang sebanyak 7 responden (41.2%) dan pada kelompok intervensi berada pada tingkat sedang sebanyak 14 orang (82.4%). Skala nyeri sesudah dilakukan teknik PMR pada kelompok kontrol berada pada tingkat nyeri sedang sebanyak 10 orang (58.8%) dan pada kelompok intervensi pada tingkat sedang sebanyak 11 orang (64.7%).Pengaruh PMR pada kelompok kontrol memiliki nilai p-value 0.059. Pengaruh teknik PMR pada kelompok intervensi memiliki nilai p-value 0.001 sehingga terdapat pengaruh Progressive Muscle Relaxation pada pasien post sectio caesaria di RSKIA Kota Bandung. Pengaruh teknik PMR terhadap skala nyeri memiliki nilai p-value 0.030 sehingga dapat disimpulkan terdapat pengaruh Progressive Muscle Relaxation pada pasien post section caesaria di RSKIA Kota Bandung. Kata kunci: nyeri, progressive muscle relaxation, sectio caesaria THE EFFECT OF PROGRESSIVE MUSCLE RELAXATION ON THE SCALE OF PAIN IN POST SECTIO CAESARIA ABSTRACTSection caesare caused by problems in wound incisions in the abdominal area, namely pain. Respondent with section caesaria has a higher pain scale compared to respondents with normal delivery, so that the mother's need for mobilization, self-care and her baby, and breastfeeding are often disrupted. This study aims to determine the effect of Progressive Muscle Relaxation (PMR) on the scale of pain in post sectio caesaria patients at RSKIA in Bandung. This type of research is quasi-experimental. The study population was 34 patients divided into two groups, namely the control and intervention groups. This type of research is quasi-experimental with the pre-test and post-test methods. The instrument of this study uses the NRS (Numeric Rating Scale).The results showed the scale of pain before the PMR technique in the control group was at the level of moderate pain as many as 7 respondents (41.2%) and the intervention group was at a moderate level of 14 people (82.4%). The scale of pain after the PMR technique in the control group was at a moderate level of pain of 10 people (58.8%) and in the intervention group at a moderate level of 11 people (64.7%). The effect of PMR techniques on the control group has a p-value of 0.059. The effect of PMR technique on the intervention group has a p-value of 0.001 so that there is an effect of Progressive Muscle Relaxation in post sectio caesaria patients at RSKIA Bandung City. The effect of PMR technique on pain scale has a p-value of 0.030 so it can be concluded that there is an effect of Progressive Muscle Relaxation in post sectio caesaria patients at RSKIA Bandung City.It is hoped that the results of this study can be used as guidelines for nurses' interventions that can be taught to patients and families as a patient companion in conducting this PMR technique. Keywords: pain, progressive muscle relaxation, sectio caesaria


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.


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.


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.


2021 ◽  
Vol 8 (2) ◽  
pp. 182-192
Author(s):  
Achwan Achwan ◽  
Abdurahman B.B. Laksono

Leg cramps are a common side effect of intradialysis CKD patients. Preventing intradialysis cramping pain can improve quality of life. Breathing and stretching exercises are non-pharmacological treatments for cramping pain. The purpose of this study was to prove the effect of breathing and stretching exercises on changes in the intensity of leg cramps in hemodialysis patients at the Haji Jakarta Hospital in 2018. This study was a quasi-experimental study with a two-group pre-post test research design. The sample was selected by purposive sampling, a sample of 34 patients. The intensity of muscle cramps was measured using the Numeric Rating Scale. The results of the analysis using the paired sample T-test. The results showed that the intervention group had a P-value = 0.01 and the control group had a P-value = 0.055, meaning that there was a difference in mean the intensity of cramping pain before and after breathing and stretching exercises was compared, so it was concluded that there was an effect of breathing and stretching exercises on the intensity of intradialysis leg cramps. Patients are advised to breathing and stretching exercises regularly, light exercise, eat and drink diet.


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.


2018 ◽  
Vol 34 ◽  
pp. 113-115 ◽  
Author(s):  
Wen-Juan Liu ◽  
Xiao-Dan Wang ◽  
Wei Wu ◽  
Xiao Huang

Objective: To study the correlation between depression and blood cytokine levels in lung cancer patients.Methods: 92 patients with advanced lung cancer were evaluated for depression using the scoring index of depression self-rating scale. Lack of depression (n=24), mild depression (n=45), and moderate depression (n=23) were found in the cohort. Meanwhile, 40 healthy subjects were selected as the control group. The levels of IL-10, IL-6, IL-8, and TNF-α in each group were detected by sandwich enzyme-linked immunosorbent assays, and their correlation with the degree of depression was analyzed.Results: The levels of IL-10, IL-6, IL-8, and TNF-α were all higher than those in the control group (P<0.05). Moreover, the depression statuses of patients with lung cancer were positively correlated with IL-10, IL-6, and TNF-α levels (r = 0.705, 0.301, and 0.446, P<0.01); however, the level of IL-8 was not relevant (r=0.136, p>0.05).Conclusion: Serum levels of IL-10, IL-6, and TNF-α are associated with depression scoring in patients with lung cancer.


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Ruxia Guo ◽  
Hui Wang

In order to explore the influence of intelligent imaging diagnosis systems on comprehensive nursing intervention for patients with late-stage lung cancer, the system uses ITK and VTK toolkit to realize image reading, display, image marking, and interactive functions. The optimal threshold method and regional connectivity algorithm were used to segment the lung region, and then, the cavity filling algorithm and repair algorithm were used to repair the lung region. A variable ring filter was used to detect suspected shadows in the lungs. Finally, the classifier proposed in this paper is used to classify benign and malignant. The system has good sensitivity by detecting the images of real patients. 100 patients with advanced lung cancer were randomly divided into control group and nursing intervention group 50 cases each. Patients in the control group received routine radiotherapy and chemotherapy and routine nursing intervention. Patients in the nursing intervention group were given comprehensive nursing intervention on the basis of routine intervention in the control group for 2 consecutive months. Pittsburgh sleep quality index, pain degree, quality of life, and complications after intervention were compared between the 2 groups before and after intervention. The experimental results showed that the sleep quality, pain degree, quality of life, and complications in 2 groups were significantly improved after intervention ( P < 0.05 ), and the improvement degree in the nursing intervention group was higher than that in the control group ( P < 0.05 ). It is proved that comprehensive nursing intervention has a good effect on improving sleep quality, relieving physical pain, improving the quality of life, and reducing complications of lung cancer patients and can effectively improve the quality of life of lung cancer patients.


2020 ◽  
pp. 107815522092154
Author(s):  
Tijana Kovacevic ◽  
Sandra Vezmar Kovacevic ◽  
Mirko Stanetic ◽  
Pedja Kovacevic ◽  
Branislava Miljkovic

Background This study aimed to demonstrate that having clinical pharmacist as a member of oncology team in low and middle income countries might lead to significant reduction in the number of erlotinib interactions in the treatment of non-small cell lung cancer patients. Methods A group of 44 patients was labeled as intervention group and they were analyzed prospectively in the period from 1 January 2017 to 1 May 2018 during clinical pharmacist’s participation in regular weekly multidisciplinary oncology team meetings. The control group consisted of 44 out of 110 patients treated with erlotinib before the involvement of a clinical pharmacist in oncology team, match paired with 44 patients in intervention group. Results Clinically significant interactions were identified in two-thirds of studied patients (57 out of 88). Most drug interactions, 38%, potentially result in decrease of serum concentration of erlotinib. Clinical pharmacist provided therapy modification suggestions for 32 out of 44 (72.72%) patients in the intervention group, most of which were accepted by doctors. In the intervention group, there were significantly less clinically significant interactions compared to the control group (10 versus 24, p = 0.002). Progression-free survival was significantly longer in the pharmacist’s intervention group (p = 0.001). Conclusions Clinical pharmacist’s intervention led to significant decrease in erlotinib interactions which may result in treatment optimization of lung cancer patients.


2018 ◽  
Vol 6 (6) ◽  
Author(s):  
Omi Haryati ◽  
Nur Halimah Gunawan ◽  
Nurdiana Siahaan

Emotional mental disorders experienced by caregiver due to treating palliative patients which can threaten the integrity of both internal and external self. The study was conducted to determine the effect of progressive relaxation and deep breathing to reduce anxiety in caregiver when treating palliative patients in hospitals. The design of this study is "experimental quasi pre-post test with control group". In the intervention group given progressive relaxation therapy and deep breathing. The number of samples of this study was 40 respondents in each group (intervention and control). The instrument in this study uses the HARS (Hamilton Anxiety Rating Scale). Data analysis includes univariate analysis carried out to describe the characteristics of each variable measured in the study. Bivariate analysis was carried out to identify the effect of progressive relaxation packages on reducing levels of caregiver anxiety in treating palliative patients. Homogeneity of the characteristics of respondents in two groups, that is variables of age, sex, education, occupation, marital status, duration of illness is done by Chi-Square test. From the results of the study there was no decrease in the response of physical anxiety (p = 0.493), cognitive (p = 0.223), attitude (p = 0.953) and psychological (p = 0.933) in the intervention group. As well in the control group (p> 0.05) except for the attitude element (p = 0.013), The results of this study concluded that there was no significant decrease in anxiety response after intervention in deep breath relaxation and progressive muscle relaxation in caregiver who treated palliative patients.


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