scholarly journals PERBANDINGAN TINGKAT KECEMASAN PENDERITA KANKER SERVIKS YANG SEDANG MENJALANI KEMOTERAPI SEBELUM DAN SESUDAH LATIHAN PROGRESSIVE MUSCLE RELAXATION (PMR) DI SURAKARTA

2018 ◽  
Vol 3 (1) ◽  
Author(s):  
Vina Yolanda Sari Sigalingging ◽  
Shanti Wardaningsih ◽  
Yanuar Primanda

Latar belakang; Kemoterapi memberikan dampak yang sangat buruk bagi penderita kanker serviks yang sedang menjalaninya, baik dampaik fisik hingga psikologis. Salah satu dampak psikologis dari kemoterapi adalah kecemasan. Latihan yang dapat menurunkan kecemasan pada penderita kanker serviks adalah Progressive Muscle Relaxation (PMR). Tujuan penelitian ini adalah untuk mengetahui pengaruh Progressive Muscle Relaxation (PMR) terhadap tingkat kecemasan pada pasien penderita kanker serviks yang sedang menjalani kemoterapi.Metode; Design penelitian ini adalah Quasy Experimental Pre-Post Test Design. Sampel yang digunakan sebanyak 40 responden dibagi menjadi dua kelompok, responden penelitian merupakan pasien dengan diagnosa kanker serviks yang sedang menjalani kemoterapi di RSUD Dr. Moewardi Surakarta.Hasil; Data yang telah diperoleh kemudian di uji dengan Wilcoxon. Hasil penelitian ini menunjukan adanya pengaruh Progressive Muscle Relaxation (PMR) terhadap tingkat kecemasan dengan nilai p-value 0.000. Kata Kunci: Kanker Serviks, Kemoterapi, Kecemasan, Progressive Muscle Relaxation

Author(s):  
Devashish Palkar ◽  
Sanjibani Panigrahi ◽  
Pooja Shatadal ◽  
Ritambhara Mehta

Introduction: Academic examinations are a very stressful event for an Bachelor of Medicine and Bachelor of Surgery (MBBS) student. While many students learn to deal with it through the use of helpful or unhelpful coping skills, many still end up with considerable psychological morbidity in the form of anxiety and depression along with deterioration in overall health. Jacobson’s Progressive Muscle Relaxation (JPMR) causes deep muscle relaxation. Aim: To find out the prevalence of stress and exam anxiety in students of 1st year MBBS and to study the impact of JPMR. Materials and Methods: It was a quasi-experimental, pretest and post-test interventional study conducted amongst the first year MBBS students studying at the Government Medical College Surat, Gujarat, India, during March to May 2019. Two months before their internal exams, 114 1st year MBBS students were recruited for the study. They were given a pretest proforma which comprised of socio-demographic profile, Perceived Stress Scale (PSS), Test Anxiety Scale (TAS) and General Health Questionnaire (GHQ) 28. They were asked to attend JPMR sessions over the following month in batches of 30 each and asked to practise JPMR for one month leading up to their exams. Total 43 students attended these sessions while 71 did not. After one month, all 114 students were again given a post-test proforma comprising of the same scales. Paired t-test was applied to compare the pretest and post-test scores to see the impact of JPMR. Results: The mean age of participants was 19 years.The students who completed their schooling in Gujarati medium and those who reported to be staying at hostel experienced significantly more TAS scores at baseline evaluation as compared to their counterparts from English medium schools and those staying at home respectively. There was a statistically significant reduction in mean scores of PSS and TAS before and after practice of JPMR in the 43 students who attended and practiced JPMR (p-value=0.005 and p-value=0.002, respectively; p-value <0.05 was considered to be significant). Conclusion: One month practice of JPMR was found to be effective in reduction of stress and exam anxiety.


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.


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


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 9 (2) ◽  
pp. 61
Author(s):  
Didi Kurniawan ◽  
Reni Zulfitri ◽  
Ari Pristiana Dewi

Nyeri merupakan keluhan paling sering terjadi pada pasien kanker. Nyeri pada kanker payudara terjadi karena kerusakan ujung-ujung saraf reseptor akibat adanya peradangan atau terjepit oleh pembengkakan. Penanganan nyeri kanker membutuhkan terapi non farmakologis yang efisien dan mudah diterapkan, salah satunya yaitu Progresive Muscle Relaxation (PMR). Penelitian pre-ekperimental ini menggunaan desain one group pre test - post test. Sampel penelitian ini adalah pasien kanker payudara yang menjalani kemoterapi di ruang Dahlia RSUD Arifin Achmad Provinsi Riau periode perawatan bulan Januari sampai Maret 2019 sebanyak 20 responden yang dipilih dengan teknik purposive sampling sesuai dengan kriteria inklusi. Pengumpulan data diperoleh secara langsung dari responden dengan menggunakan alat ukur Comparative Pain Scale (CPS). Analisis data melalui dua tahapan, yaitu univariat dan bivariat dengan menggunakan uji t-dependen. Hasil penelitian didapatkan nilai rata-rata skala nyeri kanker payudara sebelum diberikan intervensi adalah 6,50 dan nilai rata-rata sesudah diberikan intervensi adalah 1,35. Hasil analisis bivariat menunjukan bahwa t = 17,596 dan p-value = 0,001 sehingga terdapat pengaruh intervensi PMR terhadap kualitas nyeri kanker payudara dengan kemoterapi. PMR disarankan dapat digunakan sebagai terapi nonfarmakologis untuk menurunkan nyeri yang dialami pasien kanker payudara


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


2021 ◽  
Vol 5 (1) ◽  
pp. 24-30
Author(s):  
SRI NYUMIRAH

ABSTRAKSri NyumirahAkademi Keperawatan Pasar Reboe-mail : [email protected] Gangguan istirahat dan tidur merupakan keluhan utama yang sering dialami lansia, dengan perkiraan lebih dari setengah jumlah lansia yang berusia di atas 65 Tahun yang tinggal di rumah dan sekitar dua pertiga jumlah lansia yang berada dalam fasilitas perawatan jangka panjang mengalami kesulitan tidur. Pada proses penuaan yang mempengaruhi terjadinya perubahan pola tidur karena faktor lingkungan, faktor bilogis dan faktor psikososial. Banyak penelitian yang telah dilakukan bahwa hubungan mekanisme tidur dan terjaga dengan penuaan, walaupun tidur dan terjaga memiliki spektrum perilaku yang sangat berbeda, keduanya diyakini telah diatur oleh sebagian kecil fungsi fisiologis umum dan mekanisme neurokimiawi (Maas dkk, 2014). Menurut Herodes (2010) teknik relaksasi otot progresif adalah teknik relaksasi otot dalam yang tidak memerlukan imajinasi, ketekunan, atau sugesti. Berdasarkan keyakinan bahwa tubuh manusia berespons pada kecemasan dan kejadian yang merangsang pikiran dengan ketegangan otot. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian teknik relaksasi otot progresif terhadap pemenuhan kebutuhan istirahat tidur pada lansia di Panti Werdha Budi Mulya 1 Cipayung Jakarta Timur. Desain penelitian pra-post test dalam satu kelompok (one group pre-post test design). Sampel berjumlah 28  lansia dengan tehnik pengambilan sampel accidental sampling. Hasil penelitian menunjukkan ada pengaruh terapi relaksasi otot progresif terhadap kebutuhan istirahat dan tidur lansia (p value0,05). Pemenuhan kebutuhan istirahat tidur sesudah dilaksanakan teknik relaksasi otot pada lansia di Panti Werdha sebagian besar terpenuhi. Terdapat perbedaan yang signifikan antara pemenuhan kebutuhan istirahat tidur sebelum dan sesudah dilakukan teknik relaksasi otot pada lansia di Panti Werdha. KATA KUNCI : Otot, Progresif, Istirahat, Relaksasi, Tidur,     ABSTRACTSri Nyumirah Akademi Keperawatan Pasar Reboe-mail : [email protected] Rest and sleep disturbances are the main complaints that are often experienced by the elderly, with an estimate of more than half of the elderly over 65 who live at home and about two-thirds of the number of elderly people in long-term care facilities experiencing difficulty sleeping. In the aging process that affects the occurrence of changes in sleep patterns due to environmental factors, biological factors and psychosocial factors. Many studies have been conducted that link sleep and wakefulness mechanisms to aging, although sleep and wakefulness have a very different spectrum of behaviors, both of which are believed to have been regulated by a small number of general physiological functions and neurochemical mechanisms (Maas et al., 2014). According to Herodes (2010) progressive muscle relaxation techniques are deep muscle relaxation techniques that do not require imagination, persistence, or suggestion. Based on the belief that the human body responds to anxiety and mind-stimulating events with muscle tension. This study aims to determine the effect of progressive muscle relaxation techniques on meeting the need for sleep rest in the elderly at Panti Werdha Budi Mulya 1 Cipayung, East Jakarta. Research design pre-post test in one group (one group pre-post test design). The sample consisted of 28 elderly with accidental sampling technique. The results showed that there was an effect of progressive muscle relaxation therapy on the need for rest and sleep in the elderly (p value 0.05). Most of the fulfillment of the need for sleep rest after the implementation of muscle relaxation techniques in the elderly at the Nursing Home is fulfilled. There is a significant difference between fulfilling the need for sleep rest before and after muscle relaxation techniques are carried out in the elderly at the Nursing Home. KEY WORDS: Muscle, Progressive, Rest, Relaxation, Sleep,   


2021 ◽  
Vol 9 (1) ◽  
pp. 13
Author(s):  
Fiqhi Dhamiery Haniefah Effendi ◽  
Agung Wiwiek Indrayani ◽  
Ni Luh Nopi Andayani ◽  
Nila Wahyuni

Pengukuran tekanan darah (Blood Pressure/BP) merupakan suatu bentuk pengukuran tekanan aliran darah terhadap dinding pembuluh darah besar yang disebut arteri. Semakin tinggi tekanan, semakin keras usaha jantung untuk memompa. Hipertensi merupakan salah satu kelainan fungsi jantung dan pembuluh darah yang mengakibatkan terhambatnya sirkulasi dalam menyuplai oksigen serta nutrisi ke seluruh jaringan tubuh. Hipertensi derajat l adalah hipertensi dengan tekanan darah sistolik 130-139 mmHg, dan tekanan darah diastolik 80-90 mmHg. Salah satu latihan yang dapat diberikan untuk membantu menurunkan tekanan darah pada hipertensi derajat l yaitu Progresive Muscle Relaxation (PMR). Penelitian ini dilakukan untuk mengetahui adanya Pengaruh Pemberian Progresive Muscle Relaxation (PMR) Terhadap Penurunan Tekanan Darah Pada Prajurit TNl-AL Dengan Hipertensi Derajat l Di Lanal Denpasar. Penelitian ini merupakan Quasi Eksperimental dengan pre test-post test design. Pengambilan sampel dilakukan menggunakan teknik Purposive Sampling dengan jumlah sampel sebanyak 15 orang rentang usia 35-55 tahun. Analisis data menggunakan uji Wilcoxon didapatkan nilai P < 0,05 pada tekanan darah sistolik 0,003 dan tekanan darah diastolik 0,014. Berdasarkan penelitian ini dapat disimpulkan bahwa ada pengaruh pemberian progressive muscle relaxation terhadap penurunan tekanan darah pada prajurit TNl-AL dengan hipertensi derajat l di Lanal Denpasar.


2020 ◽  
Vol 3 (2) ◽  
pp. 416-425
Author(s):  
Putu Agus Ariana ◽  
G. Nur Widya Putra ◽  
Ni Komang Wiliantari

The purpose of this study was to determine the effectiveness of progressive muscle relaxation to improve sleep quality in the elderly who has insomnia in the Unggahan Village, Buleleng Regency. This research method is a quantitative study with a pre experiment research design with one group design pre-post test design. The results showed statistically, progressive muscle relaxation was effective to improve sleep quality in elderly women with a value of p = 0,000 or p <α (0.05). Conclusion, progressive muscle relaxation is effective in increasing sleep quality in the elderly who live at home.   Keywords: Sleep Quality, Elderly, Progressive Muscle Relaxation


2019 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Kasron Kasron

Patients with hypertension patients can have sleep disorders such as dizziness or headache,. This study aimed to evaluate the effect of spiritual emotional freedom tehnique (SEFT) and progressive muscle relaxation (PMR) on sleep quality in patients with hypertension in South Cilacap City. The research used quasi-experiment with two group pre-post test group. Respondents were patients with hypertension, with the criteria forthose who were active in health care programme, able to perform independent activities, consume of anti-hypertensive drugs, have done SEFT and PMR regularly for 7 days. Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep quality twice, before and 7 days after interventions SEFT. Statistic analysis used Mann-Whitney test. 32 respondents included in the criteria. The quality of sleep before treatment SEFT was 43.8% poor, 56.3% very bad. After treatment SEFT was 25% rather good, 75% less good. The quality of sleep before treatment PMR was 43.8% poor, 56.3% very bad. After treatment PMR was 18.8% rather good, 81.3% less good. The analysis shown the sleep quality was difference between SEFT and PMR after intervention with p-value 0.002. The study shows there is difference between SEFT and PMR after intervention in hypertensive patients in South Cilacap


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