scholarly journals The influence of Combination Therapy Progressive Muscle Relaxation and Deep breathing Relaxation against Stress Levels of diabetics in Prolanis BPJS The Health Of The City Of Palangka Raya

2021 ◽  
Vol 2 (3) ◽  
pp. 592-598
Author(s):  
Barto Mansyah ◽  
Ns. Syam’ani
Keyword(s):  
Diabetes Mellitus ◽  
Combination Therapy ◽  
Emotional Stress ◽  
Muscle Relaxation ◽  
Sampling Technique ◽  
Progressive Muscle Relaxation ◽  
Control Group ◽  
Deep Breathing ◽  
Stress Levels ◽  
Patients With Diabetes

Diabetes mellitus is one of the diseases with great impact on health and society, not only for its high prevalence but also for chronic complications and high mortality.. The psychological impact of diabetes began to be felt by the patient since he was diagnosed the doctor. Patients begin to experience psychological disorders such stress on himself related to the care and treatment should be undertaken. Conditions of emotional stress that require proper handling in order not to fall on the more severe conditions. This study aims to identify the influence of combination therapy progressive muscle relaxation and deep breathing relaxation against stress levels of patients with diabetes mellitus in Prolanis BPJS Kesehatan Kota Palangka Raya. The design used in this study using the design of the study : “PRE-TEST-POST-TEST DESIGN WITH CONTROL GROUP”. In this study population was patients with diabetes mellitus in Prolanis BPJS Kesehatan Kota Palangka Raya. The sampling technique in this study using total sampling technique, as many as 48 people. This research is expected to contribute positively to the management of emotional stress in patients with diabetes mellitus.

scholarly journals Progressive Muscle Relaxation dan Slow Deep Breathing pada Penderita Hipertensi

2018 ◽  
Vol 2 (1) ◽  
pp. 33
Author(s):  
Niken Setyaningrum ◽  
Iman Permana ◽  
Falasifah Ani Yuniarti
Keyword(s):  
Sleep Quality ◽  
Muscle Relaxation ◽  
Intervention Group ◽  
Progressive Muscle Relaxation ◽  
Control Group ◽  
Deep Breathing ◽  
Stress Levels ◽  
Group Control Group ◽  
And Control ◽  
Group 1

ABSTRAKTujuan penelitian: untuk mengetahui efektivitas teknikprogressive muscle relaxation dan slow deep breathing terhadap peningkatan kualitas tidur dan penurunan tingkat stres. Metode: penelitian ini menggunakan quasi experimental design with comparison group. Pengambilan sampel penelitian menggunakan purposive sampling. Penelitian dilakukan di wilayah kerja Puskesmas Gamping 2 Yogyakarta. Besar sampel dalam penelitian ini sebanyak 60 responden dengan pembagian sampel masing-masing 20 responden pada kelompok intervensi, kelompok kontrol 1, dan kelompok kontrol 2. Pengambilan data dilakukan pada bulan April sampai Juni 2015. Instrumen penelitian ini menggunakan PSQI (Pittburgh Sleep Quality Index) untuk mengukur kualitas tidur dengan nilai validitas 0,89 dan reliabilitas sebesar 0,73, sedangkan PSS (Perceived Stress Scale) untuk mengukur tingkat stres dengan nilai validitas 0,85 dan reliabilitas sebesar 0,75. Analisis data dalam penelitian ini menggunakan Anova dilanjutkan uji post-hoc Bonferroni. Hasil: Terdapat perbedaan yang signifikan antara kelompok intervensi, kelompok kontrol 1, dan kelompok kontrol 2 terhadap peningkatan kualitas tidur (p = 0,025). Terdapat perbedaan yang signifikan antara kelompok intervensi, kelompok control 1 dan kelompok kontrol 2 terhadap penurunan tingkat stres (p = 0,009). Diskusi: Hipertensi berkaitan dengan kualitas tidur dan tingkat stres karena berhubungan dengan respons saraf simpatis. Jika tidak diidentifikasi dengan baik, hal tersebut dapat memperburuk kondisi penderita hipertensi. Hipertensi dapat dikontrol dengan terapi nonfarmakologi menggunakan teknik relaksasi progressive muscle relaxation dan slow deep breathing. Kesimpulan: teknik progressive muscle relaxation efektif untuk meningkatkan kualitas tidur dan slow deep breathing efektif untuk menurunkan tingkat stres.Kata Kunci: hipertensi, kualitas tidur, tingkat stres, progressive muscle relaxation, slow deep breathingPROGRESSIVE MUSCLE RELAXATION AND SLOW DEEP BREATHING IN HYPERTENSION PATIENTSABSTRACTObjective: to identify the effectiveness of progressive muscle relaxation and slow deep breathing on improving sleep quality and decreasing stress levels. Methods: This study employed quasi experimental design with comparison group. Samples were taken using purposive sampling. The study was conducted in the working area of Puskesmas (Public Health Center) Gamping 2 Yogyakarta. The sample size was 60 respondents with 20 respondents in each of the intervention group, control group 1, and control group 2. Data were collected from April to June 2015. The research used PSQI (Pittsburgh Sleep Quality Index) to measure the quality of sleep with a validity value of 0.89 and a reliability value of 0.73 and PSS (Perceived Stress Scale) to measure stress levels with a validity value of 0.85 and a reliability value of 0.75. Data were analyzed using Anova and followed by using Bonferroni post-hoc test. Results: There were significant differences between intervention group, control group 1, and control group 2 in the sleep quality improvement (p=0.025). There were significant differences between intervention group, control group 1 and control group 2 in the decreased stress levels (p=0,009). Discussion: Hypertension is related to sleep quality and stress levels because it is associated with sympathetic nerve response. Unless they are well identified, they may worsen the condition of patients with hypertension. Hypertension can be controlled with non-pharmacological therapy using progressive muscle relaxation and slow deep breathing relaxation. Conclusion: Progressive muscle relaxation is effective to improve sleep quality and slow deep breathing is effective to reduce stress level.Keywords: hypertension, sleep quality, stress level, progressive muscle relaxation, slow deep breathing

scholarly journals The effectiveness of TIPER (Tailor Made Interventional Package to Enhance Relaxation) on depression, anxiety and stress among elders at old age homes, Puducherry

2019 ◽  
Vol 10 (2) ◽  
pp. 1124-1126
Author(s):  
Prakash P ◽  
Nappinai Seran ◽  
Navaneetha ◽  
Malarvizhi ◽  
Pradeep Thilakan
Keyword(s):  
Old Age ◽  
Mindfulness Meditation ◽  
Muscle Relaxation ◽  
Sampling Technique ◽  
Progressive Muscle Relaxation ◽  
Control Group ◽  
Anxiety State ◽  
P Value ◽  
Depression Anxiety Stress Scale ◽  
Old Age Homes

A Quasi-experimental study was conducted to explore the effectiveness of Tailor Made Interventional Package(TIPER) among the elders at Voluntrait, POINCARE (Pondicherry Society Care for the Aged), Clunny Home for aged and Anbu Nilayam in Puducherry. TIPER consists of Jacobson Progressive Muscle Relaxation, Guided Imagery and Mindfulness Meditation Total enumerative sampling technique was adopted with 211 samples in phase one, and 90 samples were obtained in phase two was randomized into study and control group of 45 each. Control group samples were administered with physical exercises. A tool used in this study was Socio-demographic Variables, Mini-Mental Status Examination, Modified Kuppusamy Socio-Economic Scale, Depression Anxiety Stress Scale(DASS-21), ICD-10 Criteria for Depression & General Anxiety, State and Trait Anxiety Scale. Results reveal that analysis of pre-test and post-test score in study group using paired ‘t' test shows the ‘p' value was <0.01 level were as in control group was not less than 0.01 level. Hence, TIPER was found effective in reducing the level of depression, anxiety and stress among elders at old age homes.

scholarly journals EFFECTIVENESS OF DIABETIC FOOT EXERCISES USING SPONGES AND NEWSPAPERS ON FOOT SENSITIVITY IN PATIENTS WITH DIABETES MELLITUS

2019 ◽  
Vol 5 (6) ◽  
pp. 234-238
Author(s):  
Siti Fadlilah ◽  
Adi Sucipto ◽  
Nazwar Hamdani Rahil
Keyword(s):  
Public Health ◽  
Diabetes Mellitus ◽  
Diabetic Foot ◽  
Community Health Centers ◽  
Public Health Problem ◽  
Sampling Technique ◽  
Total Sample ◽  
Control Group ◽  
Significant Difference ◽  
Patients With Diabetes

Background: Diabetes mellitus is a critical public health problem, and its prevalence in Indonesia remains high. Diabetes mellitus may cause complications, one of which is neuropathy that can impair foot sensitivity. This requires a treatment by doing diabetic foot exercises using sponges and paper.Objective: To examine the effectiveness of diabetic foot exercise using sponges and newspapers on foot sensitivity in patients with diabetes mellitus.Methods: This is a quasi-experimental study with pretest posttest with a control group research design, which was conducted at Public Health Center Depok III, Sleman Regency, Yogyakarta, Indonesia. An accidental sampling technique was used to select participants, with a total sample of 108 respondents consisting of 36 respondents in a control group, 36 respondents in a sponge group, and 36 respondents in a newspaper group. Data were analyzed using Wilcoxon and Mann-Whitney test.Results: Among the three groups, only those who received foot exercises using sponges and newspapers had a significant effect on foot sensitivity (p <.05). However, there was no significant difference on the effect of foot exercise on foot sensitivity between sponges and newspapers group (p >.05).Conclusion: The use of sponges and newspapers in foot exercise could significantly improve foot sensitivity in patients with type 2 diabetes mellitus. It is therefore recommended for nurses to provide the foot exercise as a part of nursing practice in both hospitals and community health centers.

scholarly journals Effect of Progressive Muscle Relaxation and Slow Deep Breathing on Blood Pressure and Heart Rate on Hypertensive Clients

2019 ◽  
Author(s):  
Arlien J. Manoppo ◽  
Elisa Anderson
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Significant Influence ◽  
Muscle Relaxation ◽  
Intervention Group ◽  
Progressive Muscle Relaxation ◽  
Control Group ◽  
Deep Breathing ◽  
Statistical Regression ◽  
Quasi Experimental

Background: Conclusions/Importance.Indicators of hypertension can be seen through the blood pressure (BP) and heart rate (HR). Several attempts continue to be made to control BP and HR, such as progressive muscle relaxation (PMR) and slow deep breathing(SDB). Objectives:The purpose of this study was to analyze the effect of PMR and SDB to control BP and HR on the hypertension clients. Methods: The research utilized a quasi-experimental design with pre-post test nonequivalent control group. Sample of 91 respondents were selected during May-July 2016 through convenience sampling techniques. The researcher used parametric statistical regression multiple linear regression to analyze the effect of PMR, SDB, and combination of PMR and SDB on BP and HR. Results: In the intervention group, PMR, SDB, and combined PMR-SDB are given twice a day for four days. The results showed the influence of PMR,SDB,combinedPMR-SDBtechniquestoBPandHR(p<0.05).PMRandcombined techniques (PMR-SDB) simultaneously and partially have a significant influence on BP and HR (p<0.05). SDB simultaneously only have a significant influence on diastolic BP and HR (p<0.05), but partially have a significant influence on BP and HR (p<0.05). Conclusions: The research concluded that there is significant influence of PMR, SDB, and combined PMR and SDB on BP and HR. PMR and SDB programs need to be developed as independent nursing interventions on the nursing care of patients with hypertension.  

scholarly journals The effect of the progressive muscle relaxation combined withs lavender aromatherapy on insomnia of hemodialysis patients

2021 ◽  
Vol 24 (1) ◽  
pp. 39-46
Author(s):  
Ida Rosdiana ◽  
Yanti Cahyati
Keyword(s):  
Muscle Relaxation ◽  
Sampling Technique ◽  
Routine Care ◽  
Hemodialysis Patients ◽  
Progressive Muscle Relaxation ◽  
Control Group ◽  
Daily Routine ◽  
Study Group ◽  
Significant Difference ◽  
The Mean

disorder in hemodialysis patients, which will cause a decrease in quality of life. Aromatherapy combined with progressive muscle relaxation are expected to increase the effects of relaxation on the patient so that the patient's sleep quality can improve optimally.Objective: The study aimed to investigate the effect of the progressive muscle relaxation combined with lavender aromatherapy on insomnia among patients undergoing hemodialysis. Material and Methods: The design of this study included a quasi-experiment with a pretest-posttest control group approach. The sample selection was performed using a consecutive sampling technique and involved 50 respondents, divided into two equal control and study group. Patients in study group recommended to do progressive muscle relaxation at least four times per week for three weeks and were told to drop two – three drops lavender aromatherapy on a pillow 30 minutes before bedtime at least 4 nights per week for three weeks. The control group recommended to do muscle relaxation and daily routine care at least four times per week for three weeks. Results: The results showed that both study and control groups were equal in terms of demographics, and scores of insomnia at the baseline. There no significant difference between the mean insomnia scores of two group before intervention, while the difference was statistically significant after the intervention. The mean insomnia scores were lower in study group than in the control group.Conclusion: Progressive muscle relaxation and lavender aromatherapy were effective in decreasing insomnia scores among patients undergoing hemodialysis.

scholarly journals Efektivitas Terapi Relaksasi Otot Progresif pada Mahasiswa Tingkat Akhir yang Mengalami Stress di Program Studi Ilmu Keperawatan

2021 ◽  
Vol 1 (2) ◽  
pp. 123-132
Author(s):  
Zulis Noor Rafik Rustam ◽  
Suhermi Suhermi ◽  
Rizqy Iftitah Alam ◽  
Rizqy Iftitah Alam
Keyword(s):  
Data Analysis ◽  
Research Design ◽  
Muscle Relaxation ◽  
Progressive Muscle Relaxation ◽  
Wilcoxon Test ◽  
Control Group ◽  
Mild Stress ◽  
Relaxation Therapy ◽  
Stress Levels ◽  
Moderate Stress

Covid 19 has brought many changes in human life. Currently, the campus is implementing an online learning system, aka online (in the network). This has an impact on final year students who are writing a thesis which will usually cause stress when compiling a thesis. Therefore, progressive muscle relaxation can reduce stress and learn how to relax tense muscles. The purpose of this study was to determine whether progressive muscle relaxation therapy can relieve or reduce stress levels in final year students. The research design used was quasi experimental. The research design used "pre test post test with control group design." The sample size obtained in this study was 30 respondents with a sampling technique carried out in the form of probability sampling with non-equivalent control group techniques. The data analysis used was the Wilcoxon test data analysis with a significance level of α = 0.05. If the value of ρ <0.05 then Ha is accepted. The research results from statistical analysis using the Wilcoxon test obtained the value of ρ = 0.001, where the value of ρ is smaller than the value of α = 0.05, so Ha is accepted. The results of the study proved that there was an effect of progressive muscle relaxation therapy on stress levels in final year students in the Indonesian Muslim University nursing study program. The conclusion of this study is that before being given progressive muscle relaxation therapy, the stress levels for final year students were moderate stress, severe stress and very heavy stress. Meanwhile, after being given progressive muscle relaxation therapy intervention, there was a decrease in stress levels, namely normal, mild stress and moderate stress.  

scholarly journals Effectiveness of progressive muscle relaxation and aromatherapy on fatigue in pregnant mothers

MEDISAINS ◽  
2020 ◽  
Vol 18 (1) ◽  
pp. 14
Author(s):  
Tetet Kartilah ◽  
Sofia Februanti
Keyword(s):  
Pregnant Women ◽  
Muscle Relaxation ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Progressive Muscle Relaxation ◽  
Control Group ◽  
Control Group Design ◽  
Fatigue Score ◽  
Significant Difference ◽  
Post Test

Background: Fatigue in pregnant women can lead to cesarean delivery, also triggering problems during pregnancy, childbirth, and the puerperium. Therefore, there is a need for non-pharmacological interventions to reduce the level of fatigueObjective: This study aims to determine the effectiveness of giving progressive muscle relaxation (PMR) and aromatherapy to complaints of fatigue in pregnant womenMethods: This is a quasi-experiment with pretest and post-test with control group design. The sampling technique was simple random sampling, consisted of 52 respondents who were divided into two groups. The statistical using a paired t-test and independent t-testResults: After the administration of PMR and aromatherapy interventions, the fatigue score decreased significantly from 5.15 to 3.15; p<0.001. In the control group, the fatigue score was reduced from 5.04 to 4.00; p<0.0001. There was a significant difference in fatigue scores in the intervention and control groups (3.15 ± 1.592 vs. 4.00 ± 0.980; p<0.05).Conclusion: Combination progressive muscle relaxation exercises and aromatherapy are effective in reducing fatigue scores in pregnant women

scholarly journals Pengaruh Terapi Progressive Muscle Relaxation Terhadap Kecemasan Dan Kualitas Hidup Pada Pasien Diabetes Mellitus Tipe 2 Di RS Muhammadiyah Lamongan

2018 ◽  
Vol 2 (1) ◽  
pp. 45
Author(s):  
Adbul Rokhman ◽  
Lilik Supriati
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Treatment Group ◽  
Muscle Relaxation ◽  
Progressive Muscle Relaxation ◽  
Control Group ◽  
Relaxation Therapy

ABSTRAKPenyakit diabetes mellitus yang tidak bisa disembuhkan secara total sering berdampak pada terjadinya kecemasan dan penurunan kualitas hidup. Untuk menurunkan kecemasan dan meningkatkan kualitas hidup pasien dapat dilakukan terapi progressive muscle relaxation. Penelitian ini bertujuan untuk mengetahui pengaruh terapi PMR (Progressive Muscle Relaxation) terhadap kecemasan dan kualitas hidup pada pasien diabetes mellitus tipe 2 di RS Muhammadiyah Lamongan. Metode quasi eksperimental dengan pendekatan pre-post test control group design dengan simple random sampling. Jumlah sampel 50 orang dibagi menjadi 2 kelompok perlakuan dan kontrol masing-masing 25 orang. Alat ukur menggunakan kuisioner HARS untuk kecemasan dan DQOL (Diabetes Quality of Life) untuk kualitas hidup. Hasil analisis kecemasan dengan uji t pada kelompok perlakuan p 0,000, kelompok kontrol p 0,746. Analisis kualitas hidup pada kelompok perlakuan nilai p 0,000 dan kelompok kontrol p 0,098. Perbedaan kecemasan pada kelompok perlakuan dan kontrol p 0,019. Perbedaan kualitas hidup pada kelompok perlakuan dan kontrol p 0,076. Pengaruh faktor pendidikan terhadap kualitas hidup pada pasien DM tipe 2 sesudah diberikan terapi progressive muscle relaxation sebesar 4,9 % setelah dikontrol variabel lain. Terapi progressive muscle relaxation efektif untuk menurunkan kecemasan dan efektif untuk meningkatkan kualitas hidup pasien DM tipe 2. Terapi progressive muscle relaxation dapat dimasukkan kedalam intervensi keperawatan pada pelayanan rumah sakit. Kata Kunci: Diabetes Mellitus tipe 2, Kecemasan, Kualitas Hidup, Terapi Progressive Muscle Relaxation ABSTRACTDiabetes mellitus which cannot be cured completely often have an impact on the occurrence of anxiety and reduced quality of life. To reduce anxiety and improve the quality of life of patients can use progressive muscle relaxation therapy. This study aims to determine the effect of PMR therapy (Progressive Muscle Relaxation) in anxiety and quality of life in patients with type 2 diabetes mellitus in Lamongan Muhammadiyah Hospital. Quasi-experimental method with the approach of pre-posttest control group design with simple random sampling. Number of samples 50  people  were   divided  into   two   treatment   groups  and   control  each   25   people.  HARS questionnaire instrument used for measuring anxiety and DQOL (Diabetes Quality of Life) for measuring quality of life. Results of the analysis by the t-test anxiety in the experimental group p0.000, 0.746 p control group. Analysis of the quality of life in the treatment group p values of 0.000 and 0.098 p control group. Anxiety differences in the treatment group and the control p0.019. Differences in the quality of life in the treatment group and the control p 0.076. Results of the analysis by the t-test anxiety in the experimental group p 0.000, 0.746 p control group. Analysis of the quality of life in the treatment group p values of 0.000 and 0.098 p control group. Anxiety differences in the treatment group and the control p 0.019. Differences in the quality of life in the treatment group and the control p 0.076. Educational factors influence the quality of life in patients with type 2 diabetes mellitus after progressive muscle relaxation therapy by 4.9% after controlling other variables. Progressive muscle relaxation therapy is effective to reduce anxiety and effective to improve the quality of life of patients with type 2 diabetes. Progressive muscle relaxation therapy can be incorporated into nursing interventions on hospitals.Keyword : Type 2 Diabetes Mellitus, anxiety, quality of life, progressive muscle relaxation therapy

scholarly journals The Comparison of Progressive Muscle Relaxation Frequency on Anxiety, Blood Pressure, and Pulse of Haemodialysis Patients

Jurnal NERS ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 69
Author(s):  
Kusnanto Kusnanto ◽  
Maulana Arif Murtadho ◽  
Lilik Herawati ◽  
Hidayat Arifin
Keyword(s):  
Blood Pressure ◽  
Muscle Relaxation ◽  
Group Analysis ◽  
Vital Signs ◽  
Sampling Technique ◽  
Total Sample ◽  
Progressive Muscle Relaxation ◽  
Control Group ◽  
Control Group Design ◽  
Significance Level

Introduction: Haemodialysis is one of the kidney replacements therapies, but, as it cannot wholly replace kidney function, it still causes complications such as increased blood pressure and pulse which can lead to anxiety for the patient. The purpose of this study was to explain the effect of Progressive Muscle Relaxation (PMR) on anxiety, blood pressure and pulse in haemodialysis patients.Methods: The study design was a true pre-post-test control group design experiment. The total sample was 105 haemodialysis patients taken by purposive sampling technique and divided into two intervention groups and one control group. The independent variable was PMR, and the dependent variables were anxiety, blood pressure and pulse. Data were obtained using a questionnaire and analysed using the Kruskal Wallis Test and Mann-Whitney U test with a significance level <0.05.Results: The results of the PMR two times per week group analysis for one month showed a significant influence on anxiety (p=0.000), blood pressure (p=0.000), and pulse rate (p=0.000). Mann-Whitney U Test Results showed a significant effect on anxiety (p=0.004), blood pressure (p=0.000), and pulse (p=0.000).Conclusion: Haemodialysis patients who performed PMR interventions showed a promising outcome on a decrease in anxiety, blood pressure and pulse. The regular application of PMR interventions can control vital signs in patients undergoing haemodialysis

scholarly journals Effectiveness of Progressive Muscle Relaxation on The Complete Opening Time during Normal Labor

2020 ◽  
Vol 8 (B) ◽  
pp. 608-611
Author(s):  
Siti Saidah Nasution ◽  
Erniyati Erniyati ◽  
Hariati Hariati
Keyword(s):  
Muscle Relaxation ◽  
Demographic Data ◽  
Intervention Group ◽  
Sampling Technique ◽  
Labor Pain ◽  
Progressive Muscle Relaxation ◽  
Control Group ◽  
Relaxation Techniques ◽  
Breathing Exercises ◽  
Speed Up

BACKGROUND: The pain feeling and pain are a very frightening condition for the mother while undergoing labor. The fluency in undergoing childbirth is influenced by the mother’s ability to manage labor pain. Good pain management will improve the ability of mothers to undergo labor with good collaboration and speed up the process of complete opening time. The non-pharmacological method used to reduce labor pain intensity is a progressive muscle relaxation technique. Interventions are carried out with movements that combine deep breathing exercises when the muscles are relaxed. This research is a descriptive study using a quasi-experimental approach using two groups, namely, the intervention group and the control group. AIM: The purpose of this study was to determine the effect of progressive muscle relaxation techniques on reducing pain. The number of samples used was 30 people with accidental sampling technique. MATERIALS AND METHODS: Research sites in USU Medan Hospitals and maternity clinics. Data collection was carried out using a questionnaire, which consisted of two parts, namely, demographic data and complete opening time (opening 10 cm). Data analysis was performed using independent sample t-test. RESULTS: Results with significance p < 0.05. The results showed that the intervention with progressive muscle relaxation techniques at the time I could accelerate the complete opening time (opening 10 cm) in the intervention group. CONCLUSION: Intervention using progressive muscle relaxation techniques is expected to be applied as an intervention in the management of labor pain and speed up the opening process.  

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