Impact of Jacobson’s Progressive Muscle Relaxation on Stress Levels of Exam Going MBBS Students of a Medical College in South Gujarat, India

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.

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EFFECTS OF PROGRESSIVE MUSCLE RELAXATION INTERVENTION WITH MUSIC AND AROMATHERAPY ON DECREASING STRESS LEVEL AMONG TEACHERS

Nurse Media Journal of Nursing ◽

10.14710/nmjn.v8i2.20681 ◽

2019 ◽

Vol 8 (2) ◽

pp. 71

Author(s):

Claudia Fariday Dewi

Keyword(s):

Stress Level ◽

Muscle Relaxation ◽

Intervention Group ◽

T Test ◽

Progressive Muscle Relaxation ◽

Control Group ◽

P Value ◽

School Teachers ◽

Post Test ◽

Quasi Experimental

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.

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Effect of Progressive Muscle Relaxation on The Level of Anxiety of Haemodialysis Patients at Muhammad Sani Hospital in Karimun

IJECA (International Journal of Education and Curriculum Application) ◽

10.31764/ijeca.v2i1.2071 ◽

2019 ◽

Vol 2 (1) ◽

pp. 31

Author(s):

Rizki Sari Utami Muchtar ◽

Marlian Marlian

Keyword(s):

Rating Scale ◽

Muscle Relaxation ◽

Needle Insertion ◽

Anxiety Level ◽

Progressive Muscle Relaxation ◽

P Value ◽

Related Symptom ◽

Number Of Patients ◽

Before And After ◽

Post Test

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

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

The Shine Cahaya Dunia Ners ◽

10.35720/tscners.v3i1.59 ◽

2018 ◽

Vol 3 (1) ◽

Author(s):

Vina Yolanda Sari Sigalingging ◽

Shanti Wardaningsih ◽

Yanuar Primanda

Keyword(s):

Muscle Relaxation ◽

Progressive Muscle Relaxation ◽

P Value ◽

Test Design ◽

Post Test

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

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PENGARUH PROGRESSIVE MUSCLE RELAXATION TERHADAP PENURUNAN KADAR GULA DARAH SEWAKTU PADA PASIEN DIABETES MELLITUS DI PUSKESMAS KELING 1 KABUPATEN JEPARA

Jurnal Ilmu Keperawatan dan Kebidanan ◽

10.26751/jikk.v12i2.1152 ◽

2021 ◽

Vol 12 (2) ◽

pp. 411

Author(s):

Rusnoto Rusnoto ◽

Nur Laily Prasetyawati

Keyword(s):

Diabetes Mellitus ◽

Muscle Relaxation ◽

Progressive Muscle Relaxation ◽

Rank Test ◽

Control Group ◽

P Value ◽

Signed Rank ◽

Post Test ◽

Signed Rank Test ◽

Diabetes Melitus

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.

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PENGARUH PROGRESSIVE MUSCLE RELAXATION TERHADAP KUALITAS NYERI PASIEN KANKER PAYUDARA DENGAN KEMOTERAPI DI RSUD ARIFIN ACHMAD

Jurnal Ners Indonesia ◽

10.31258/jni.10.1.61-70 ◽

2019 ◽

Vol 9 (2) ◽

pp. 61

Author(s):

Didi Kurniawan ◽

Reni Zulfitri ◽

Ari Pristiana Dewi

Keyword(s):

Muscle Relaxation ◽

Pain Scale ◽

Progressive Muscle Relaxation ◽

P Value ◽

Purposive Sampling ◽

Post Test

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

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Latihan relaksasi otot progresif terhadap kualitas tidur lansia

Jurnal Keperawatan ◽

10.32583/keperawatan.v11i3.581 ◽

2019 ◽

Vol 11 (3) ◽

pp. 225-230

Author(s):

Iqra S

Keyword(s):

Sleep Quality ◽

Muscle Relaxation ◽

The Elderly ◽

Progressive Muscle Relaxation ◽

Rank Test ◽

Average Score ◽

P Value ◽

Post Test ◽

Wilcoxon Sign Rank

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

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PERBANDINGAN SPIRITUAL EMOTIONAL FREEDOM TEHNIQUE DAN PROGRESSIVE MUSCLE RELAXATION TERHADAP KUALITAS TIDUR PENDERITA HIPERTENSI DI CILACAP SELATAN

JURNAL KESEHATAN POLTEKKES KEMENKES RI PANGKALPINANG ◽

10.32922/jkp.v6i1.46 ◽

2019 ◽

Vol 6 (1) ◽

pp. 1

Author(s):

Kasron Kasron

Keyword(s):

Sleep Quality ◽

Pittsburgh Sleep Quality Index ◽

Muscle Relaxation ◽

Test Group ◽

Progressive Muscle Relaxation ◽

P Value ◽

Quality Of Sleep ◽

Care Programme ◽

Post Test

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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CORRELATION BETWEEN SMOKE-FREE AREAS AND SMOKING BEHAVIOR IN INDONESIA

Jurnal Berkala Epidemiologi ◽

10.20473/jbe.v8i22020.117-124 ◽

2020 ◽

Vol 8 (2) ◽

pp. 117

Author(s):

Mohamad Anis Fahmi

Keyword(s):

Public Awareness ◽

Smoking Behavior ◽

Secondary Data ◽

Computer Application ◽

P Value ◽

Cross Sectional ◽

Positive Correlation ◽

The Government ◽

Cross Sectional Design ◽

The Impact

Background: Low public awareness of the impact of smoking makes the implementation of smoke-free areas (KTR) difficult. Smoke-free areas aim to protect the public from the direct and indirect effects of smoking. Purpose: This study aimed to analyze the correlation between the application of smoke-free areas and the prevalence of active and ex-smokers in Indonesia. Method: This study implemented a cross-sectional design, using secondary data from the Riskesdas 2018 on active and ex-smokers. KTR application data were obtained from the Profile of Non-Communicable Diseases in 2016. A Pearson product-moment test was conducted by a computer application to determine the correlation coefficient (r). This coefficient was used to describe the level of correlation between the two variables; significance was determined as a p value of 5%. Results: This study showed that the average application of KTR throughout Indonesia was 50.83%, active smokers comprised 23.49% of the population, and ex-smokers comprised 4.94%. Most active smokers were in Java and Sumatra, while the majority of ex-smokers were in Java and Sulawesi and the majority of KTR was in Java. This study shows that there is a positive correlation between KTR application and the percentage of ex-smokers (r = 0.46; p value = 0.01). Conclusion: There is a positive correlation between the application of KTR and an increase in ex-smokers. The government needs to increase the application of KTR policies.

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Tabletop Tsunami Simulator In Tsunami Disaster Preparation To Make Schools Of Disaster Preparedness

Jurnal Kesehatan dr. Soebandi ◽

10.36858/jkds.v9i1.267 ◽

2021 ◽

Vol 9 (1) ◽

pp. 55-59

Author(s):

Feri Ekaprasetia ◽

Guruh Wirasakti

Keyword(s):

Primary School ◽

Vulnerable Groups ◽

P Value ◽

Attitude Score ◽

Whitney Test ◽

Tsunami Disaster ◽

Knowledge And Attitudes ◽

Mann Whitney Test ◽

Post Test ◽

The Impact

Introduction: Tsunami in Indonesia become a threat to society, especially for vulnerable groups. Primary school students are one of the vulnerable groups that should have adequate preparedness both in their knowledge and attitudes in facing the tsunami. To support the preparedness, a tabletop tsunami simulator has been developed. Objective: To describe the tsunami preparedness of school-age children and to assess the impact of the tabletop tsunami simulator on the knowledge and attitudes of school children towards tsunamis. Methods: The study design was a one group pre-test – post-test design with a total participant of 157 students. The research instrument used was a tabletop tsunami simulator and a questionnaire to assess knowledge and attitude towards tsunamis. The statistical test used was the Mann Whitney test. The inclusion criteria included primary school 5th and 6th grade students, had a smartphone, and were willing to be participants. The data was collected using Google form and had obtained ethical approval number 62/SDS/KEPK/TL/VI/2020. Result: The Mann Whitney test showed a significant effect between the tabletop tsunami simulator and the participants’ knowledge of tsunamis with a p-value of 0.000 (p-value <0.05). In the attitude variable, an increase in the attitude score between the pre-test and post-test was also observed. The average attitude score increased from 32.99 to 34.97, with a p-value = 0.000. Conclusion: There is a significant effect between the tabletop tsunami simulator with the participants’ knowledge and attitudes in facing the threat of a tsunami.

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