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Cerebral palsy (CP) is a permanent, non-progressive motor disorder that occurs due to brain damage experienced before, during, or after birth. This condition is generally characterized by activity limitations and can be accompanied by various other disorders, such as delayed cognitive development, visual impairment, speech disorders, and neuromuscular disorders. Management of cerebral palsy is usually multidisciplinary, including physiotherapy, behavioral therapy, speech therapy, nutritional management, pharmacotherapy, and surgical intervention, with the aim of improving the patient's quality of life. This case report discusses a male patient, An. AZ, aged 4 years and 6 months, who was brought by his parents to the Emergency Department of Cut Meutia General Hospital, North Aceh with the chief complaint of seizures that had occurred two days before admission and had worsened in the past day. The patient had been diagnosed with cerebral palsy since early childhood and regularly underwent physiotherapy. From the anamnesis, it was revealed that the patient experienced weakness on the left side of the body, which was more dominant than the right side. This condition is consistent with the manifestation of hemiplegia in cerebral palsy patients. Physical examination revealed delayed motor development, increased muscle tone on the left side, and enhanced pathological reflexes. Acute seizure management included administering anticonvulsant medication according to protocol, monitoring vital signs, and close observation in the inpatient ward. In addition to pharmacological therapy, the patient was advised to continue regular physiotherapy to maintain motor function, prevent contractures, and support the development of daily activities. This case emphasizes the importance of a comprehensive approach to the management of cerebral palsy, particularly when complicated by seizures. Integration of acute medical care, rehabilitative therapy, and family support plays a crucial role in improving the patient's quality of life.

Academic anxiety is a prevalent concern encountered by students before to examinations, which may adversely affect academic performance.  This article aims to illustrate successful approaches derived from the Cognitive Behavioural Therapy (CBT) approach to mitigate students' academic anxiety.  The used process may include a literature evaluation by examining 20 relevant and cohesive periodicals.  The findings demonstrate that CBT therapies, including individual or group counselling, self-talk techniques, progressive muscle relaxation, and systematic desensitisation, are very successful in reducing student anxiety.  Cognitive Behavioural Therapy enables students to identify and modify negative thought patterns that provoke anxiety into more rational and adaptive thinking.  By implementing appropriate methods, students may prepare for examinations with more tranquilly and confidence.  This article is anticipated to be a valuable reference for school counsellors and educators in developing mental intervention programmes to enhance kids' overall well-being.    

Hypertension, which is common in the elderly, is a condition when blood pressure increases abnormally when measured in the systolic and diastolic phases. Blood pressure that exceeds 140/90 mmHg (systolic/diastolic) may indicate the presence of a health condition in the individual. comparison of the effectiveness of progressive muscle relaxation therapy and slow deep breathing on blood pressure of hypertensive clients at Perdha Pucang Gading Semarang is the main objective of this study. This study used a quantitative quasy-experiment method with a two group pretest and posttest group design, with 48 respondents selected through nonprobability sampling techniques. To ensure the normality assumption was met, the data was tested using the Shapiro-wilk test. Furthermore, statistical analysis was carried out with two types, namely paired t-test and independent t-test, to compare differences between data groups. The results showed that the elderly aged 60-75 years in the Panti experienced mild hypertension. Statistical analysis concluded that progressive muscle relaxation therapy and slow deep breathing were effective in reducing systolic and diastolic blood pressure significantly (p<0.05). However, no substantial variation was found in the effectiveness between the two therapies in reducing systolic blood pressure (p 0.066>0.05).

One of the health issues that can lead to significant consequences, including heart disease and organ damage, is hypertension. For hypertensive patients, non-pharmacological treatments such as progressive muscle relaxation (PMR) offer an alternative to reduce discomfort and blood pressure. This study uses a quantitative methodology and a quasi-experimental design. For two weeks, 66 hypertensive patients from Puskesmas Bangetayu Semarang participated in the ROP intervention. The T-Test and Wilcoxon statistical tests were used to measure blood pressure and pain levels before and after the intervention. According to the Numeric Rating Scale (NRS), ROP therapy reduced pain from 2.68 to 1.76 and systolic blood pressure from an average of 150.15 mmHg to 133.64 mmHg. With a p-value of less than 0.05, statistical analysis revealed a significant difference. It has been proven that progressive muscle relaxation helps hypertensive individuals with their pain and blood pressure. This approach can be used both independently and in healthcare settings as a simple and safe non-pharmacological treatment. the effect of progressive muscle relaxation on pain and blood pressure in hypertensive patients

Hypertension in the elderly is characterized by an increase in systolic and diastolic blood pressure, namely ≥ 140/90 mmHg consistently and often occurs in the elderly aged ≥ 55 years. Progressive Muscle Relaxation is a technique that can relax tense muscles and create a relaxed feeling so that it can lower blood pressure. This study aims to determine the effect of progressive muscle relaxation on reducing the pain scale in middle-aged elderly with hypertension in the Siulak Gedang Health Center work area in 2024. The research design used was one group pretest and post-test design with a purposive sampling method, namely 16 middle-aged elderly respondents in the Siulak Gedang Health Center work area. The instruments used in data collection were SOP, observation sheets, stethoscopes, sphygmomanometers. The results of the study showed that there was an effect of progressive muscle relaxation therapy on reducing the pain scale in hypertensive patients with the results of the paired sample t-test obtained a p-value = 0.000, because the p-value <0.05.

Background: Mental disorders are a syndrome of behavioral patterns or disorders that occur in the brain which are characterized by disturbed behavior, thought processes, emotions and perceptions. Violent behavior is an angry reaction that is expressed by making threats, injuring other people, or destroying the environment. One of the nursing actions that patients can take to control anger is progressive muscle relaxation. To determine the effect of progressive muscle relaxation on the ability to control anger in patients at risk of violent behavior at the Rumah Sakit Jiwa Provinsi Bali. Methods: Pre-Experimental research design One Group Pre-Test & Post-Test with Paired T-Test conducted at the Rumah Sakit Jiwa Provinsi Bali. Data collection used a questionnaire sheet with a Purposive Sampling technique with a sample size of 37 people. Results: The results of this research showed that the average value before the intervention was given was that the value of the ability to control anger was a Pre Test p-value of 48.6% and a Post Test p-value of 54.1% so that the p-value obtained was > 0.05 with a p-value of 0.000, this value is less than < 0.05. Conclusion: There is a significant influence on the provision of progressive muscle relaxation movement interventions on the ability to control anger in patients at risk of violent behavior at the Bali Provincial Mental Hospital.

Hypertension is a condition where blood pressure increases beyond normal limits, with various variations according to age. Various trigger factors cause hypertension, although most (90%) of the causes of hypertension are unknown. The aim of this writing is to be able to understand the concept of hypertension and study nursing care for hypertensive patients as well as to provide the author with an understanding so that he can think logically and scientifically in accordance with the existing reality. The method used was to carry out progressive muscle relaxation therapy for 10 days in 5 visits, namely on 29-07 January 2024. The place for this activity was carried out at the Amplas Community Health Center. Based on the evaluation results, it was found that there was an influence of Progressive Muscle Relaxation therapy to help lowers blood pressure in hypertension patients whose pain scale goes from 6 down to pain scale 3. The conclusion of this paper shows that patients are able to carry out progressive muscle relaxation therapy and can reduce pain in the head and nape of the neck. It is hoped that the results of this research can be used as a medical intervention to reduce acute pain in hypertensive patients in the community.

Hypertension or high blood pressure has become a common condition among the people of Indonesia and other developing countries. This study aims to evaluate the effect of Progressive Muscle Relaxation (PMR) Therapy on reducing systolic and diastolic blood pressure in individuals with hypertension.The research employed a quasi-experimental design with a one-group pre-test-post-test approach. The study population included 1,395 individuals with hypertension, and a sample of 25 participants was selected using purposive sampling techniques. Data were analyzed using the Paired T-Test.The results showed that before therapy, the average systolic blood pressure of the respondents was 148.4 mmHg, which decreased to 127.2 mmHg after therapy, indicating a reduction of 21.2 mmHg with a p-value of 0.000. In contrast, the average diastolic blood pressure was 88.00 mmHg before therapy and slightly increased to 88.40 mmHg after therapy, showing an increase of 0.40 mmHg with a p-value of 0.558.Progressive Muscle Relaxation Therapy is effective in reducing systolic blood pressure but does not have a significant effect on diastolic blood pressure. It is recommended that the research site provides health education on non-pharmacological approaches to managing hypertension through Progressive Muscle Relaxation Therapy.

Post-operative is a condition after surgery and medical treatment to treat or repair damaged tissue or organs starting when the client is moved to the operating room and ending in the recovery room. Surgery is a medical procedure that uses invasive techniques by opening or displaying body tissue that will be treated through incisions and ending with wound suturing. This health education aims to improve the knowledge and skills of patients and families regarding the prevention of post-operative infections. This health education was conducted on Saturday, October 19, 2024 at 10:30 in the Teratai room using a material delivery method using leaflet media, demonstrating how to wash hands properly and wound care, and evaluating the results of the pre and post tests during the health education activities. After the health education activities were carried out, the results showed that the enthusiasm of the participants when participating in the health education activities was very high, seen from the material presentation session, the participants were seen paying attention to the material presented. During the activity, participants were active in asking questions and were able to answer questions and wanted to know more about the material that had been presented. The ability of participants in answering pretest and posttest questions also showed an increase because the audience when working on the pretest questions, an average of did not know the material to be presented with a total of 13 questions. Then, when working on the posttest questions, an average of had increased knowledge after the presentation of the material presented with the same number of questions. Early symptoms that appear when an infection occurs in a postoperative wound are open wounds/open stitches and there are signs of infection: Redness, Swelling, Pain, Decreased function of the infected organ, Pus, Fever. SSI is an infection that occurs in the wound area after surgery, surgical wound infections are divided into, internal, and organs. SSI is caused by various factors, namely the patient himself, health workers, the surgical process, the environment and surgical equipment. The correct hand washing process according to WHO includes wetting the hands, applying soap or hand sanitizer, rubbing the entire surface of the hands for at least 20 seconds, rinsing with water (if using soap), and drying the hands. 6-step hand washing is an effective hand washing method to remove germs, viruses, and bacteria from the hands. This step is designed to ensure that every part of the hand is properly cleaned.

Stress and depression problems can have many negative impacts on teenagers, including mental health problems in teenagers, and can even lead to dangerous behavior. In Indonesia, the prevalence of stress in the younger generation is increasing from year to year, reaching 6.0% of the population. Maybe 6% still feels small. However, this number continues to increase every year as more and more young people participate in bullying, and bullying has become more common these days. The ability to maintain self-control in the face of overwhelming situations, people, and events is also the definition of stress management. If managed well, stress transforms from an obstacle to a motivator of social, intellectual, and psychological well-being. The aim of this activity is to increase knowledge in teenagers about stress management. It is hoped that students will be able to understand and implement stress management by means of deep breathing exercises and progressive muscle relaxation. The results of the questionnaire obtained from these four categories were 910 points. Apart from that, the findings from this activity were that 46 respondents (100%) could do deep breathing and progressive muscle relaxation exercises very well. It is important for students to know how to deal with stress, especially since the source of stress comes from the academic process

Pregnancy is a very important experience for a woman. Based on the journal Of Midwifery issued in 2020, it is stated that lower back pain is the most common complaint in the third trimester of pregnancy. Predisposing factors for back pain include uterine growth which causes changes in posture, weight gain, the influence of the relaxin hormone on ligaments, previous history of back pain, parity and activity. Research Objective: to determine the effect of progressive muscle relaxation on lower back pain in third trimester pregnant women at the Malifut Community Health Center. This type of research is experimental research involving one group of subjects with a pre-experimental approach, one group pretest posttest design. The respondents for this research were 30 people. Purposive sampling technique. Results: This study showed that 30 respondents who had not been treated with progressive muscle relaxation techniques experienced moderate pain as many as 18 people (60%) and experienced mild pain as many as 12 people (40%). Shows that 30 people (100%) experienced a reduction in pain. The results after it was discovered that the Wilcoxon test was carried out above the P value = 0.000 (< 0.05) so that there was a significant difference between lower back pain before the relaxation intervention was given. Advice for pregnant women who experience levels of pain is to carry out progressive muscle relaxation to reduce the level of lower back pain  

Background: Diabetic foot ulcers are one of the most common complications in patients with diabetes mellitus. Patients with diabetic foot wounds have various degrees of anxiety. One of the anxiety measurement tools is HARS (Hamilton Anxiety Rating Scale). Progressive muscle relaxation is one of the non-pharmacological treatments to reduce anxiety. Objective: To describe the results of the implementation of progressive muscle relaxation on anxiety levels in patients with diabetic foot wounds. Methods: This study used a descriptive research design case study approach by observing the anxiety level of diabetic foot wound patients on 2 respondents, carried out in the morning and evening for 5 consecutive days with a frequency of 15 minutes. The instruments used were HARS (Hamilton Anxiety Rating Scale) scale sheet, SOP (Standard Operating Procedure) progressive muscle relaxation, anxiety level observation sheet, stopwatch. Results: Results: There were changes in anxiety levels before and after progressive muscle relaxation in Mrs. S from moderate (27) to mild (15). While in Mrs. I from moderate (26) to mild (15).  Conclusion: The application of progressive muscle relaxation can be useful for reducing anxiety levels in both diabetic foot wound patients.    

Background: Type 2 diabetes mellitus is a type of metabolic disorder characterized by hyperglycemia which leads to serious complications. One physical activity that can be applied is progressive muscle relaxation, which focuses on sequentially tightening and relaxing muscle groups resulting in controlled blood glucose levels so that holistic treatment is needed. Objective: To determine the results of the application of Progressive Muscle Relaxation (PMR) to reduce blood glucose levels in people with type 2 diabetes mellitus at RSUD Dr. Moewardi Surakarta. Method: This research is a type of qualitative descriptive research with a case study approach (Case Study). The design for this application was a control group design which was applied to 1 respondent with Diabetes Mellitus Type 2. Results: Based on the results of this application, it was found that blood glucose levels decreased after Progressive Muscle Relaxation was carried out, which was indicated by the number of high glucose levels decreasing. Comparison before and after applying Progressive Muscle Relaxation, before being given the application of PMR high blood sugar levels were 415 mg/dl and after being given the application of PMR 2 times a day (morning and evening) for 3 consecutive days normal blood sugar levels were 173 mg/dl etc. Conclusion: Blood sugar levels before the application were given were high and after the application was given the patient's blood sugar levels were normal.

Background: The elderly are said to have a risk of developing various degenerative diseases, one of which is hypertension. According to data from the World Health Organization (WHO) in 2023 the prevalence of 1.28 billion people with hypertension aged 30-79 years. The prevalence of hypertension at Sibela Health Center in 2022 was 12,447 hypertensive patients with the highest incidence rate in Surakarta City, One of the non-pharmacological therapies that can be given to elderly hypertensive patients is progressive muscle relaxation. Objective: Describe the results of blood pressure comparison before and after the application of Progressive Muscle Relaxation in the elderly. Method: This study used a descriptive research design with a case study approach by observing blood pressure in 2 elderly respondents, carried out 2x a day for 3 consecutive days within 15 minutes. The instruments used were observation sheets, Blood Pressure Monitors, and stopwatches. Results: There is a decrease in blood pressure after giving Progressive Muscle Relaxation to Mrs. D from grade 1 hypertension to normal and in Mrs. S from grade 2 hypertension to grade 1 hypertension. Conclusion: The application of progressive muscle relaxation therapy can potentially reduce blood pressure in the elderly with hypertension in both respondents.

Chronic Kidney Failure (CKD) is a progressive and irreversible disease characterized by a decrease in the glomerular filtration rate (GFR). In this disease, uremia impairs the kidney's ability to maintain metabolism and water and electrolyte balance. Fatigue is one of the most common symptoms in patients undergoing hemodialysis which impacts quality of life. Progressive muscle relaxation is a type of non-pharmacological nursing intervention that can be used to treat fatigue in CKD patients undergoing hemodialysis. The aim of this research is to determine the application of progressive muscle relaxation therapy to fatigue in CKD patients undergoing hemodialysis therapy. The research design used is a case report. The instrument used to measure the level of fatigue is the Functional Assessment Chronic Illness Therapy (FACIT) fatigue scale. The intervention was carried out for ten to fifteen minutes over three days in the hospital hemodialysis unit and four days at the patient's home. Evaluation of respondents' level of fatigue was carried out on days 1, 5, and 8. The results of this study showed that the fatigue level score after intervention on day 1 was 16 (severe category), the score on day 5 was 20 (moderate category), and day 8 was 24 (moderate category). It can be concluded that progressive muscle relaxation therapy can reduce fatigue in CKD patients undergoing hemodialysis. The results of this research can be applied independently by nurses for CKD patients undergoing hemodialysis to reduce fatigue levels.

The proportion of the elderly population is increasing every year, and the elderly are experiencing various changes, both in physical, mental and social aspects. The elderly are residents aged over 60 years. Elderly people often experience various psychological problems such as loneliness, isolation, helplessness, lack of self-confidence, post-power syndrome, anxiety disorders and depression. Depression is a mood disorder that can cause prolonged feelings of sadness and persistent loss of interest, characterized by prolonged sadness, mood swings, and lack of interest in activities. The tool used to measure the level of depression in this case report uses the GDS (Geriatric Depression Scale) instrument. In this case report, the results of an assessment of one 66 year old client were obtained with a GDS score of 11 which indicated moderate depression. Management of depression can use pharmacological or non-pharmacological therapy. This case report refers to the Indonesian Nursing Intervention Standards (SIKI) using progressive muscle relaxation (ROP). The ROP intervention was carried out at BPSTW Abiyoso Wisma Talkondo for seven days with three evaluations. The results obtained were that the client experienced a decrease in the level of depression with a score of 5, namely mild depression. It can be concluded that ROP is effective in reducing depression levels in the elderly.

Diabetes Mellitus is a chronic, progressive disease characterized by the body's inability to metabolize carbohydrates, fats and proteins, leading to hyperglycemia. DM can be associated with serious complications such as kidney damage, eye problems, cardiovascular disease, nerve damage and skin and foot problems, so DM sufferers need to take precautions to avoid complications. Foot exercise is a type of foot exercise performed by diabetics which can increase peripheral perfusion and thus prevent worsening of diabetic neuropathy. Foot exercise can also reduce the risk and progression of peripheral neuropathy because it can improve blood flow to the periphery, increase muscle strength and improve motor function. Objective: to determine the effect of foot exercise on motor neuropathy in type 2 DM patients. Method: The design in this study used a quasi-experimental approach using a one group pretest posttest design. The sample for this research was 18 respondents. Data analysis used the paired sample t-test. Results: based on the results of statistical tests using the Paired Samples t Test, the resulting P value is 0.000 < 0.05, where it can be concluded that there is an influence of foot exercise on Motor Neuropathy in type 2 DM patients. Conclusion: It can be concluded that there is an influence of foot exercise on Motor Neuropathy in type 2 DM patients in the working area of Benteng Sukabumi City Health Center.

This study aims to determine the effect of a combination of Progressive Muscle Relaxation (PMR) exercises and back massage on blood pressure in hypertension sufferers in the RW001 Sarua Indah Ciputat area, South Tangerang. This research uses a descriptive study type of research with a quantitative approach. The appropriate method for this research is the pre-experimental research method. Design Pre-experimental design is a design that includes only one group or class that is given pre- and post-tests (Sugiyono, 2014). This research design only uses a single group, so it does not require a control group. Before being given treatment, the experimental group first underwent a pretest, followed by action (intervention), namely using a combination of Progressive Muscle Relaxation and Back Massage exercises, then continued with giving a posttest.

Background: Type 2 diabetes mellitus is a metabolic disorder characterized by an increase in blood sugar due to decreased insulin secretion by pancreatic beta cells or insulin resistance. Difficulty controlling blood sugar levels is a problem experienced by every person with type 2 diabetes mellitus. Several reasons cause uncontrolled blood sugar levels, such as the patient not wanting to exercise, poor diet and negligence in treatment. Management of diabetes mellitus can be done with non-pharmacological therapy in the form of physical exercise. Physical activity will make the body's metabolism work more optimally which will result in blood glucose levels being controlled so that holistic treatment is needed. One of the non-pharmacological physical exercise therapies that can be given to diabetes mellitus sufferers is progressive muscle relaxation techniques. Research method: Implementing Progressive Muscle Relaxation Therapy in Type II Diabetes Mellitus patients to reduce Blood Glucose Levels. Research results: The results of implementation and evaluation for 3 days with Progressive Muscle Relaxation Therapy intervention showed objective and subjective changes in Type II Diabetes Mellitus patients as well as changes in blood glucose levels before and after being given Progressive Muscle Relaxation Therapy. Conclusion: There is a decrease in Blood Glucose Levels after Progressive Muscle Relaxation Therapy.

Insomnia is one of the main disorders in initiating and maintaining sleep among the elderly. Insomnia is defined as a complaint about a lack of quality sleep caused by one of the reasons why it is difficult to get into sleep, frequent awakenings at night and then difficulty getting back to sleep, waking up too early, and not sleeping well. The poor quality of sleep in the elderly is caused by increased sleep latency, reduced sleep efficiency and early awakening due to the aging process. The purpose of this study was to determine the effect of progressive muscle relaxation therapy on insomnia in the elderly in posbindu, patikraja village. This type of research is one group pretest-posttest with pre-experimental. The sample size used in this study was 19 respondents. The sampling technique used is purposive sampling. Methods of data collection using a questionnaire. The statistical test used in this study was the Wilcoxon Sign Rank Test with 0.05. The results of this study note that there are differences before and after being given progressive muscle relaxation therapy. The results of the analysis of the Wilcoxon Sign Rank Test obtained a p value of 0.000 <0.05, meaning that there is an effect of progressive muscle relaxation therapy on changes in insomnia in the elderly in Posbindu, Patikraja Village.