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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.

Cancer is a condition in which cells have lost their normal controls and mechanisms, resulting in abnormal, fast and uncontrolled growth and threatens the lives of sufferers. Central Java ranks second in the highest cancer prevalence in Indonesia with a prevalence of 2.1% after Yogyakarta (4.9%). Meanwhile in the city of Semarang, there were 3,590 cancer sufferers recorded. At the SMC Telogorejo Hospital, cancer cases were recorded in 2020 as many as 1361 patients, then in 2021 there were 1261 patients and in 2022 there were 1125. The management of cancer patients is one of them with chemotherapy which can have a sleep disturbance effect. Handling sleep disorders can be done with a non-pharmacological approach, one of which is Progressive Muscle Relaxation. This study aims to determine the effect of Progressive Muscle Relaxation on sleep quality in cancer patients undergoing chemotherapy at the SMC Telogorejo Hospital. This research is a quasi-experimental design with one group pre test-post test design. the sample in this study amounted to 39 respondents using a purposive sampling technique. The results of the study based on the Wilcoxon test showed that there was an effect of progressive muscle relaxation on the sleep quality of cancer patients undergoing chemotherapy at SMC Telogorejo (p = 0.000), where the sleep quality of patients before being given progressive muscle relaxation averaged 7.85 in the category of poor sleep quality, then after being given progressive muscle relaxation an average of 4.26 was obtained in the category of good sleep quality. Therefore nurses need to apply Progressive Muscle Relaxation as a relaxation method for treating sleep disorders.

Stress can worsen disease and reduce quality of life in patients with chronic diseases. This is because a chronic illness that is suffered for a long time will disrupt all aspects of life, including financial problems, career, role disorders, and including psychosocial problems. The aim of this community service is to increase the knowledge and abilities of chronic disease sufferers regarding stress management through training activities.The results of a preliminary study through interviews with cadres, residents and community health center officers show that mental health services are not yet optimal, especially for people with chronic illnesses. People, especially those suffering from chronic diseases, do not yet know about stress management techniques and there is no special program from the Community Health Center for health services for patients experiencing psychosocial problems. Health services are only provided to patients with serious mental disorders. The activity method used to overcome the problem is 1) Education through counseling to community groups suffering from chronic diseases and about psychosocial problems such as stress and ways to reduce and overcome it. 2) Training and Demonstration, after being given education through partner counseling, demonstrations of deep breathing and muscle relaxation are given. 3) Evaluation to determine the extent of the program's success and to ensure the sustainability of the program. Evaluation activities will be carried out using instruments to measure the partner's level of knowledge and skills. Activities continued with consolidation with the community health center and village government for the sustainability of the mental health service program, including the psychosocial early detection program.The results of the education were that participants' knowledge about stress management increased by almost 95%, participants were able to carry out deep breathing and progressive muscle relaxation techniques independently and stated their attitude that they would apply them at home.

Breast cancer occurs due to abnormal, uncontrolled, and irregular cellular growth in the breast. The management of breast cancer includes surgery, chemotherapy, radiation therapy, hormonal therapy, immunotherapy, and bone marrow manipulation. The physical impacts of chemotherapy include sleeping problems and fatigue. The non-pharmacological efforts to relieve this fatigue include progressive muscle relaxation (PMR). The research objective was to determine the effect of Progressive Muscle Relaxation (PMR) on the level of fatigue in breast cancer patients undergoing chemotherapy. The research design was a pre-experimental one group pre-posttest design. The population is breast cancer patients undergoing chemotherapy as many as 35 patients. The number of respondents is 35 respondents. The sampling technique used is total sampling. The research instrument used is the Fatigue Assessment Scale (FAS). The test used is the Wilcoxon test. The results showed that there was an effect of Progressive Muscle Relaxation (PMR) on the level of fatigue in breast cancer patients undergoing chemotherapy with a p value = 0.000 (<0.05). The research recommendation is Progressive Muscle relaxation (PMR) intervention as a non-pharmacological intervention to reduce the fatigue level of breast cancer patients undergoing chemotherapy in health services.

Hypertension is a non-communicable disease which is one of the main causes of death in the world. A person can be said to be diagnosed with hypertension if the systolic blood pressure is at a level of 140 mmHg or more and the diastolic blood pressure is at a level of 90 mmHg or more. Interventions that can be done in preventing and reducing high blood pressure by providing education on controlling progressive muscle relaxation exercises. This study aims to determine the effect of Progressive Muscle Relaxation Exercises on reducing blood pressure in the working area of the Kopeta Health Center, Alok District, Sikka Regency. Methods of data collection techniques through observation, interviews, physical examination and documentation. The results of data analysis showed several diagnoses, namely health behavior tends to be risky, risk of decreased cardiac output, readiness to increase knowledge. Hypertension education with control using progressive muscle relaxation is one of the non-pharmacological interventions that can be used to reduce blood pressure. Conclusion: based on the results of the case evaluation conducted, it was found that the application of progressive muscle relaxation exercises can lower blood pressure slowly, besides that this intervention can have a relaxing effect on Mr. I.B and Mr. F.W.

The third trimester of pregnancy is the gestational age from 29 weeks to about 40 weeks and ends with the baby being born. Pregnant women entering the third trimester of pregnancy will experience lower back pain due to enlarged uterus and changes in the center of gravity causing discomfort in daily activities. One of the treatments to help reduce low back pain in third trimester pregnant women is progressive muscle relaxation. This type of research is quantitative research using quasy experimental with a one groups pre test-post test design approach and sampling using purposive sampling technique. The research location at the Kagok Health Center with 19 respondents. The instrument used to assess dysmenorrhea pain is the Numeric Rating Scale (NRS). The research data were analyzed using a statistical test, namely the Wilcoxon test. The results of this study indicate that there is an effect of giving progressive muscle relaxation measures to the level of dysmenorrhea pain with a p value of 0.00 (<0.05).

Background: The increase in the elderly population can have an impact on many health problems in the elderly, one of which is sleep quality problems. Prevelence in Indonesia the incidence of sleep problems at the age of 60 years and more there is a very high number of cases around 67%. Where sleep quality problems in the elderly can lead to type 2 diabetes mellitus and obesity. Non-pharmacological handling in overcoming sleep quality problems can be through progressive muscle relaxation therapy techniques. Progressive muscle relaxation therapy is able to increase feelings of comfort, and psychological relaxation by improving sleep quality in the elderly.Objective: Knowing the effect of progressive muscle relaxation therapy on sleep quality in the elderly at the Medang Kamolan posyandu, Banyuanyar Village, Surakarta City. Method: This study used the Quasi Experiment Design method with the One Group Pre-Test Post-Test Design design. The sampling technique used was non probability sampling technique with a sample size of 20 elderly people and using the Wilxocon test. Results: The results using the Wilxocon test p-value 0.000. Conclusion: There is an effect of progressive muscle relaxation therapy on sleep quality at Posyandu Medang Kamolan, Banyuanyar Village, Surakarta City

Background: Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia. Type 2 diabetes mellitus is the most common type of diabetes mellitus, accounting for about 90% of all diabetes cases. If not treated immediately can cause damage to the eyes, kidneys, heart disease, hypertension, stroke and even cause gangrene. One of the non-pharmacological treatments is progressive muscle relaxation therapy. Objective: To determine changes in blood sugar levels in patients with type 2 diabetes mellitus before and after progressive muscle relaxation therapy. Method: Descriptive method with a case study approach to 2 respondents in Jengglong Hamlet, Karanganyar Regency. The duration of giving progressive muscle relaxation therapy to respondents was 20 minutes in the morning and evening for 7 days from 25 May 2023 to 31 May 2023. Results: The blood sugar levels of the two respondents before applying progressive muscle relaxation therapy were 243 mg/dL and 255 mh/dL. After application, blood sugar levels dropped to 167 mg/dL and 221 mg/dL. Conclusion: The application of progressive muscle relaxation is able to reduce blood sugar levels in both type 2 diabetes mellitus patients in Jengglong Hamlet, Karanganyar Regency.

Background; Hypertension is a "sillent killer" disease that is mostly experienced by the elderly. According to data from the World Health Organization (WHO) in 2021, the prevalence is 1.28 billion people with hypertension aged 30-79 years. The prevalence of the elderly in the world and Indonesia continues to increase because the elderly experience a decline in physical conditions, including the cardiovascular system, which increases the risk of degenerative diseases such as hypertension. Therefore, progressive muscle relaxation can be used as an alternative therapy for the elderly with hypertension. The Objectives of the research; Knowing the results of the implementation of progressive muscle relaxation on blood pressure in the elderly with hypertension. Method; This application uses a case study method by observing blood pressure in two elderly respondents. The instruments used are observation sheets, sphygmomanometer, and stopwatch. Results; After application for 20 minutes with a frequency of four times a week for two consecutive weeks showed a decrease in blood pressure in both respondents to prehypertension. Summary; Progressive muscle relaxation therapy can potentially reduce blood pressure in the elderly with hypertension.

Hypertension is a condition where the systolic pressure is above 140 mmHg, while the diastolic pressure is above 90 mmHg. Some hypertension patients often complain of headache, weakness, fatigue, shortness of breath, restlessness, nausea and vomiting, epistaxis and decreased consciousness. This can cause sleep problems in hypertensive patients. Sleep disorders are a collection of conditions characterized by disturbances in the amount, quality or timing of sleep in an individual. One technique to improve sleep quality is progressive muscle relaxation therapy and murotal Al-Quran.This research method uses Pre-Experimental with one group pre-post test approach. The population is 40 respondents and uses a total sampling (technique).The instrument used was a sleep quality questionnaire, measured by the Indonesian version of the Pittsburgh Sleep Quality Index (PSQI), then data were collected through Editing, Coding, Scoring, and Tabulating processes. The data obtained were analyzed using the Wilcoxon test.The results showed that the average value of sleep quality before progressive muscle relaxation and murotal Al-Quran therapy was performed was 8.30, while after progressive muscle relaxation and murotal Al-Quran the average value of sleep quality was 6.08. The results of the analysis test showed that there was an effect of progressive muscle relaxation therapy and murotal Al-Quran on improving sleep quality of hypertensive patients with -value = 0.000 <α = 0.05. This therapy performs 15 relaxation movements accompanied by the sound of murotal Al-Quran which makes a person relax and calm so that this calmness acts as a pain reliever that makes the patient happy and gives positive energy in a person. this makes the mood to be happy so as to create a good quality sleep.   Keywords: Hypertension, sleep quality, progressive muscle relaxation therapy and murotal Al-Quran.  

Background: Stroke is one of the main health problems for the community because stroke can cause damage to the brain that appears suddenly, progressively, and quickly due to non-traumatic brain blood circulation disorders. Purpose: To conduct an analysis of managed cases with a medical diagnosis of hemorrhagic stroke with innovative mobilization therapy (Passive ROM) and tactile stimulation for upper limb recovery in the HCU Room of Prof. Dr. H. Aloei Saboe City of Gorontalo Methods: This research is a quasi-experimental design with pre and post test. To determine the effect of providing innovative mobilization therapy (Passive ROM) and tactile stimulation to hemorrhagic stroke patients in the HCU Room of Prof. Dr. H. Aloei Saboe City of Gorontalo. The sample used in this study were 5 patients with the sample criteria being patients who had hemorrhagic strokes who were treated in the HCU Room at Prof. Hospital. Dr. H. Aloei Saboe Gorontalo City, patients who experience hemiparesa, patients have awareness of compos mentis. Results: Implementation of innovation in Mrs.FK On the first day the Ara test score was 0 until the third day there was no increase in the Ara test value which was still 0. Mr. RA on the first day the Ara test value was 1, on the third day the Ara test value increased enough to be 2. On Mr. UT on the first day the Ara test value was 0, on the third day the Ara Test value was 1. Mr. AH on the first day the Ara test value was 0, on the third day the Ara Test value was still 0. Mr. MH on the first day the Ara test value was 1, on the third day the Ara Test value increased to 2. Conclusion: Based on the research conducted, it was found that 5 respondents from the results of the study had the same complaint, namely experiencing weakness/hemiparesis of the upper extremities. The client's upper extremity muscle strength is 1/5, 3/4, 2/4, 4/2, 4/5, when the motor function test is carried out by holding the researcher's hand the client is unable to grip,

Background- Elderly is a transitional period in which a person experiences a decrease in the body's abilities physically and psychologically. One of changes that occurred significantly was the psychological condition of anxiety. Progressive muscle relaxation therapy can prevent anxiety by regulating the parasympathetic nervous system and the hypothalamus to increase positive attitudes so that stressor activation in the hypothalamus is minimized. Purpose: This case study aims to determine the effectiveness of progressive muscle relaxation therapy in reducing anxiety in the elderly. Method: This study used a method in the form of a case study on one patient. Previously, the patient's anxiety level was measured using the Hamilton Anxiety Rating Scale questionnaire and then given progressive muscle relaxation therapy intervention for 7 days on a regular basis and then observed on the 4th and 7th day to assess the effectiveness of the intervention. Results: The results of the study showed that after therapy, the anxiety level of the elderly decreased from moderate anxiety (score 24) to mild anxiety (score 16) within 7 days of the intervention. Conclusion: There is an effect of progressive muscle relaxation therapy on the level of anxiety in elderly.

Symptoms of stemi can cause patients to feel more anxious, this anxiety can be overcome pharmacologically and nonpharmacologically. However, pharmacological therapy can cause various side effects. Therefore, nonpharmacological therapies can be recommended including progressive relaxation techniques. The purpose of this study was to determine the application of progressive muscle relaxation therapy to anxiety using the HARS scale in stemi patients in the CVCU Room of Prof. Aloei Saboe Hospital. Pre-experimental research method with one group pre post test design, a sample of 4 people who met the sample criteria, the instrument used HARS (Hamilton Anxiety Rating Scale) and the data analysis used was univariate analysis. The study findings are that progressive relaxation techniques carried out by researchers for 3 days can reduce the HARS score of the first patient from a score of 11 to 4, the second patient from a score of 12 to 6, the third patient from a score of 13 to 7 and the fourth patient from a score of 12 to 6, so that progressive muscle relaxation therapy can be applied in reducing anxiety of stemi patients in the CVCU Room of Prof. Aloei Saboe Hospital. The implication of this study is that the nursing profession is expected to improve the provision of nursing interventions in carrying out the nursing care process comprehensively, namely from bio to psychosocial patients so that it can help patients overcome psychosocial problems in this case the anxiety experienced by patients.    

Introduction : Hypertension is a non-communicable disease which is a serious health problem because its prevalence continues to increase. Hypertension often does not show signs and symptoms, so it is often called the silent killer of death and is one of the main triggers for diseases such as heart disease, stroke and kidney disease. Method: Research design is a strategy used in research to achieve the goals of the researcher. The research design of the Nursing Final Scientific Work is pre-experimental with the pretest-posttests one group design approach. Results: showed that before giving Progressive Muscle, the blood pressure of Client 1 was 160/100 mmHg, Client 2 was 150/100 mmHg, and Client 3 was 180/100 mmHg. And after being given juice for 3 consecutive days, the blood pressure of client 1 was 130/100 mmHg, Client 2 was 130/90 mmHg, and Client 3 was 140/100 mmHg. Conclusion: The overall evaluation results after nursing actions are carried out, namely observing that the patient's blood pressure decreases, the patient can feel pain independently, as well as health education for patients and their families. Families can care for patients suffering from hypertension                            

Patients with Sectio Caesarea in some cases have worsened so they have to be rushed to the ICU to get intensive care. This case study aims to obtain an overview of the application of progressive mobilization to improve functional status and muscle strength in post-sectio patients with eclampsia in the ICU. This case study uses a descriptive design. The application of progressive mobilization performed on patients has been successfully implemented up to level 3. The results of this case study found that progressive mobilization can increase muscle strength from 0 to 56 and functional status from 0 to 65, and can reduce the risk of ICU-AW, speed up the length of release ventilator. Progressive mobilization is effective in increasing muscle strength, and functional status, and can improve the improvement of hemodynamic status and oxygenation status, and prevent the occurrence of ICU-AW. Progressive mobilization can be implemented immediately to shorten the length of stay in the ICU.    

The main problems that often occur in people with Diabetes Mellitus (DM) are stress and an increase in blood sugar. Uncontrolled stress for a long time can lead to an increase in blood sugar levels, which can lead to various complications. One of the physical activities that can be done with relaxation is Progressive Muscle Relaxation (PMR) is an intervention that can be done in people with diabetes. The purpose of the study was to determine the effect of Progressive Muscle Relaxation (PMR) on increasing stress and blood sugar levels. The research design used a quasi-experimental approach with a pre-post-test control group design approach. The sample consisted of 36 respondents who were divided into 18 intervention groups and 18 control groups. The group was given a therapeutic intervention for 1 week with a duration of 2 times a day, namely in the morning and afternoon for 10-15 minutes. The instruments used are a glucometer, blood sugar level observation sheet, and Diabetes Distress Scale (DDS) questionnaire. Data analysis used the Wilcoxon test and Paired t-test to see pair data. Then for the research group, the data used the Man-Whitney Test. The results showed that there was a significant effect on decreasing blood pressure (p=0.013) and that there was an effect on decreasing blood sugar levels (p=0.034). Conclusion: Progressive Muscle Relaxation (PMR) affects reducing stress and blood sugar levels in Type 2 DM patients.

COVID-19 was first detected in Wuhan, Hubei Province, China. The virus spread rapidly, prompting the World Health Organization (WHO) to classify COVID-19 as a global pandemic. In Indonesia, the virus spread at a fast pace. According to WHO data, there have been 6,535,354 COVID-19 cases globally, with 387,155 deaths. A total of 216 countries, including Indonesia, have been affected by this virus. In Indonesia, there have been 29,521 confirmed cases with 1,770 deaths, while in West Nusa Tenggara (NTB), 798 cases and 22 deaths have been reported. The high number of cases has placed significant stress on the public, both mentally and physically, due to the pressures brought on by the pandemic. This study employed a Quasi-Experimental design with a sample size of 50 respondents, selected using the purposive sampling technique. The study aimed to assess the impact of progressive muscle relaxation techniques on reducing stress levels in the community of Kepulauan Yapen Regency. Based on statistical tests, the average stress score before the intervention was 16.80, which decreased to 11.58 after the intervention with progressive muscle relaxation techniques. There was an average reduction of 5.16 in stress scores, with a p-value of 0.000 <α= 0.05. Conclusion: This study concluded that progressive muscle relaxation therapy has a significant effect on reducing stress levels in the community during the COVID-19 pandemic in Kepulauan Yapen Regency.

COVID-19 was first detected in Wuhan, Hubei Province, China. The virus spread rapidly, prompting the World Health Organization (WHO) to classify COVID-19 as a global pandemic. In Indonesia, the virus spread at a fast pace. According to WHO data, there have been 6,535,354 COVID-19 cases globally, with 387,155 deaths. A total of 216 countries, including Indonesia, have been affected by this virus. In Indonesia, there have been 29,521 confirmed cases with 1,770 deaths, while in West Nusa Tenggara (NTB), 798 cases and 22 deaths have been reported. The high number of cases has placed significant stress on the public, both mentally and physically, due to the pressures brought on by the pandemic. This study employed a Quasi-Experimental design with a sample size of 50 respondents, selected using the purposive sampling technique. The study aimed to assess the impact of progressive muscle relaxation techniques on reducing stress levels in the community of Kepulauan Yapen Regency. Based on statistical tests, the average stress score before the intervention was 16.80, which decreased to 11.58 after the intervention with progressive muscle relaxation techniques. There was an average reduction of 5.16 in stress scores, with a p-value of 0.000 <α= 0.05. Conclusion: This study concluded that progressive muscle relaxation therapy has a significant effect on reducing stress levels in the community during the COVID-19 pandemic in Kepulauan Yapen Regency.

Old age is a final stage in the span of human life. Health problems that are often found in the elderly, one of which is psychological disorders, namely anxiety, depression, readiness. These psychological disorders usually cause the emergence of sleep disorders, namely insomnia. Insomnia has an impact on physical effects, namely fatigue and muscle pain. The combination of progressive relaxation techniques and keroncong music is a non-pharmacological therapy given to clients by tensing certain muscles and then relaxing chili sauce accompanied by keroncong music. The purpose of this study was to determine the effect of a combination of progressive relaxation therapy and keroncong music on insomnia in the elderly at the Setya Manunggal III Posyandu, Semarang Regency. This type of research is a quasi-experimental approach with a one group pre-post-test design without control approach. The population of the study was the active elderly who were registered at the Setya Manunggal III Posyandu Lansia as many as 33 elderly. The research sample was determined by purposive sampling by taking into account certain criteria, namely: 1) the elderly who were registered at the Setyamanunggal III Posyandu, 2) aged 60-74 years. 3) Does not experience limitations or paralysis of limbs 4) Likes keroncong music. The exclusion criteria set included: 1) Elderly people with dementia 2) Elderly people who received medication to help sleep/anti-depressants/sedatives 3) Elderly people with total hearing loss. Insomnia measuring instrument using the KSBPJ Questionnaire. The results showed that there was an effect of Combination of Progressive Relaxation Therapy and Keroncong Music on insomnia in the elderly with a t value of 16,142 > t table.