Publication Search

Hypertension is one of the most common chronic diseases among the elderly and is often accompanied by insomnia. This condition can increase anxiety and reduce quality of life. Progressive Muscle Relaxation (PMR) is an effective non-pharmacological therapy to lower blood pressure and improve sleep quality. This paper describes nursing care for elderly patients with hypertension and insomnia through PMR application at RSUD Embung Fatimah Batam City in 2025. A case study approach was used through the nursing process, including assessment, nursing diagnosis, intervention, implementation, and evaluation. The main nursing diagnosis was sleep pattern disturbance related to physical discomfort and anxiety. Interventions included education and PMR exercises for six consecutive days. Results showed blood pressure decreased from 180/100 mmHg to 130/80 mmHg, sleep quality improved from difficulty sleeping to 6–7 hours per night, and anxiety levels reduced. Progressive muscle relaxation therapy proved effective as an independent nursing intervention to reduce blood pressure and improve sleep quality in elderly patients with hypertension and insomnia. Nurses should use this therapy as a routine non-pharmacological intervention in gerontological nursing practice.

Depresi merupakan salah satu permasalahan kesehatan yang sering ditemukan pada lansia di Indonesia. Depresi pada lansia dapat menyebabkan dampak yang besar bagi lansia, antara lain dapat menurunkan kemampuan, kemandirian, dan penurunan fungsi tubuh lansia dalam melakukan aktivitas sehari-hari, menurunkan kemandirian dan kualitas hidup lansia serta kesedihan ditinggal orang yang dicintai, factor kepribadian, genetik, dan faktor bilogis penurunan neuron-neuron dan neurotransmitter. Salah satu cara untuk mengatasi depresi pada lansia adalah dengan memberikan terapi progressive muscle relaxation (PMR). Penelitian ini bertujuan untuk mengetahui pengaruh terapi progrssive muscle relaxation (PMR) terhadap penurunan tingkat depresi pada lansia di Panti Rumah Kasih Emaus Pangkalan Baru Tahun 2024. Penelitian ini menggunakan desain pre-eksperimental one group pre test dan post test. Penelitian ini dilakukan pada 11 lansia di Panti Rumah Kasih Emaus Pangkalan Baru Tahun 2024. Peneliti melakukan pengukuran awal depresi, setelah itu melakukan terapi Progressive muscle relaxation (PMR) selama 20-30 menit, dan dilanjutkan dengan melakukan pengukuran akhir. Data yang sudah terkumpul kemudian dilakukan analisis secara univariat dan bivariat dengan paired t-test. Hasil penelitian menunjukan nilai rata rata depresi lansia pre test adalah 7,27 setelah lansia diberikan terapi progressive muscle relaxation (PMR), nilai tingkat depresi lansia mengalami penurunan menjadi 3,36. Hasil uji paired t-test didapatkan nilai p-value= 0,001 < 0,05, sehingga dapat disimpulkan bahwa ada pengaruh terapi progressive muscle relaxation (PMR) terhadap penurunan tingkat depresi pada lansia di Panti Rumah Kasih Emaus Pangkalan Baru Tahun 2024. Diharapkan bagi panti lansia bisa menyediakan program terapi progressive muscle relaxation (PMR) secara teratur, yang dapat membantu meningkatkan mood dan kesejahteraan fisik lansia.

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.    

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.

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.

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.

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.

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.

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.    

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.