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Old age is the final phase in the human life cycle, characterised by a decline in physiological function. Global data shows that the prevalence of old age will increase from 33.69 million to 48.19 million by 2035. One of the effects of this decline in physiological function is a disruption in the quality of sleep among the elderly. As many as 50-60% of elderly people in Indonesia experience sleep disorders. One way to overcome sleep disorders is through relaxation therapy. Progressive Muscle Relaxation is a technique performed by stretching and relaxing certain muscles to relax the body. The purpose of this study was to determine the effectiveness of progressive muscle relaxation on the quality of sleep in elderly people. This research method involved a nursing care process from assessment to evaluation using a case study design. The research sample consisted of one elderly person with moderate sleep quality. The intervention was given for 10-15 minutes using eight movements with a frequency of twice a week for one month. The data were analysed using pre-test and post-test PSQI questionnaires to determine sleep quality. The results of this study indicate that progressive muscle relaxation training has an effect on improving sleep quality in the elderly.

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.

Anxiety in third-trimester pregnant women is a common condition that may negatively affect psychological readiness for childbirth. One effective non-pharmacological intervention to reduce anxiety is progressive muscle relaxation therapy. This community service activity aimed to reduce anxiety levels among third-trimester pregnant women through health education and practical training on progressive muscle relaxation therapy. The activity was conducted at PMB Lina Contesa and involved 25 third-trimester pregnant women. The intervention consisted of health education sessions, demonstrations, and guided practice of progressive muscle relaxation therapy. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after the intervention. The results showed a decrease in the mean anxiety scores after the intervention, shifting from moderate anxiety to mild anxiety levels. These findings indicate that progressive muscle relaxation therapy is effective in reducing anxiety among third-trimester pregnant women. In conclusion, health education combined with progressive muscle relaxation therapy is a safe, simple, and effective non-pharmacological approach to reduce maternal anxiety and is recommended to be integrated into antenatal care services at midwifery private practices.