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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.

Hypertension is a non-communicable disease that can lead to cardiovascular complications and requires both pharmacological and non-pharmacological management. One of the non-pharmacological therapies that can be applied is warm water foot soaking and progressive muscle relaxation, which may help reduce blood pressure through peripheral vasodilation, stimulation of the parasympathetic nervous system, and decreased sympathetic nervous system activity. This study aimed to analyze the implementation of nursing care through warm water foot soaking therapy and progressive muscle relaxation to reduce blood pressure in patients with hypertension. The method used was a case study with a pre-experimental design using a one group pre-test post-testapproach involving three hypertensive patients, with the intervention administered once daily for three days. The results showed a decrease in blood pressure in all patients. The average systolic reduction was 5.3 mmHg, 12.3 mmHg, and 5.6 mmHg, while the diastolic reduction was 1.6 mmHg, 2.6 mmHg, and 4 mmHg, respectively. In addition, all patients reported a reduction in pain scale. It can be concluded that warm water foot soaking therapy combined with progressive muscle relaxation is effective as a complementary nursing intervention to help reduce blood pressure in patients with hypertension.

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.

Knee osteoarthritis is one of the most prevalent musculoskeletal disorders in the elderly, characterized by progressive degeneration of articular cartilage, chronic pain, joint stiffness, and reduced functional capacity. In Indonesia, the prevalence of knee osteoarthritis is notably high, affecting over 30% of individuals aged above 60 years. This condition leads to significant health burdens, impaired quality of life, and increased economic costs. Non-pharmacological management strategies such as hydrotherapy and quadriceps exercise are widely recommended to relieve pain and improve joint function. Hydrotherapy utilizes the physical properties of water including buoyancy, hydrostatic pressure, viscosity, and warmth to reduce joint loading, enhance circulation, and promote relaxation. Quadriceps exercise, on the other hand, focuses on strengthening the quadriceps muscle to stabilize the knee joint, thereby reducing pain and improving functionality. The combination of these two interventions is expected to provide greater benefits than a single modality. Research Design: This study employed a quasi-experimental design with a one-group pre-post test approach on 12 elderly respondents with knee osteoarthritis at OSF Magdalena Daemen BSB Convent. Pain was measured using the Visual Analogue Scale (VAS) before and after the intervention, which consisted of hydrotherapy and quadriceps exercise administered twice a week for four weeks. Results: The findings showed a decrease in the mean pain score from 4.42 to 3.08, with the Wilcoxon test yielding p = 0.001 (p < 0.05), indicating a significant difference in pain levels before and after the intervention. Conclusion: The combination of hydrotherapy and quadriceps exercise is effective in reducing pain in patients with knee osteoarthritis.

Hypertension is an increase in systolic blood pressure of more than 140 mmHg or diastolic blood pressure of more than 90 mmHg. Hypertension is not only at high risk of suffering from heart disease, but also suffering from other diseases such as nerve, kidney, and blood vessel diseases and the higher the blood pressure the greater the risk, Signs and symptoms of hypertension that are often felt are dizziness, sleep disturbances, blurred vision, and headaches. One of the non-pharmacological treatments that can be done for hypertension sufferers is progressive muscle relaxation. The purpose of this paper is to discuss progressive muscle relaxation therapy for lowering blood pressure in hypertensive patients. The writing method uses a descriptive design with a nursing process approach. The results of the writing show that there is a decrease in blood pressure after progressive muscle relaxation therapy is carried out for 5 days, the results obtained before 150/80 mmHg and after 120/80 mmHg.

This study aims to determine the effectiveness of progressive muscle relaxation techniques in reducing headache pain in hypertensive patients in the inpatient ward of Harapan Anda Hospital in Tegal City. Hypertension is often accompanied by complaints of headaches, which is a significant problem for patients. One non-pharmacological approach that can be used to alleviate headaches caused by hypertension is progressive muscle relaxation therapy. In this study, 55 respondents with hypertension and complaints of headache were involved. The research used a quasi-experimental design with a quantitative approach. Before and after the intervention, patients underwent progressive muscle relaxation therapy for three consecutive days, with a duration of fifteen minutes per session. Pain levels were assessed using a pain scale before and after the intervention. Data analysis was conducted using the Wilcoxon test. The results showed that 53 patients (96%) experienced a decrease in pain levels after the therapy. The average pain scale significantly decreased, with moderate pain levels reducing from 89.1% to 3.6%, while mild pain increased from 10.9% to 85.5%. The Wilcoxon test results indicated a p-value of 0.000 (p < 0.05), indicating that progressive muscle relaxation therapy is effective in reducing headache pain in hypertensive patients. This therapy has been shown to be a simple, safe method that can be applied both independently by patients and in healthcare services. Therefore, progressive muscle relaxation can be an effective alternative in managing headaches in hypertensive patients.

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.

Psychological fatigue is a common condition experienced by nursing students due to heavy academic workload, clinical practice demands, and emotional pressure during the learning process. This condition may negatively affect concentration, learning motivation, and overall mental health. One non-pharmacological intervention strategy proven effective in reducing stress and psychological fatigue is Progressive Muscle Relaxation (PMR) based on Jacobson’s technique. In this community service program, PMR was combined with instrumental music to provide a more optimal relaxation effect and to be easily applied by students independently. The purpose of this activity was to provide education, training, and hands-on experience for students in practicing Self-Guided PMR combined with instrumental music as a preventive and promotive effort for mental health. The program was carried out on Thursday, August 14, 2025, involving 15 nursing students as participants. The stages of implementation included delivering material on PMR concepts and mental health, demonstrating Jacobson’s technique, independent practice of PMR with instrumental music, and a reflection session to explore participants’ experiences. The evaluation results indicated that most students reported feeling calmer, more relaxed, experiencing reduced muscle tension, and decreased symptoms of psychological fatigue after the intervention. In addition, students stated that this technique was easy to practice independently, making it a potential simple strategy to maintain mental health throughout their nursing studies. In conclusion, the implementation of Self-Guided PMR based on Jacobson’s technique combined with instrumental music was effective in reducing psychological fatigue among nursing students and in increasing awareness of the importance of independent relaxation practice as part of maintaining mental and physical balance.

Hypertension, commonly known as high blood pressure, is a condition where blood pressure in the blood vessels consistently exceeds the normal range of 140/90 mmHg. Central Java Province has the highest prevalence of hypertension in Indonesia, at 13.4%. In 2020, Purbalingga Regency reported 268,936 cases of hypertension. According to data from the Bojongsari Health Center, there were 11,596 hypertension patients in 2023. Among the 13 villages in Bojongsari District, there are villages that have experienced an increase in hypertension cases of over 20% annually, one of which is Karangbanjar Village, with 542 cases of hypertension in 2022 and an increase to 858 cases (26%) in 2023. Hypertension treatment can be done through complementary therapy such as progressive muscle relaxation therapy and hydrotherapy. This Community Service Program (PkM) was attended by 20 participants. The results from the pre-test to the post-test showed an increase in the average score, from 59 to 81.5. The evaluation of participants' skills indicated an improvement, with 90% in the “good” category and 10% in the “adequate” category. In addition, there was a significant change in participants' blood pressure after receiving therapy. This activity was carried out using lectures and discussions, with PowerPoint presentations, leaflets, and videos demonstrating how to perform progressive muscle relaxation therapy and hydrotherapy. This educational activity showed an increase in knowledge among the elderly in performing progressive muscle relaxation therapy and hydrotherapy to reduce hypertension.

Osteoporosis is a metabolic bone disorder characterized by a decrease in bone density and strength, making bones more fragile and susceptible to fractures. People with osteoporosis often complain of pain. One of the pain management methods for osteoporosis patients is progressive muscle relaxation. This community service activity empowers the public to practice progressive muscle relaxation techniques. The pre-test results showed that the majority of the community’s knowledge about osteoporosis and pain management was in the poor category, at 79.5%. After education and simulation of the progressive muscle relaxation technique were conducted, there was an increase in the community’s knowledge about osteoporosis and pain management, with 61.4% in the good category. The conclusion of this community service activity is that empowering the community to independently perform progressive muscle relaxation techniques is very beneficial in reducing pain in people with osteoporosis.

Osteoporosis is a metabolic bone disorder characterized by decreased bone density, resulting in brittle, porous, and easily broken bones. This condition is more common in the elderly, especially women over 60 years of age, due to hormonal changes, the aging process, and lifestyle factors. Common clinical manifestations experienced by sufferers include back pain that can interfere with daily activities and reduce quality of life. Osteoporosis treatment does not only rely on pharmacological therapy, but can also be done through non-pharmacological therapies such as progressive muscle relaxation techniques that aim to reduce muscle tension and pain perception. This study aims to determine the effect of progressive muscle relaxation techniques on pain reduction in elderly osteoporosis sufferers in Bangun Rejo Village, Tanjung Morawa District, North Sumatra Province. The research method used a quasi-experimental design with a pre-test post-test control group design. The study involved 28 elderly respondents who met the inclusion criteria, divided into two groups: an experimental group that received progressive muscle relaxation intervention and a control group that did not receive intervention. The intervention was carried out in a structured manner according to standard procedures throughout the study period. Pain levels were measured using a numeric pain scale before and after treatment. Data analysis showed a significant reduction in pain levels in the experimental group compared to the control group, with a p-value of 0.040. These results indicate that progressive muscle relaxation techniques are effective as a non-pharmacological method for reducing pain in elderly people with osteoporosis. The findings of this study are expected to provide input for healthcare professionals, particularly nurses, in developing simple, safe, and affordable interventions to improve the quality of life of elderly people with osteoporosis, as well as encourage the routine implementation of this therapy in primary and community healthcare settings.

Chronic Kidney Failure (CKD) is a condition of permanent and progressive decline in kidney function. CKD patients undergoing hemodialysis often experience sleep disturbances, which impact their physical and psychological condition. Non-pharmacological interventions such as deep breathing relaxation and lavender aromatherapy can be alternative therapies to address these disorders. This study analyzes nursing care for sleep disturbances in CKD patients undergoing hemodialysis and evaluates the effectiveness of deep breathing relaxation therapy combined with lavender aromatherapy inhalation. This study used a case study approach with three CKD patients undergoing hemodialysis and experiencing sleep disturbances. The intervention was carried out for three days with a combination of deep breathing relaxation therapy and lavender aromatherapy inhalation. After three days of intervention, complaints of insomnia decreased in all three patients. The sleep pattern score increased to 5, indicating undisturbed sleep patterns. Deep breathing relaxation therapy combined with lavender aromatherapy inhalation is effective in addressing sleep disturbances in CKD patients undergoing hemodialysis. This therapy is recommended as an additional intervention in the hospital and should be carried out with family support to increase patient comfort.

Background: Stress faced by students is caused by academic stress, namely stress caused by the learning process on campus and the impact of lectures. Stress with an optimal level can improve learning ability, and excessive stress can cause health problems. One relaxation technique that can be used to reduce stress is PMR (Progressive Muscle Relaxation) therapy. This study aims to determine the Effect of Progressive Muscle Relaxation (PMR) Therapy to Reduce Stress in Nursing Students of STIKes Buleleng in Facing the SKS Load. Method: This study employed a pre-experimental one-group pre-test and post-test design with a total sample of 76 students. Data were collected using the DASS-21 questionnaire. The statistical test used was the Wilcoxon test. Results: The results of this study indicate that the sig. (2-tailed) or p-value = 0.000. Since the p-value is less than 0.05, the null hypothesis (H0) is rejected, and the alternative hypothesis (Ha) is accepted. Conclusion: There is an Effect of Progressive Muscle Relaxation (PMR) Therapy to Reduce Stress in Nursing Students of STIKes Buleleng in Facing the SKS Load.

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.