Effect of Progressive Muscular Relaxation on Anxiety Levels in Patients With Chronic Kidney Disease Undergoing Hemodialysis in the General Hospital of Tugurejo Semarang, Indonesia

Astuti, Ary; Anggorowati, Anggorowati; Johan, Andrew

doi:10.33546/bnj.88

Cited by 5 publications

(9 citation statements)

References 5 publications

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“…The results of this research in line with the research conducted by Devi (2014) in North Sumatera, obtained the results that the PMR has a significant relationship with decreased anxiety in GGK patients undergoing hemodialysis (Devi & Saharia, 2017). Supported again by research conducted by Astuti (2017) that the PMR is effective in reducing stress to GGK patients undergoing hemodialysis. (Astuti et al, 2017) ACKNOWLEDGEMENT Thank you to the respondents and puskesmas who have given the opportunity to be a research place as one of the supporting facilities.…”

supporting

confidence: 81%

“…According to data from the World Health Organization (WHO), GGK sufferers globally there are more than 500 million people and about 1.5 million people should undergo hemodialysis therapy. (Astuti, Anggorowati, & Johan, 2017).…”

Section: A Introductionmentioning

confidence: 99%

“…Supported again by research conducted by Astuti (2017) that the PMR is effective in reducing stress to GGK patients undergoing hemodialysis. (Astuti et al, 2017) ACKNOWLEDGEMENT Thank you to the respondents and puskesmas who have given the opportunity to be a research place as one of the supporting facilities. Thank to STIKes Awal Bros Batam who has been supporting the progress of this research so it can be a source to the fore in advancing science in the field of health.…”

mentioning

confidence: 99%

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Effect of Progressive Muscle Relaxation on The Level of Anxiety of Haemodialysis Patients at Muhammad Sani Hospital in Karimun

Muchtar¹,

Marlian²

2019

IJECA

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Chronic kidney disease (CKD) has increased these years. Datas from Muhammad Sani Hospital showed number of patients underwent hemodialysis (HD) were 34 in 2015, and has become 77 in April of 2019. One of the replacement therapy in CKD patient was hemodialysis. HD intended to take over renal function to prolong in improve patient’s quality of life. Patients who undergo HD will experience anxiety caused by some stressors, such as pain at the location of needle insertion. One of the approach to overcome patients from the pain in HD is a non-farmacologic one, which is progressive muscle relaxation (PMR). This study intended to find the effect of PMR to the anxiety level of HD patients. It was a quantitative study, with a quasi experiment using pre and post test without control. Sampling method was purposive sampling and the size was 20 respondents. We used Hamilton Anxiety Rating Scale (HARS) to detrrmine the level of anxiety, and the intervention was PMR. Paired T-Test was applied, with a normality test (Shapiro Wilk) previously done. We found that the effect of PMR was significant, with a p-value 0,000 (<0,005) and the mean of the anxiety level before and after intervention were respectively 22,65 and 16,30 From all 14 parameters in the questionnaire, from the highest score found in this study were respectively: Sleep Disorder, Depression, Stress, Sensoric related Symptom and Gastrointestinal related Symptoms. Based on this study,there was significant effect of PMR in decreasing the anxiety level, and so it is recommended to use PMR in overcoming anxiety problem in HD patients

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supporting

confidence: 81%

Section: A Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Effect of Progressive Muscle Relaxation on The Level of Anxiety of Haemodialysis Patients at Muhammad Sani Hospital in Karimun

Muchtar¹,

Marlian²

2019

IJECA

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“…These results are consistent with a study conducted by Astuti, et al stating that progressive muscle relaxation technique can reduce anxiety. 19 In addition, a study by Ain et al also demonstrates similar results reporting that progressive muscle relaxation technique can reduce systolic blood pressure but not the diastolic blood pressure. 20 The mechanism of blood pressure regulation in the body is divided into two types of pressure namely working fast regulation and long term regulation.…”

Section: Discussionmentioning

confidence: 80%

Effects of progressive muscle relaxation technique on affective and somatic signs in nursing students taking objective structured clinical examination

Risdiana

Sandy

Johan

2021

JKKI

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Background: Objective Structured Clinical Examination (OSCE) is an instrument for an evaluation test to asses observable skills. However, this situation of the test can lead to anxiety for students expressed in affective and somatic signs. Progressive muscle relaxation technique is one of non-pharmacology therapies and can be used to decrease the affective and somatic signs in the students. Objective: This study aims to determine effects of the progressive muscle relaxation technique on affective and somatic signs in nursing students when taking the OSCE. Methods: This study was a quasi-experimental with a pre-test and post- group design. Fifty eight participants were selected by inclusion criteria and divided into two groups (a treatment group and a control group). The progressive muscle relaxation before the OSCE was conducted for 30 minutes. Zung’s self-rating anxiety (ZSAS) was applied to measure the affective signs. A sphygmomanometer, manual heart rate palpation, and thorax inspection were used to measure the somatic signs. The data were analysed by using a Wilcoxon test. Results: The Wilcoxon test showed that the effects of progressive muscle relaxation technique on the affective signs indicated p-value of 0.0001 (p<0.005). Then it also affected the somatic signs as occurred in systolic blood pressure with p-value of 0.00, diastolic blood pressure with p-value of 0.004, heart rate with p-value of 0.00, and respiration rate with p-value of 0.00. The affective and somatic signs in the treatment group decreased after the treatment was given. However, they were not found in the control group. Conclusion: There are effects of progressive muscle relaxation technique on affective and somatic signs in nursing students when taking the OSCE. The affective and somatic signs in the treatment group were lower than in the control group.

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“…Studies on the use of PMR to reduce pain in patients undergoing hemodialysis have not been found, especially in Indonesia. PMR has been often used for studies in patients with anxiety [18][19][20][21][22] . Thus, a study needs to conduct on the effect of PMR therapy for pain among hemodialysis clients.…”

Section: Severalmentioning

confidence: 99%

Progressive muscle relaxation to reduces chronic pain in hemodialysis patient

Hasbi¹,

Chayati²,

Makiyah³

2020

medisians

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Background: Hemodialysis is a kidney replacement therapy, but it has many complications identified, one of them is pain. Thus, we need non-pharmacological interventions that can be done by nurses, among them is progressive muscle relaxation (PMR), which is economically-efficient and no side effects.Objective: To determine the effect of progressive muscle relaxation on pain in hemodialysis patients.Methods: This is a quasi experimental design of time series design. The number of samples was 100 patients taken by simple random sampling. Progressive muscle relaxation (PMR) was given every day for 4 weeks. Research instrument applied was Brief Pain Inventory. The data analysis employed independent t-test.Results: There was a decrease in pain level from week to week after the intervention, from the scale of 6 (moderate pain) to scale 3 (mild pain). There was a difference in the level of pain between the intervention group and the control group p <0.001.Conclusion: The therapy of non-pharmacological using a progressive muscle relaxation is proven to reduce pain in hemodialysis patients.

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Effect of Progressive Muscular Relaxation on Anxiety Levels in Patients With Chronic Kidney Disease Undergoing Hemodialysis in the General Hospital of Tugurejo Semarang, Indonesia

Cited by 5 publications

References 5 publications

Effect of Progressive Muscle Relaxation on The Level of Anxiety of Haemodialysis Patients at Muhammad Sani Hospital in Karimun

Effect of Progressive Muscle Relaxation on The Level of Anxiety of Haemodialysis Patients at Muhammad Sani Hospital in Karimun

Effects of progressive muscle relaxation technique on affective and somatic signs in nursing students taking objective structured clinical examination

Progressive muscle relaxation to reduces chronic pain in hemodialysis patient

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