The effect of the progressive muscle relaxation combined withs lavender aromatherapy on insomnia of hemodialysis patients

Abstract

disorder in hemodialysis patients, which will cause a decrease in quality of life. Aromatherapy combined with progressive muscle relaxation are expected to increase the effects of relaxation on the patient so that the patient's sleep quality can improve optimally.Objective: The study aimed to investigate the effect of the progressive muscle relaxation combined with lavender aromatherapy on insomnia among patients undergoing hemodialysis. Material and Methods: The design of this study included a quasi-experiment with a pretest-posttest control group approach. The sample selection was performed using a consecutive sampling technique and involved 50 respondents, divided into two equal control and study group. Patients in study group recommended to do progressive muscle relaxation at least four times per week for three weeks and were told to drop two – three drops lavender aromatherapy on a pillow 30 minutes before bedtime at least 4 nights per week for three weeks. The control group recommended to do muscle relaxation and daily routine care at least four times per week for three weeks. Results: The results showed that both study and control groups were equal in terms of demographics, and scores of insomnia at the baseline. There no significant difference between the mean insomnia scores of two group before intervention, while the difference was statistically significant after the intervention. The mean insomnia scores were lower in study group than in the control group.Conclusion: Progressive muscle relaxation and lavender aromatherapy were effective in decreasing insomnia scores among patients undergoing hemodialysis.

Pemberian Aromaterapi Lavender terhadap Kualitas Tidur Pasien Hemodialisis

“…Indonesian Center for Sustainable Development-2 (ICSD-2) mendefinisikan insomnia sebagai sulit tidur, bangun terlalu pagi, sering terbangun dengan susah tidur, dan insomnia, susah tidur, kurang tidur dan terbangun sebelum tidur yang cukup dapat menyebabkan kantuk disiang hari, suasana hati yang tertekan, kurang energi, gangguan kognitif (kurang fokus), emosi yang labil, disfungsi psikomotor dan penurunan kosentrasi. Akhirnya insomnia pada pasien hemodialisis dengan insufisuensi ginjal menurunkan kualitas hidup, yang berkolarasi positif dengan kelangsungan hidup pasien, membutuhkan perawatan yang tepat sesuai dengan faktor yang mempengaruhi, untuk itu peneliti merasa pentingnya dilakukan penelitian ini sebagai data awal untuk intervensi mengatasi gangguan tidur pada pasien khusunya pasien yang menjalankan hemodialisis sehingga dapat menjadi salah satu tindakkan mandiri keperawatan (Rosdiana & Cahyati 2021). Penggunaan minyak lavender secara inhalasi ini mudah, dari beberapa penelitian sebelumnya memiliki efek positif terhadap keluhan yang dirasakan pasien seperti menurunkan tingkat kelelahan pada pasien hemodialisis (Varaei et al 2021).…”

“…Tingkat pendidikan mayoritas berpendidikan rendah responden dari tidak sekolah sampai dengan SMA. Hasil penelitian menunjukkan responden yang menjalankan hemodialisis lebih dari satu tahun mengalami gangguan tidur dibandingkan yang menjalankan hemodilaisis kurang dari satu tahun, penelitian ini didukung oleh penelitian sebelumnya (Rosdiana & Cahyati 2021).…”

Practice recommendations for the role of physiotherapy in the management of sleep disorders: the 2022 Brazilian Sleep Association Guidelines

“…There are several muscle relaxation techniques, such as progressive muscle relaxation 371,372 , autogenic training 373 , Yoga 374,375 , mindfulness 376,377 and imagery 378 . It is recommended to be performed once during the day and repeated immediately before bed, preferably lying down.…”