Reduction of Anxiety Levels in Schizophrenia Patients Using Progressive Muscle Relaxation

Yanah kuscianah kuswa(1*)


(1) Eredah Complex Mental Health Hospital, Najran
(*) Corresponding Author

Abstract


Anxiety neurosis is the most common mental disorder in society. Progressive muscle relaxation is an independent nursing intervention that can be chosen to reduce anxiety in schizophrenia patients. This case study aims to prove that progressive muscle relaxation can help reduce anxiety levels in schizophrenic patients. The study design is descriptive in the form of a case study with a nursing process approach, applying progressive muscle relaxation techniques to schizophrenic patients who experience problems with anxiety levels. The sample was two adult schizophrenic patients who experienced anxiety in Eredah Complex Mental Health Hospital. The patient's anxiety was measured by the Zung-Self Anxiety Rating Scale. The progressive muscle relaxation procedure is performed 2 times over two days with a duration of 20-30 minutes each session. Hemodynamic measurements and anxiety levels were performed pre-post progressive muscle relaxation. The results of the case study showed that progressive muscle relaxation interventions affected reducing patient anxiety levels. The mean score of the patient's anxiety decreased by 30.34% after being given progressive muscle relaxation. Progressive muscle relaxation is effectively applied to schizophrenic patients with anxiety disorders in nursing service settings.


Keywords


Progressive muscle relaxation; Anxiety; Schizophrenia

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References


Maramis WF, Maramis AA. Catatan Ilmu Kedokteran Jiwa. II. Surabaya: Airlangga University Press; 2009.

Nasir A, Muhith A. Dasar-dasar keperawatan jiwa: Pengantar dan teori. Jakarta: Salemba Medika; 2011.

Stuart GW. Principle and practice of pscychiatric nursing. 10th ed. St Louis: Elsevier; 2013.

WHO. World health statistics 2019: monitoring health for the SDGs, sustainable development goals [Internet]. 2019. Available from: https://www.who.int/publications/i/item/world-health-statistics-2019-monitoring-health-for-the-sdgs-sustainable-development-goals

Ulfa NM. Efektivitas Terapi Relaksasi Dzikir dalam Menurunkan Kecemasan Pasien Skizofrenia di UPT (Unit Pelaksana Teknis) Rehabilitasi Sosial Bina Laras Kediri. UIN Tulungagung; 2019.

Wahyuningsih, Sutanta, Afifah VA. Pengaruh Teknik Relaksasi Nafas Dalam Terhadap Tingkat Kecemasan Pasien Pre Operasi Fraktur Femur. Media Ilmu Kesehat [Internet]. 2019;3(3):230–6. Available from: https://ejournal.unjaya.ac.id/index.php/mik/article/download/334/441/.

Ari PLD, Pratiwi A. Pengaruh relaksasi progresif terhadap tingkat kecemasan pada pasien skizofrenia di rumah sakit jiwa daerah Surakarta. 2010;

Lindquist R, Tracy MF, Snyder M. Complementary and Alternative Therapies in Nursing. 8th ed. New York: Springer International Publishing; 2018.

Hidayat E. Pengaruh Terapi Relaksasi Progresif terhadap Penurunan Tingkat Kecemasan dalam Menghadapi Uji Kompetensi Mahasiswa Tingkat III Akper Muhammadiyah Cirebon. J Keperawatan Soedirman [Internet]. 2017 Jul 1 [cited 2021 Sep 24];12(2):93–101. Available from: http://jks.fikes.unsoed.ac.id/index.php/jks/article/view/740

Nursalam. Konsep dan penerapan metode penelitian ilmu keperawatan. Jakarta: Salemba Medika; 2013.

NANDA. Nursing Diagnoses Definitions & Classification 2018-2020. Heather T. Herdman SK, editor. New York: Thieme; 2018.

Pokja SIKI PPNI. Standar intervensi keperawatan Indonesia definsi & tIndakan keperawatan. I. Jakarta: PPNI; 2018.

PPNI. Standar luaran keperawatan Indonesia. Jakarta: PPNI; 2019.

Vellyana D, Lestari A, Rahmawati A. Faktor-Faktor yang Berhubungan dengan Tingkat Kecemasan pada Pasien Preoperative di RS Mitra Husada Pringsewu. J Kesehat [Internet]. 2017 Apr 30 [cited 2021 Sep 24];8(1):108–13. Available from: http://www.ejurnal.poltekkes-tjk.ac.id/index.php/JK/article/view/403

McLean CP, Asnaani A, Litz BT, Hofmann SG. Gender differences in anxiety disorders: Prevalence, course of illness, comorbidity and burden of illness. J Psychiatr Res. 2011 Aug 1;45(8):1027–35.

Asnaniar WOS, Agustini T. Progressive Muscle Relaxation Reduces Depression in Elderly. Wind Heal. 2018;1(1):1–5.

Fhadilah NC, Adi WS, Shobirun S. Pengaruh Terapi Relaksasi Otot Progresif Terhadap Pasien Resiko Perilaku Kekerasan di RSJD dr Amino Gondohutomo Provinsi Jawa Tengah. J Forum Kesehat [Internet]. 2017 Aug 28 [cited 2021 Sep 24];7(2):83–9. Available from: http://e-journal.poltekkes-palangkaraya.ac.id/jfk/article/view/90

Kustanti E, Widodo A. Pengaruh teknik relaksasi terhadap perubahan status mental klien skizofrenia di rumah sakit jiwa daerah surakarta. J Ber Ilmu Keperawatan. 2008;1(3):131–6.

Suharno S, Septiyani G. Pengaruh Progresif Terhadap Tingkat Kecemasan pada Pasien Skizofrenia di Panti Gramesia Kabupaten Cirebon. J Kampus STIKES YPIB Majalengka [Internet]. 2019 [cited 2021 Sep 24];7(2):1–14. Available from: https://stikesypib.ac.id/e-journal/index.php/JK/article/view/69

Anindita B, Ambarwati WN, Listyorini D. Pengaruh teknik relaksasi progresif terhadap tingkat kecemasan pada klien skizofrenia paranoid di RSJD Surakarta. Universitas Muhammadiyah Surakarta; 2012.

Chen W, Chu H, Lu R, Chou Y, Chen C, Chang Y, et al. Efficacy of progressive muscle relaxation training in reducing anxiety in patients with acute schizophrenia. J Clin Nurs. 2009;18(15):2187–96.

Chellew K, Evans P, Fornes-Vives J, Pérez G, Garcia-Banda G. The effect of progressive muscle relaxation on daily cortisol secretion. Stress [Internet]. 2015 Sep 3;18(5):538–44. Available from: https://doi.org/10.3109/10253890.2015.1053454


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DOI: https://doi.org/10.26714/seanr.3.2.2021.90-97

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