EFFECT OF PROGRESSIVE MUSCULAR RELAXATION ON ANXIETY LEVELS IN PATIENTS WITH CHRONIC KIDNEY DISEASE UNDERGOING HEMODIALYSIS IN THE GENERAL HOSPITAL OF TUGUREJO SEMARANG, INDONESIA

Ary Astuti, Anggorowati Anggorowati, Andrew Johan


DOI: https://doi.org/10.33546/bnj.88

Abstract


Background: Patients with chronic kidney disease undergoing hemodialysis suffer changes in lifestyle, which cause physical and psychosocial problems, particularly anxiety. Progressive muscular relaxation is considered as an intervention to reduce anxiety.

Objective: This study aims to examine the effect of progressive muscular relaxation in in reducing anxiety in patients with chronic kidney disease undergoing hemodialysis.

Methods: This study used a quasi-experimental design involved 78 respondents, with 38 randomly assigned in the intervention and control group. The progressive muscular relaxation was performed on 14 muscle groups for 4-week period. Hamilton anxiety rating scale was used to measure anxiety. Univariate, bivariate and multivariate analyses were performed for data analyses.

Results: The results showed a statistically significant difference in anxiety valuesbetween the intervention and control group with p-value 0.000 (<0.05).

Conclusion: There was a significant effect of progressive muscular relaxation in reducing anxiety in patients with chronic kidney disease undergoing hemodialysis. The results of this study is expected to be one reference in making the  progressive muscular relaxation as a nursing intervention in reducing anxiety in patients undergoing hemodialysis. 


Keywords


anxiety; progressive muscular relaxation; hemodialysis; chronic kidney disease

Full Text:

PDF

References


Muttaqin A, Sari K. Asuhan keperawatan gangguan sistem perkemihan [Nursing care in urinary disorder system]. Jakarta, Salemba Medika; 2011.

Alam S, Hadibroto I. Gagal ginjal [Kidney failure]. Jakarta: Gramedia Pustaka Utama; 2007.

Hawari D. Manajemen stress, cemas dan depresi [Management of stress, anxiety, and depression]. Jakarta: Fakultas Kedokteran Universitas Indonesia; 2001.

Ministry of Health. Hari ginjal sedunia [World kidney day]. 2016. http://www. depkes.go.id/article/print/16031000001/hari-ginjal-sedunia-2016

Wahyudi IED, Pujo JL. Angka kematian pasien end stage renal disease di ICU dan HCU RSUP dr. Kariadi [mortality rate of patients with end stage renal disease at ICU dan HCU RSUP dr. Kariadi]. Semarang: Fakultas Kedokteran, Universitas Diponegoro; 2012.

Cheung YL, Molassiotis A, Chang AM. The effect of progressive muscle relaxation training on anxiety and quality of life after stoma surgery in colorectal cancer patients. Psycho‐Oncology. 2003;12(3):254-266.

Amalia F, Azmi SA. Gambaran tingkat depresi pada pasien penyakit ginjal kronik yang menjalani hemodialisis di RSUP DR. M. Djamil Padang [Depression level of patients with chronic kidney disease undergoing hemodyalisis at RSUP DR. M. Djamil Padang. Jurnal Kesehatan Andalas. 2015;4(1).

Baradero M, Dayrit MW, Siswadi Y. Klien gangguan ginjal: Seri asuhan keperawatan [Patients with kidney failure: Nursing care series]. Jakarta: EGC; 2005.

Setyoadi K. Terapi modalitas keperawatan pada klien psikogeriatrik [Nursing modality therapy in clients with psychogeriatric]. Jakarta: Salemba Medika; 2011.

Alfiyanti NE, Setyawan D, Kusuma MAB. Pengaruh relaksasi otot progresif terhadap tingkat depresi pada pasien gagal ginjal kronik yang menjalani hemodialisis di Unit Hemodialisa RS Telogorejo Semarang [Effect of progressive muscle relaxation on depression in patients with chronic kidney failure undergoing hemodyalisus at Hemodyalisis Unit at Telogorejo Hospital Semarang]. Jurnal Ilmu Keperawatan dan Kebidanan. 2016;2(4).

Conrad A, Roth WT. Muscle relaxation therapy for anxiety disorders: It works but how? Journal of Anxiety Disorders. 2007;21(3):243-264.

Blanaru M, Bloch B, Vadas L, et al. The effects of music relaxation and muscle relaxation techniques on sleep quality and emotional measures among individuals with posttraumatic stress disorder. Mental Illness. 2012;4(2).

Zargarzadeh M, Shirazi M. The effect of progressive muscle relaxation method on test anxiety in nursing students. Iranian Journal of Nursing and Midwifery Research. 2014;19(6):607.

Sastroasmoro S, Ismael S. Dasar-dasar metodologi penelitian klinis [Basic clinical research methodology]. Jakarta: Binarupa Aksara; 1995.

Luana NA, Panggabean S, Lengkong JVM, Christine I. Kecemasan pada penderita penyakit ginjal kronik yang menjalani hemodialisis di RS Universitas Kristen Indonesia [Anxiety in patients with chronic kidney disease undergoing hemodyalisis at Universitas Kristen Hospital Indonesia]. Media Medika Indonesiana. 2012;46(3):151-156.

Rustina. Gambaran tingkat depresi pada pasien gagal ginjal kronik yang menjalani hemodialisis di RSUD Dr. Soedarso Pontianak tahun 2012 [Depression level in patients with chronic kidney failure undergoing hemodyalisis at RSUD Dr. Soedarso Pontianak in 2012. Jurnal Mahasiswa PSPD FK Universitas Tanjungpura. 2013;1(1): 1-15.

Jacobson E. Progressive relaxation. 1938. Chicago: University of Chicago Press.

Kumar P, Nayak Rr, Devi SK. Effectiveness Jacobson’s progressive muscle relaxation technique (PMRT) to relieve anxiety among alcoholic patients MHI, SCB, Cuttack, Odisha. IOSR Journal of Nursing and Health Science 2015;4(4).

North American Nursing Diagnosis A. NANDA nursing diagnoses. United States: North American Nursing Diagnosis Association; 1996.

Bağ E, Mollaoğlu M. The evaluation of self‐care and self‐efficacy in patients undergoing hemodialysis. Journal of Evaluation in Clinical Practice. 2010;16(3):605-610.


Refbacks

  • There are currently no refbacks.




Copyright (c) 2017 Ary Astuti, Anggorowati, Andrew Johan

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.