The Effect of Progressive Muscle Relaxation Therapy on Anxiety in Hypertension Patients

Authors

  • Nasihin Nasihin Department of Nursing, Poltekkes Kemenkes Banten, Tangerang, Banten Province, Indonesia
  • Diah Ayu Pertiwi Department of Nursing, Poltekkes Kemenkes Banten, Tangerang, Banten Province, Indonesia
  • Khayan Khayan Department of Medical Laboratory Technology, Poltekkes Kemenkes Banten, Tangerang, Banten Province, Indonesia https://orcid.org/0000-0002-2485-2836
  • Widyana Lakshmi Puspita Department of Nutrition, Poltekkes Kemenkes Pontianak, Pontianak, West Kalimantan, Indonesia https://orcid.org/0000-0002-9269-389X
  • Muhammad Ifham Hanif Dr. Hasan Sadikin General Hospital, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia https://orcid.org/0000-0003-1788-7982

DOI:

https://doi.org/10.31965/infokes.Vol20.Iss2.858

Keywords:

Progressive Muscle Relaxation, Anxiety

Abstract

Anxiety is a condition in which an individual experiences a concern about something that is not certain to happen, even some people experiencing anxiety but do not understand the specific cause of the anxiety source they feel. Anxiety problems, which are common in people, can be treated non-pharmacologically with deep muscle relaxation techniques, which do not require guided imagination or cause side effects in patients undergoing progressive muscle relaxation therapy. The objective of this study is to identify how progressive muscle relaxation techniques affected the anxiety levels of hypertension patients at the Kedaung Wetan Public Health Center. The study was conducted to determine if there was a difference in the level of anxiety experienced by hypertensive patients before and after receiving progressive muscle relaxation therapy. The design in this study employed a quasi-experimental pre-post-test with a control group with a progressive muscle relaxation therapy intervention. Result: there is a significant relationship between the period of occurrence of hypertension with anxiety experienced by respondents. Anxiety in hypertensive patients is more prevalent in those who are unfamiliar with hypertension. Thus, anxiety can arise from a sense of concern and fear of more serious complications which occur from the hypertension they are experiencing. The experimental group who received treatment in the form of progressive muscle relaxation therapy had a lower level of anxiety than the control group at the Kedaung Wetan Public Health Center in Tangerang City, with a p-value of 0.000.

Downloads

Download data is not yet available.

References

Atmanegara, S. P. W., & Suhita, B. M. (2021). Progressive Relaxation to Changes in Blood Pressure and Sleep Quality in Ladies of Hypertension Patients. The 3rd Joint International Conference, 3(1), 474–479. Retrieved from https://proceeding.tenjic.org/jic3/index.php/jic3/article/view/114

Bajkó, Z., Szekeres, C.-C., Kovács, K. R., Csapó, K., Molnár, S., Soltész, P., Nyitrai, E., Magyar, M. T., Oláh, L., & Bereczki, D. (2012). Anxiety, depression and autonomic nervous system dysfunction in hypertension. Journal of the Neurological Sciences, 317(1–2), 112–116. https://doi.org/10.1016/j.jns.2012.02.014

Brauer, A. P., Horlick, L., Nelson, E., Farquhar, J. W., & Stewart Agras, W. (1979). Relaxation therapy for essential hypertension: A Veterans Administration outpatient study. Journal of Behavioral Medicine, 2, 21–29. https://doi.org/10.1007/BF00846560

Carter, M. J. (2014). Diagnostic and statistical manual of mental disorders. Therapeutic Recreation Journal, 48(3), 275-277. Retrieved from https://www.proquest.com/openview/58fddc7697cee8750a87cc9d79a66e42/1?pq-origsite=gscholar&cbl=5997

Cottier, C., Shapiro, K., & Julius, S. (1984). Treatment of mild hypertension with progressive muscle relaxation: Predictive value of indexes of sympathetic tone. Archives of Internal Medicine, 144(10), 1954–1958. https://doi.org/10.1001/archinte.1984.04400010062011

Ermayani, M., Prabawati, D., & Susilo, W. H. (2020). The effect of progressive muscle relaxation on anxiety and blood pressure among hypertension patients in east Kalimantan, Indonesia. Enfermería Clínica, 30, 121–125. https://doi.org/10.1016/j.enfcli.2020.07.025

Gale, C., & Davidson, O. (2007). Generalised anxiety disorder. Bmj, 334(7593), 579–581. https://doi.org/10.1136/bmj.39133.559282.BE

Gamm, L., Stone, S., & Pittman, S. (2010). Mental health and mental disorders—A rural challenge: A literature review. Rural Healthy People, 2(1), 97–114.

Grimsrud, A., Stein, D. J., Seedat, S., Williams, D., & Myer, L. (2009). The association between hypertension and depression and anxiety disorders: results from a nationally-representative sample of South African adults. PloS One, 4(5), e5552. https://doi.org/10.1371/journal.pone.0005552

Hamrahian, S. M., & Falkner, B. (2016). Hypertension in chronic kidney disease. Hypertension: From Basic Research to Clinical Practice. Advances in Experimental Medicine and Biology, 956, 307–325.

Kementerian Kesehatan Republik Indonesia. (2017). Profil Kesehatan Indonesia Tahun 2017. Kementerian Kesehatan Republik Indonesia.

Kementerian Kesehatan Republik Indonesia. (2019). Profil Kesehatan Indonesia Tahun 2019. Kementerian Kesehatan Republik Indonesia.

Kretchy, I. A., Owusu-Daaku, F. T., & Danquah, S. A. (2014). Mental health in hypertension: assessing symptoms of anxiety, depression and stress on anti-hypertensive medication adherence. International Journal of Mental Health Systems, 8(25), 1–6. https://doi.org/10.1186/1752-4458-8-25

Lackland, D. T., & Weber, M. A. (2015). Global burden of cardiovascular disease and stroke: hypertension at the core. Canadian Journal of Cardiology, 31(5), 569–571. https://doi.org/10.1016/j.cjca.2015.01.009

Li, Y., Wang, R., Tang, J., Chen, C., Tan, L., Wu, Z., Yu, F., & Wang, X. (2015). Progressive muscle relaxation improves anxiety and depression of pulmonary arterial hypertension patients. Evidence-Based Complementary and Alternative Medicine, 2015 (792895), 1-8. https://doi.org/10.1155/2015/792895

Mawardika, T., Aniroh, U., & Lestari, P. (2020). Penerapan relaksasi otot progresif terhadap penurunan kecemasan ibu post partum. Jurnal Keperawatan, 12(2), 277–286. Retrieved from http://journal.stikeskendal.ac.id/index.php/Keperawatan/article/view/726

Nova, R. R., & Tumanggor, R. D. (2018). Pengaruh Terapi Relaksasi Otot Progresif terhadap Tingkat Kecemasan Pasien Kanker Payudara di RSUP Haji Adam Malik, Medan. Talenta Conference Series: Tropical Medicine (TM), 1(1), 59–66. Retrieved from https://talentaconfseries.usu.ac.id/tm/article/view/33

Pender, N. J. (1985). Effects of progressive muscle relaxation training on anxiety and health locus of control among hypertensive adults. Research in Nursing & Health, 8(1), 67–72. https://doi.org/10.1002/nur.4770080113

Pramono, C., Hamranani, S. S. T., & Sanjaya, M. Y. (2019). Pengaruh Teknik Relaksasi Otot Progresif terhadap Tingkat Kecemasan Pasien Hemodialisa di RSUD Wonosari. Jurnal Ilmu Keperawatan Medikal Bedah, 2(2), 22–32. https://doi.org/10.32584/jikmb.v2i2.248

Rosdiana, I., & Cahyati, Y. (2019). Effect of progressive muscle relaxation (PMR) on blood pressure among patients with hypertension. International Journal of Advancement in Life Sciences Research, 28–35. Retrieved from http://ijalsr.org/index.php/journal/article/view/48

Rowa, K., & Antony, M. M. (2008). Generalized anxiety disorder. In W. E. Craighead, D. J. Miklowitz, & L. W. Craighead (Eds.), Psychopathology: History, diagnosis, and empirical foundations (pp. 78–114). John Wiley & Sons, Inc.

Sawicka, K., Szczyrek, M., Jastrzebska, I., Prasal, M., Zwolak, A., & Daniluk, J. (2011). Hypertension–the silent killer. Journal of Pre-Clinical and Clinical Research, 5(2), 43-46.

Sheu, S., Irvin, B. L., Lin, H.-S., & Mar, C.-L. (2003). Effects of progressive muscle relaxation on blood pressure and psychosocial status for clients with essential hypertension in Taiwan. Holistic Nursing Practice, 17(1), 41–47. Retrieved from https://journals.lww.com/hnpjournal/Abstract/2003/01000/Effects_of_Progressive_Muscle_Relaxation_on_Blood.9.aspx

Shinde, N., Shinde, K. J., Khatri, S. M., & Hande, D. (2013). Immediate effect of Jacobson’s progressive muscular relaxation in hypertension. Indian Journal of Physiotherapy and Occupational Therapy, 7(3), 249-252.

Stein, M. B., & Sareen, J. (2015). Generalized anxiety disorder. New England Journal of Medicine, 373, 2059–2068. https://doi.org/10.1056/NEJMcp1502514

Thirunavurakasu, M., Thirunavukarasu, P., & Bhugra, D. (2013). Concepts of mental health: definitions and challenges. International Journal of Social Psychiatry, 59(3), 197-198. https://doi.org/10.1177/0020764011422006

Tyrer, P., & Baldwin, D. (2006). Generalised anxiety disorder. The Lancet, 368(9553), 2156–2166. https://doi.org/10.1016/S0140-6736(06)69865-6

Wei, T.-M., & Wang, L. (2006). Anxiety symptoms in patients with hypertension: a community-based study. The International Journal of Psychiatry in Medicine, 36(3), 315–322. https://doi.org/10.2190/5LX9-D3BH-FUA3-PQF0

Wells, A., & Carter, K. (2016). Generalised anxiety disorder. In The Handbook of Adult Clinical Psychology. Routledge.

World Health Organization. (2008). World Health Statistics 2008. World Health Organization.

World Health Organization. (2013). A global brief on hypertension: silent killer, global public health crisis: World Health Day 2013. World Health Organization.

Yu, J., Zhou, R., & Cai, G. (2011). From hypertension to stroke: mechanisms and potential prevention strategies. CNS Neuroscience & Therapeutics, 17(5), 577–584. https://doi.org/10.1111/j.1755-5949.2011.00264.x

Zung, W. W. K. (1971). Self-rating anxiety scale. BMC Psychiatry. https://doi.org/10.1037/t04092-000

Downloads

Published

2022-12-20

How to Cite

Nasihin, N., Pertiwi, D. A. ., Khayan, K., Puspita, W. L. ., & Hanif, M. I. . (2022). The Effect of Progressive Muscle Relaxation Therapy on Anxiety in Hypertension Patients. JURNAL INFO KESEHATAN, 20(2), 176–182. https://doi.org/10.31965/infokes.Vol20.Iss2.858

Issue

Section

Original Research
Abstract viewed = 36 times