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"Kemoterapi sering menimbulkan kecemasan, mual dan muntah. Salah satu tindakan nonfarmakologis untuk mengatasi kecemasan,mual dan muntah setelah kemoterapi adalah dengan relaksasi Progressive Muscle Relaxation (PMR).Tujuan penelitian ini adalah mengidentifikasi pengaruh PMR terhadap kecemasan, mual, dan muntah setelah kemoterapi pada kanker payudara di RS Dr. Hasan Sadikin Bandung. Metoda penelitian quasi experiment.Rancangan penelitian yang digunakan adalah pre and post test group design dengan kelompok kontrol. Sampel berjumlah 70 orang. Teknik pengambilan sampel consecutive sampling. Alat yang digunakan kuesioner kecemasan State and Trait dan Morrow Assesment Nausea and Emesis (MANE) untuk mengukur mual dan muntah. Kelompok intervensi diberikan relaksasi dengan Progressive Muscle Relaxation (PMR) sehari dua kali selama satu minggu post kemoterapi (dua siklus kemoterapi) atau secara total, subjek melakukan 28 kali relaksasi dengan PMR.Untuk menguji perbedaan rata-rata skor kecemasan, mual, dan muntah pada kelompok kontrol dan intervensi digunakan uji T.Hasil penelitian usia, tingkat pendidikan, dan siklus kemoterapi setara. Selisih Penurunan rata-rata kecemasan, mual, dan muntah sebelum dan setelah PMR pada kelompok intervensi berbeda secara bermakna (p value=0,000).Kesimpulan PMR dapat menurunkan kecemasan, mual, dan muntah setelah kemoterapi pada pasien kanker payudara di RS. Dr. Hasan Sadikin Bandung. Disarankan PMR diterapkan di rumah sakit sebagai salah satu terapi komplementer nonfarmakologik untuk mengatasi kecemasan, mual, dan muntah, dibuat sebagai prosedur tetap dalamintervensi keperawatan.

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ABSTRACTChemotherapy often causes anxiety, nausea and vomiting. One of the complementary therapy nonfarmacological procedures to overcome post-chemotherapy anxiety, nausea, and vomiting is Progressive Muscle Relaxation (PMR).The objective of the research is to identify impact of PMR on anxiety impact of PMR on anxiety, nausea, and vomiting after chemotherapy for breast cancer at Dr. Hasan Sadikin Hospital in Bandung. The research method was a quasi experimental.The research design was pre and post groups design with a control. The number of the sample participated in the study was 70 persons. The sample collection technique used was a consecutive sampling. One quesionare was utilized the State and Trait and the Morrow Assessment Nausea and Emesis (MANE) to measure nausea and vomiting. The intervention group was treated with PMR twice a day for one week post chemotherapy (two cycle of chemotherapy) or subjek was relaxation with PMR for 28 times, totally. To test the average difference in scores of anxiety, nausea, and vomiting in in the control and the intervention groups, a ttest was used.The research result demonstrated tha the age, education, and the chemotherapy cicle is equal.the average scores of anxiety, nausea, and vomiting before and after PMR in the intervention groups decreases significantly (pvalue=0,000). It is conclude that PMR can reduce anxiety, nausea, and vomiting after chemotherapy among patient with breast cancer at Dr. Hasan Sadikin Hospital in Bandung.It is recommended that PMR should be used in hospitals as a complementary therapy to overcome anxiety, nausea, and vomiting nonpharmacologicaly. In addition, a recommendation also directed to the management of hospital to include PMR as a standard nursing procedure."

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Kelelelahan merupakan keluhan umum yang terjadi pada ibu hamil trimester tiga. Kelelahan ini meliputi aspek fisiologis dan psikologis. Kelelahan ini makin bertambah di masa Pandemi COVID-19 ketika pemberlakuan pembatasan sosial berskala besar (PSBB) mengharuskan seorang ibu menjalani banyak peran. Kondisi tersebut akan berdampak pada kesejahteraan ibu dan janinnya, serta kehamilannya. Tujuan penulisan ini ialah menganalisis asuhan keperawatan pada seorang ibu hamil trimester ketika yang mengalami kelelahan selama pandemi. Salah satu intervensi yang dapat diberikan untuk mengurangi kelelahan pada ibu hamil ialah relaksasi otot progresif. Relaksasi otot progresif merupakan tindakan non-farmakologi yang berfokus pada relaksasi pada pikiran dan tubuh sehingga mengurangi kelelahan pada ibu hamil secara fisiologis dan psikologis. Relaksasi otot progresif ini dilakukan selama 10 hari. Terdapat penurunan tingkat kelelahan sebesar dengan selisih rerata 4,3 (8,6%), yang diukur melalui pre dan post dengan instrument MAF (Multidimentional Assesment of Fatigue).  Kelelahan yang sebelumnya menganggu aktivitas sehari-hari setelah intervensi, ibu menjadi dapat melakukan aktivitasnya. Studi sederhana ini membuktikan bahwa intervensi relaksasi otot progresif pada ibu hamil trimester tiga dapat menurunkan tingkat kelelahan sehingga ibu hamil dapat mempertahankan status kesehatannya selama pandemi. Studi dengan metodologi penelitian yang lebih baik diperlukan untuk menetapkan intervensi  ini sebagai tindakan keperawatan pilihan bagi ibu hamil.

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Fatigue is the most common thing in third trimester pregnant women. Fatigue that occurs in third trimester pregnant women includes physiological and psychological aspects. Pregnancy during a pandemic is a new thing that challenging to pregnant women in social life. Pandemic also impact a social life of mother during the third trimester of pregnancy. The purpose of this paper is to analyze the implementation of nursing care in third trimester pregnant women who experience fatigue during a pandemic. Fatigue that occurs is often considered normal and a trigger factor for health problems of pregnant women and fetuses. One of an intervention to reduce fatigue in pregnant women is progressive muscle relaxation. Progressive Muscle Relaxation (PMR) is a non-pharmacological action that focuses on relaxation of the mind and body that can reduce physiological and psychological fatigue in pregnant women. Provision of PMR intervention is given for 10 days. The results obtained were measured through pre and post intervention, there was a decrease in the level of fatigue by a mean difference of 4.3 (8.6%) as measured by the instrument MAF (Multidimentional Assesment of Fatigue). Fatigue that previously disturbed activity to not interfere with daily activities. Based on that PMR intervention in third trimester pregnant women effectively reducing the level of fatigue so that pregnant women can maintain their health status during a pandemic.

 

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"Masalah psikologis yang terbanyak dirasakan oleh perawat saat pandemi Covid-19 adalah ansietas. Ansietas yang dialami oleh perawat dampak dari pandemi Covid-19 yaitu ansietas ringan, ansietas sedang, dan ansietas berat. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian terapi tarik napas dalam, hipnosis lima jari dan Progressive Muscle Relaxation (PMR) terhadap penurunan kecemasan perawat pada masa pandemi Covid-19 di RSUD Leuwiliang Kabupaten Bogor. Desain penelitian ini menggunakan quasi eksperimental pre test-post test with control group. Sampel penelitian 64 responden perawat, 32 orang responden sebagai kelompok intervensi yang mendapatkan terapi tarik napas dalam, hipnosis lima jari, dan Progressive Muscle Relaxation (PMR) dan 32 orang responden kelompok kontrol yang mendapatkan terapi tarik napas dalam dan hipnosis lima jari. Kriteria inklusi yaitu perawat pelaksana, bersedia menjadi responden dan menandatangani surat persetujuan, tidak sedang cutiatau libur, skor ansietas ≥ 14. Alat ukur yang digunakan kuisioner HRS-A. Analisis data menggunakan uji T. Hasil penelitian ditemukan adanya penurunan kecemasan perawat yang mendapatkan terapi tarik napas dalam, hipnosis lima jari, dan Progressive Muscle Relaxation (PMR) lebih besar dibandingkan dengan kelompok yang mendapatkan terapi tarik napas dalam dan hipnosis lima jari (p value < 0,05). Terapi tarik napas dalam, hipnosis lima jari, dan Progressive Muscle Relaxation (PMR) direkomendasikan untuk terapi keperawatan dalam mengatasi ansietas baik pada pasien atau perawat, dan dapat dijadikan sebagai evidence based dalam membandingkan keefektifan sebagai terapi yang dapat diberikan pada klien ansietas

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The most psychological problem felt by nurses during the Covid-19 pandemic was anxiety. The anxiety experienced by nurses as a result of the Covid-19 pandemic is mild anxiety, moderate anxiety, and severe anxiety. This study aims to determine the effect of giving deep breathing therapy, five finger hypnosis and Progressive Muscle Relaxation (PMR) on reducing nurse anxiety during the Covid-19 pandemic at Leuwiliang Hospital, Bogor Regency. The design of this study used a quasi-experimental pre-test-post-test with control group. The research sample was 64 nurse respondents, 32 respondents as an intervention group who received deep breathing therapy, five finger hypnosis, and Progressive Muscle Relaxation (PMR) and 32 control group respondents who received deep breathing therapy and five finger hypnosis. The inclusion criteria were implementing nurses, willing to be respondents and signing a letter of agreement, not on leave or vacation, anxiety score 14. The measuring instrument used was the HRS-A questionnaire. Data analysis using T test. The results of the study found that the decrease in anxiety of nurses who received deep breathing therapy, five-finger hypnosis, and Progressive Muscle Relaxation (PMR) was greater than the group who received deep-breathing therapy and five-finger hypnosis (p value <0.05). Deep breathing therapy, five finger hypnosis, and Progressive Muscle Relaxation (PMR) are recommended for nursing therapy in overcoming anxiety in both patients and nurses, and can be used as evidence based in comparing the effectiveness of therapy that can be given to anxiety clients. The results of the study found that the decrease in anxiety of nurses who received deep breathing therapy, five-finger hypnosis, and Progressive Muscle Relaxation (PMR) was greater than the group who received deep-breathing therapy and five-finger hypnosis (p value <0.05). Deep breathing therapy, five finger hypnosis, and Progressive Muscle Relaxation (PMR) are recommended for nursing therapy in overcoming anxiety."

"Tuberkulosis (TB) masih merupakan salah satu penyebab utama morbiditas dan mortalitas di seluruh dunia. Tuberkulosis selain menimbulkan masalah kesehatan secara fisik juga menimbulkan masalah sosial dan psikologis. Masalah psikologis paling banyak adalah ansietas. Di negara berpenghasilan rendah dan menengah, ansietas dan depresi tiga kali lebih tinggi pada klien TB dibanding orang tanpa TB. Jika ansietas tidak ditangani dengan tepat menyebabkan kepatuhan yang buruk terhadap pengobatan, memperpanjang lama pengobatan, kekambuhan, bahkan dapat mendapatkan stigma dari masyarakat yang kemudian klien menjadi tidakberdaya, putus asa, depresi bahkan bunuh diri. Tujuan dari karya ilmiah akhir spesialis ini adalah untuk mengetahui pengaruh Tindakan Keperawatan Ners (TKN), Thought Stopping (TS), Progressive Muscles Relaxation (PMR), dan Acceptance Commitment Therapy (ACT) melalui online dalam menurunkan ansietas pada klien TB. Pendekatan dalam karya ilmiah akhir spesialis ini menggunakan case series dengan jumlah responden 8 klien dan dilakukan pengukuran pre post test terhadap ansietas, kepatuhan minum obat, perceived stigma, dan kemampuan klien. Instrumen yang digunakan adalah istrumen Tanda dan Gejala Ansietas FIK UI, Hamilton Anxiety Rating Scale (HARS), Morisky Medication Adherence Scale-8 (MMAS-8) dan Explanatory Model Interview Catague (EMIC). Hasil menunjukkan terdapat perubahan ansietas dan kemampuan klien TB baik setelah mendapat TKN atau kombinasi TKN+TS+PMR, maupun TKN+TS+PMR+ACT. Pemberian TKN, TS, PMR, dan ACT melalui online direkomendasikan sebagai terapi yang dapat menurunkan ansietas dan meningkatkan kemampuan klien TB

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Tuberculosis (TB) is still one of the leading causes of morbidity and mortality worldwide. Tuberculosis, apart from causing physical health problems, also causes social and psychological problems. Most of the psychological problems are anxiety. In low- and middle-income countries, anxiety and depression are three times higher in TB clients than in people without TB. If anxiety is not handled properly, it causes poor adherence to treatment, prolongs treatment, relapses, and can even get stigma from society, which then leads to helplessness, hopelessness, depression and even suicide. The purpose of this specialist's final scientific work is to determine the effect of Nursing Action (TKN), Thought Stopping (TS), Progressive Muscles Relaxation (PMR), and Acceptance Commitment Therapy (ACT) via online in reducing anxiety in TB clients. The approach in this specialist final scientific paper uses a case series with a number of respondents 8 clients and a pre-post test measurement of anxiety, medication compliance, perceived stigma, and client ability was carried out. The instrument used was the signs and symptoms of anxiety at FIK UI, Hamilton Anxiety Rating Scale (HARS), Morisky Medication Adherence Scale-8 (MMAS-8) and the Explanatory Model Interview Catague (EMIC). The results showed that there were changes in the anxiety and ability of TB clients both after receiving TKN or a combination of TKN + TS + PMR, and TKN + TS + PMR + ACT. Online provision of TKN, TS, PMR, and ACT is recommended as a therapy that can reduce anxiety and increase the ability of TB clients."

"Penyintas COVID-19 rentan untuk mengalami masalah kessehatan jiwa seperti ansietas, depresi dan stigma. Penelitian ini bertujuan untuk mengetahui perbedaan pengaruh progressive muscle relaxation, cognitive therapy dan thought stopping terhadap masalah kesehatan jiwa pada penyintas COVID-19 di pesantren. Desain penelitian yang digunakan adalah quasi experimental pre-posttest with control group. Pengambilan sampel menggunakan teknik purposive sampling dengan jumlah sampel 96 responden yang dibagi menjadi 4 kelompok. Kelompok intervensi 1 sejumlah 32 orang diberikan pendidikan kesehatan pola hidup orang sehat dan progressive muscle relaxation, kelompok intervensi 2 sejumlah 32 orang diberikan pendidikan kesehatan pola hidup orang sehat dan cognitive therapy dan kelompok intervensi 3 sejumlah 16 orang diberikan pendidikan kesehatan pola hidup orang sehat dan thought stopping offline dan kelompok intervensi 4 sejumlah 16 orang diberikan pendidikan kesehatan pola hidup orang sehat dan thought stopping online. Analisis univariat menggunakan distribusi frekuensi dan tendensi sentral. Analisis bivariat menggunakan uji dependent t-test untuk data yang berdistribusi normal sedangkan untuk data yang berdistribusi tidak normal menggunakan uji Wilcoxon dan analisis multivariat menggunakan anova. Hasil penelitian menunjukkan bahwa tidak ada perbedaan pengaruh PMR, CT dan TS terhadap masalah kesehatan jiwa pada penyintas COVID-19. Namun, PMR, CT dan TS berpengaruh secara signifikan dalam menurunkan masalah kesehatan jiwa pada penyintas COVID-19. Tindakan PMR, Cognitive Therapy dan Thought Stopping direkomendasikan sebagai upaya promosi dan preventif masalah kesehatan jiwa pada penyintas COVID-19.

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Survivors of COVID-19 are vulnerable to mental health problems such as anxiety, depression and stigma. This study aims to determine the different effects of progressive muscle relaxation, cognitive therapy and thought stopping on mental health problems in COVID-19 survivors in Islamic boarding schools. The research design used was a quasi-experimental pre-posttest with control group. Sampling using purposive sampling technique with a sample of 96 respondents who were divided into 4 groups. Intervention group 1 of 32 people was given health education on healthy people's lifestyles and progressive muscle relaxation, intervention group 2 of 32 people was given health education on healthy lifestyles and cognitive therapy and intervention group 3 of 16 people were given health education on healthy lifestyles and thought offline stopping and intervention group 4 totaling 16 people were given health education on healthy people's lifestyle and thought stopping online. Univariate analysis used frequency distribution and central tendency. Bivariate analysis used the dependent t-test for data with normal distribution, while for data with abnormal distribution using the Wilcoxon test and multivariate analysis using ANOVA. The results showed that there was no difference in the effect of PMR, CT and TS on mental health problems in COVID-19 survivors. However, PMR, CT and TS have a significant effect in reducing mental health problems in COVID-19 survivors. PMR, Cognitive Therapy and Thought Stopping actions are recommended as an effort to promote and prevent mental health problems in COVID-19 survivors."