Progressive Muscle Relaxation on Depression Levels in Schizophrenia Patients Treated in Griya Medika
Keywords:
Depresi, Latihan Relaksasi Progresif, SkizofreniaAbstract
Patients with schizophrenia often exhibited behaviors such as social withdrawal, hypervigilance, difficulty in management, and vulnerability to anxiety and depression. Progressive Muscle Relaxation (PMR), as a muscle relaxation technique, had been shown in stress management programs to alleviate symptoms of anxiety, depression, and insomnia. The purpose of this study was to examine the effect of Progressive Muscle Relaxation (PMR) on depression levels among patients with schizophrenia at Panti Griya Medika. This study employed a quasi-experimental design using a pretest–posttest without a control group approach. The sample consisted of 30 subjects, selected through purposive sampling. Data were collected using a demographic questionnaire and the Hamilton Depression Rating Scale (HDRS), which consists of 17 items to assess the severity of depression. Data analysis was conducted using the paired t-test. Clinically, there was a decrease in depression scores by 2.1 points following the administration of PMR. However, statistically, this reduction from 12.20 to 10.10 did not show a significant effect; therefore, the effectiveness of PMR therapy in reducing depression in schizophrenia patients could not be strongly validated through this study. It is therefore recommended that PMR be implemented regularly as a complementary non-pharmacological intervention in the management of depression among patients with schizophrenia.
Downloads
References
B Meyer, A Keller, B Müller, H-G Wöhlbier, P. K. (2018). Progressive muscle relaxation according to Jacobson for migraine prophylaxis?: Clinical effectiveness and mode of action. Schmerz, 32(4), 250–258. https://doi.org/10.1007/s00482-018-0305-7
Burhan , S., Erika, K. A., & Said, S. (2022). Efektifitas Relaksasi Otot Progresif Dalam Menurunkan Kecemasan: A Literatur Review. Jurnal Ilmiah Keperawatan, 8(1).
Dana A, Rahimizadeh F, Gozalzadeh E, E. S. (2018). Antidepressant Effects of Strength, Aerobic, and Combined Exercises among Adult Men. Scientific Journal of Rehabilitation Medicine, 7(3), 199–207. https://doi.org/10.22037/JRM.2018.110995.1682
Faridah. (2015). Penurunan Tingkat Nyeri Pasien Post Op Apendisitis Dengan Tehnik Distraksi Nafas Ritmik. Jurnal Studi Keperawatan.
Health, N. C. for C. and I. (2021). Complementary, Alternative, or Integrative Health: Mental and Physical Health. https://nccih.nih.gov/health/integrative-health/mental and physical health
Hengartner, M. P., Passalacqua, S., Andreae, A., Heinsius, T., Hepp, U., Rössler, W., & Von Wyl, A. (2019). Antidepressant use during acute inpatient care is associated with an increased risk of psychiatric rehospitalisation over a 12-month follow-up after discharge. Frontiers in Psychiatry, 10(FEB), 1–9. https://doi.org/10.3389/fpsyt.2019.00079
Kementerian Kesehatan, RI. (2018). Hasil Riset Kesehatan Dasar (Riskesdas) Kesehatan. Badan Penelitian dan Pengembangan Kesehatan Kementerian RI.
Kuswa, Y. K. (2021). Reduction of Anxiety Levels in Schizophrenia Patients Using Progressive Muscle Relaxation. South East Asia Nursing Research, 3(2), 90. https://doi.org/10.26714/seanr.3.2.2021.90-97
Masoomeh Noruzi zamenjani a, Behnam Masmouei b, Mehdi Harorani c, Rezvan Ghafarzadegan d, Fahimeh Davodabady a, Sima Zahedi a, Z. D. e. (2019). The effect of progressive muscle relaxation on cancer patients’ self-efficacy. Complementary Therapies in Clinical Practice, 34, 70–75. https://doi.org/https://doi.org/10.1016/j.ctcp.2018.10.014
Pangestika, A. T., Rochmawati, D. H., & P. (2016). Pengaruh Relaksasi Otot Progresif Terhadap Kemampuan Mengontrol Marah Pada Pasien Risiko Perilaku Kekerasan di RSJD Dr. Amino Gondohutomo Provinsi Jawa Tengah. Jurnal Ilmu Keperawatan Dan Kebidanan, 46, 1–9. http://ejournal.stikestelogorejo.ac.id/index.php/ilmukeperawatan/article/viewFil%0Ae/513/512
Pardede, J. A., Siregar, L. M., & Halawa, M. (2020). Beban dengan Koping Keluarga Saat Merawat Pasien Skizofrenia yang Mengalami Perilaku Kekerasan. Jurnal Kesehatan, 11(2), 189. https://doi.org/10.26630/jk.v11i2.1980
R Elbay, Selim Arpac?o?lu, K. (2020). Depression, anxiety, stress levels of physicians and associated factors in Covid-19 pandemics. Psychiatry Research, 290, 113130. https://doi.org/https://doi.org/10.1016/j.psychres.2020.113130
Sarabandi, H., Toozandehjani, H., & Nejat, H. (2019). The Effectiveness of Cognitive-Behavioral Therapy based on Beck’s Pattern on Clinical Syndrome and Life Satisfaction in Patients with Major Depression. Journal of North Khorasan University of Medical Sciences, 11(1), 44–50. https://doi.org/10.52547/nkums.11.1.44
Sayadi, A. R., Khodadadi, A., Akbari, A., & Abbasabadi, Z. (2023). The effect of movement therapy with progressive muscle relaxation on the depression rate of patients admitted to the psychiatric ward of Moradi Rafsanjan Educational and Medical Center in 2021. Journal of Medicine and Life, 16(1), 129–134. https://doi.org/10.25122/jml-2021-0436
Sujarwo, & livana. (2018). "Strategi Pelaksanaan Yang Efektif Untuk Mengontrol Perilaku Kekerasan Menurut Pasien Di Ruang Rawat Inap Laki Laki. Jurnal Keperawatan, 6(1). https://jurnal.unimus.ac.id/index.php/JKJ/article/download/4421/4065.
Vidaña, D. I. S. E. A. (2017). The Effectiveness Of Aromateraphy For Deppresive Symtoms?: A Systematic Review. Evidence-Based Complementary And Alternative Medicine, 8, 1–21.
Woolfolk, P. M. L. and R. L. (2021). Principles and Practice of Stress Management Fourth Edition. Guilford Press. https://www.guilford.com/books/Principles-and-Practice-of-Stress-Management/Lehrer-Woolfolk/9781462545100
World Health Organization (WHO). (2019). Mental health in the workplace.
World Health Organization (WHO). (2022). Mental Health In The Workplace.
