Effect of Progressive Muscle Relaxation on Anxiety in Congestive Heart Failure Patients
Abstract
Anxiety is major psychological problem in congestive heart failure (CHF) patients. Anxiety leads to reduced quality of life. Anxiety can be treated using non phamacologic intervention. One of the interventions is progressive muscle relaxation (PMR). PMR is the most simple relaxation technique and possible to be applied in CHF patient. This study aimed to determine the effect of progressive muscle relaxation on anxiety IN CHF patients in dr. Slamet Garut hospital. This study used quasi-experimental design pretest and posttest with control group. Samples were selected using consecutive sampling technique (23 patients for each group). Hamilton Anxiety Rating Scale (HARS) was used to measured anxiety. Data were analyzed by Wilcoxon test and Mann-Whitney test. Analysis showed that there was a significant decrease in the mean anxiety score pre and post test both in the intervention and control group (p=0.000) and a significant difference in mean anxiety score reduction between groups (p=0.017) This study concluded that progressive muscle relaxation was effective to reduce anxiety levels in CHF patients. Nurses can apply progressive muscle relaxation as a complementary therapy to reduce anxiety in CHF patients
Keywords
Full Text:
PDFReferences
Black, J. M., & Hawks, J. K. (2009). Medical surgical nursing: Clinical management for positive outcomes, volume ii, 7th edition. Elsevier’s Health Sciences Right Department: Philadelphia.
Charalambous, A., Giannakopoulou, M., Bozas, E., & Paikousis, L. (2015). A randomized controlled trial for the effectiveness of progressive muscle relaxation and guided imagery as anxiety reducing interventions in breast and prostate cancer patients undergoing chemotherapy. Evidence-Based Complementary & Alternative Medicine (Ecam), 20151-10 10p. doi:10.1155/2015/270876.
Chen, W., Chu, H., Lu, R., Chou, Y., Chen, C., Chang, Y., & Chou, K. (2009). Efficacy of progressive muscle relaxation training in reducing anxiety in patients with acute schizophrenia. Journal of Clinical Nursing, 18(15), 2187-2196. doi:10.1111/j.13652702.2008.02773.x
Conrad, A. & Roth, T. W. (2007). Muscle relaxation therapy for anxiety disorders: it works but how?. Journal of Anxiety Disorder,. 21, 243-264.ACCF/AHA Guideline for the Management of Heart Failure.
Debasree, D., Smita, K., Nitin, K., & James, G. (2013). Depression and anxiety in heart failure patients in a South Indian population: a pilot study. Asian Journal of Biomedical and Pharmaceutical Sciences, 3(17), 65-70.
Easton, K., Coventry, P., Lovell, K., Lesley-Anne, C., & Christi, D. (2016). Prevalence and measurement of anxiety in samples of patients with heart failure meta-analysis. Journal of Cardiovascular Nursing, 31(4), pp 367Y379. DOI: 10.1097/JCN.0000000000000265.
Fitriyani, R. (2015). Hubungan tingkat kecemasan dengan kualitas tidur pasien congestive heart failure (CHF) di ruang ICU RS PKU Muhammadyah Sruweng. Jurnal Ilmiah Kesehatan Keperawatan, 11(1).
Haworth, E. J., Cook, E., Moniz, Clark, A. L., Wang, M., Waddington, R., & Cleland, J. G. F. (2005). Prevalence and predictors of anxiety and depression in a sample of chronic heart failure patients with left ventricular systolic dysfunction. The European Journal of Heart Failure. www.elsevier.com/locate/heafai.
He, J., Ogden, L. G., Bazzano, L. A., Vupputuri, S., Loria, C., & Whelton, P. K. (2001). Risk factors for congestive heart failure in US men and women: NHANES epidemiologic follow-up study. Arch Intern Med, 161(7), 996-1002. doi:10.1001/archinte.161.7.996.
Herizchi, S., Asvadi, I., Piri, I., Golchin, M., Shabanlui, R., & Sanaat, Z. (2012). Efficacy of progressive muscle relaxation training on anxiety, depression and quality of life in cancer patients undergoing chemotherapy at Tabriz hematology and oncology research center. Middle East Journal of Cancer, 3(1), 9-13.
Hofmann, S. G. (2008). The efficacy of cognitive behavioral therapy: A Review of Meta-analyses. NIHPA Author Manuscripts, 36(5): 427-440. http://circ.ahajournals.org/.
Hui, Wan, Chan, Yung. (2006). An evaluation of two behavioral rehabilitation programs, qigong versus progressive relaxation, in improving the quality of life in cardiac patients. The Journal of Alternative and Complementary Medicine, 12(4), 373–378.
Kapplan, H. I., Saddock, B. J., Grabbs, J. A. (2010). Buku Ajar Psikiatri, Edisi 2. Jakarta: EGC.
Mc Sweeney, J., Pettey, C., Lefler, L., & Heo, S. (2012). Disparities in heart failure and other cardiovascular diseases among women. Womens Health (Lond Engl), 8(4): 473–485. doi: 10.2217/whe.12.22.
McGuigan, F. J., & Lehrer, M. P. (2007). Progressive relaxation: Origin, principles, and clinical application. Diakses pada tanggal 20 Juli 2016 dari: www.bodypsychyoga.com.
Patimah, I., Suryani., & Nuraeni, A. (2015). Pengaruh relaksasi dzikir terhadap tingkat kecemasan pasien gagal ginjal kronis yang menjalani hemodialisa. Jurnal Keperawatan Padjadjaran, 3(1).
Pemkab Garut (2016). Diakses pada tanggal 5 Maret 2016. http://www.garutkab.go.id/pub/static menu/detail/sosbud demografi.
Polikandrioti, M., Goudevenos, J., Michalis, L. K., Koutelekos, J., Kyristi, H., Tzialas, D., & Elisaf, M. (2015). Factors associated with depression and anxiety of hospitalized patients with heart failure. Hellenic Journal of Cardiology; 56(1): 26-35.
Richmond, R. L. (2004). A guide to psychology and its practice. Diakses pada tanggal 3 Maret 2016 dari http://www.guidetopsychology.com/progressive muscle relaxation.htm.
RISKESDAS. (2007). Laporan Nasional Riset Kesehatan Dasar. Di ambil dari www.riskesdas.litbang.depkes.go.id di akses pada tanggal 20 Februari 2016.
Schweitzer, R, D., Head, K., & Dwyer, J. W. (2007). Psychological factors and treatment adherence behavior in patients with chronic heart failure. Journal of Cardiovascular Nursing 22(1), 76-83.
Serafini, G., Pompili, M., Innamorati, M., Lacorossi, G., Cuomo, I., Della Vista, M., Lester, D., De Biase, L., Girardi, P., Tatarelli, R. (2010). The Impact of anxiety, depression, and suicidality on quality of life and functional status of patients with congestive heart failure and hypertension. Prim Care Companion J Clin Psychiatry. doi: 10.4088/PCC.09m00916gry.
Shear, K., Bilt, J., Vander., D, Paola, R., Lydiard, B., Michael, W., Linda, C, & Jenna, W. (2001). Reliability and validity of a structured interview guide for the Hamilton Anxiety Rating Scale (SIGH-A). Depression and Anxiety 13:166–178.
Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2010). Brunner & Suddarth textbook of medical-surgical nursing. Philadelphia: Lippincott Williams & Wilkins.
Snyder, M & Lindquist, R. (2006). Complementary/alternative terapies in nursing (fifth edition). New York: Springer Publishing Company.
Stuart & Sundeen. (2006). Principles and practice of psychiatric nursing. St. Louis: Mosby.
World Health Organization. (2013). World health statistic. Di ambil dari http://search.who.int/search di akses pada tanggal 20 Februari 2016.
Yancy, W. C., Jessup, M., Chair, V., Bozkurt, B., Butler, J & Casey, D, E. (2013). ACCF/AHA Guideline for the Management of Heart Failure. http://circ.ahajournals.org/. Di akses tanggal 15 februari 2016.
Yohannes, A., Willgoss, T., Baldwin, R., & Connolly, M. (2010). Depression and anxiety in chronic heart failure and chronic obstructive pulmonary disease: prevalence, relevance, clinical implications and management principles. International Journal of Geriatric Psychiatry, 25(12), 1209-1221 13p. doi:10.1002/gps.2463
Refbacks
- There are currently no refbacks.