Effect of Progressive Muscle Relaxation on The Level of Anxiety of Haemodialysis Patients at Muhammad Sani Hospital in Karimun

Abstract

Chronic kidney disease (CKD) has increased these years. Datas from Muhammad Sani Hospital showed number of patients underwent hemodialysis (HD) were 34 in 2015, and has become 77 in April of 2019. One of the replacement therapy in CKD patient was hemodialysis. HD intended to take over renal function to prolong in improve patient’s quality of life. Patients who undergo HD will experience anxiety caused by some stressors, such as pain at the location of needle insertion. One of the approach to overcome patients from the pain in HD is a non-farmacologic one, which is progressive muscle relaxation (PMR). This study intended to find the effect of PMR to the anxiety level of HD patients. It was a quantitative study, with a quasi experiment using pre and post test without control. Sampling method was purposive sampling and the size was 20 respondents. We used Hamilton Anxiety Rating Scale (HARS) to detrrmine the level of anxiety, and the intervention was PMR. Paired T-Test was applied, with a normality test (Shapiro Wilk) previously done. We found that the effect of PMR was significant, with a p-value 0,000 (<0,005) and the mean of the anxiety level before and after intervention were respectively 22,65 and 16,30 From all 14 parameters in the questionnaire, from the highest score found in this study were respectively: Sleep Disorder, Depression, Stress, Sensoric related Symptom and Gastrointestinal related Symptoms. Based on this study,there was significant effect of PMR in decreasing the anxiety level, and so it is recommended to use PMR in overcoming anxiety problem in HD patients

Effect of progressive muscle relaxation technique on anxiety and sleep quality among hemodialysis patients

“…Undoubtedly, patients who master the art of relaxing their muscles also gain the ability to regulate their thoughts, emotions, and physical sensations associated with anxiety [43] . The present outcomes were compatible with Muchtar et al, [5] the authors displayed that anxiety of patients with CRF undergoing HD decreased significantly after PMR intervention with highly significant difference. Also, the current study findings were reinforced with a research performed by Murtadho et al, [16] who noticed that the anxiety level's mean score before and after the PMR program was 28.76±4.603 and 16.61±2.487, respectively, with a significant difference.…”

“…Furthermore, a highly statistical significant difference was observed at the pre, immediate and post PMR among HD patients regarding their PSQI with P-value <0.001**. Table (5) clarifies that a statistical significant differences had been found between the mean score of total anxiety with occupation and family income at the pretest as p-value (0.009** & 0.001**), respectively. Also, a statistical significant differences had been found between the mean score of total anxiety with age, marital status and educational level at the immediate & posttests as p-value = 0.000**, respectively.…”

“…Hemodialysis (HD) is the most common form of medical management of patients affected by CRF which constitutes 89% of the global treatment for those patients [3] .According to Priyadharshini [4] , HD is a process of removing solutes from the body using a semipermeable artificial membrane that maintains the fluid and electrolytes in normal homeostasis. In this respect, Muchtar et al, [5] stated that HD patients are faced with many stressors and psychological problems such as sleep disorders and anxiety. According to Videbeck, [6] anxiety can be described as an ambiguous uneasy feeling of discomfort or dread followed by an autonomic reaction; a feeling of apprehension generated by threat anticipation.…”

Adherence of Self-Care Management Among Hemodialysis Patients

“…This is in line with a study conducted by Pessoa & Linhares (2015) which restriction resulting in excess fluid and food intake in the interdialytic period (Denhaerynck et al, 2007). Another study states that fluid restriction is very difficult for patients that 60.7% do not comply with fluid restrictions, so they need to receive regular and ongoing education and counseling (Muchtar & Marlian, 2019).…”