The Effectiveness of Progressive Muscle Relaxation (PMR) Against Anxiety in Breast Cancer Patients Undergoing Chemotherapy at Dr Wahidin Sudirohusodo Hospital Makassar
DOI:
https://doi.org/10.61963/jpkt.v1i2.71Keywords:
Breast cancer, Chemotherapy, Progressive Muscle Relaxation (PMR)Abstract
Breast cancer is a malignant disease that most commonly attacks women. One pharmacological therapy for breast cancer is chemotherapy, but this treatment can cause anxiety due to the side effects it causes. Non-pharmacological treatment is really needed, one of which is Progressive Muscle Relaxation (PMR) which can reduce anxiety. The aim of the research was to determine the effectiveness of Progressive Muscle Relaxation (PMR) on anxiety in breast cancer patients. Sampling used purposive sampling technique. The total sample was 30 respondents (15 respondents were given PMR therapy) and (15 respondents were given deep breathing). Anxiety measurement uses the State Trait Anxiety Inventory (STAI) questionnaire. The test used to correlate PMR with disease duration is the Pearson test. Differences in cancer stage and mean anxiety score independent t-test. One-way anova test chemotherapy cycle. Meanwhile, the difference between pre and post PMR and control used the paired t-test. The results of the study showed no significant values for the duration of suffering from total anxiety p = 0.476, state anxiety p = 0.424, trait anxiety p = 0.464. At stage 3 it showed significant values for total anxiety p = 0.004, state anxiety p = 0.003, trait anxiety p = 0.018, at stage 4 total anxiety p = 0.009, state anxiety p = 0.009, trait anxiety p = 0.020. The chemotherapy cycle was not significant for total anxiety p = 0.084, and state anxiety p = 0.177, while trait anxiety showed a significant value of p = 0.026. Pre and post PMR showed significant values for total anxiety, state anxiety, and trait anxiety p = 0.001. The PMR and control groups showed significant values for PMR total anxiety, state anxiety, and trait anxiety p = 0.001 and the control was significant for total anxiety p = 0.028 and state anxiety p = 0.026, while trait anxiety was not significant p = 0.100. The mean anxiety scores (mean difference) of PMR and controls showed significant values for total anxiety p = 0.042, state anxiety p = 0.027 and trait anxiety p = 0.033. Conclusion Progressive Muscle Relaxation (PMR) exercise therapy is effective in reducing anxiety in breast cancer patients undergoing chemotherapy.
References
Black, J. M., & Hawks, J. H. (2014b). Keperawatan Medikal Bedah: Manajemen Klinis Untuk Hasil Yang Diharapkan. (A. Suslia, F. Ganiajri, P. P. Lestari, & R. W. A. Sari, Eds.) (Edisi 8). Singapore: Elsevier.
Herizchi, S., Asvadi, I., Piri, I., & Golchin, M. (2012). Efficacy of Progressive Muscle RelaxationTraining on Anxiety, Depression and Quality of Life in Cancer Patients Undergoing Chemotherapy at Tabriz Hematology and Oncology Research Center, Iran in 2010. Middle East Journal of Cancer, 3(1), 9–13.
Lee, E., Bhattacharya, J., Sohn, C., & Verres, R. (2012). Monochord Sounds and Progressive Muscle Relaxation Reduce Anxiety and Improve Relaxation During Chemotherapy: A Pilot EEG Study. Complementary Therapies in Medicine, 20(6), 409–416. https://doi.org/10.1016/j.ctim.2012.07.002
Nurarif, Amin, H., & Kusuma, H. (2015). Aplikasi Asuhan Keperawatan Berdasarkan Diagnosa Medis dan Nanda Nic-Noc (Edisi Revi). Yogyakarta: Mediaction.
Pusdatin. (2016). InfoDatin Bulan Peduli Kanker Payudara. Kementrian Kesehatan RI.
Ramli, M. (2015). Update Breast Cancer Management Diagnostic and Treatment. Majalah Kedokteran Andalas, 38, 1–26. Retrieved from http://jurnalmka.fk.unand.ac.id
Rekam Medik RSWS. (2018). Data Pasien Kanker Payudara yang Menjalani Kemoterapi. Makassar.
Syarif, H., & Putra, A. (2014). Pengaruh Progressive Muscle Relaxation Terhadap Penurunankecemasan pada Pasien Kanker yang Menjalani Kemoterapi: A randomized Clinical Trial. Idea Nursing Journal, V (3), 1–8.
Tsitsi, T., Charalambous, A., & Papastavrou, E. (2017). Effectiveness of a Relaxation Intervention (Progressive Musclerelaxation and Guided Imagery Techniques) to Reduce Anxiety and Improve Mood of Parents of Hospitalized Children with Malignancies: A Randomized Controlled Trial in Republic of Cyprus and Greec. European Journal of Oncology Nursing, 26, 9–18. https://doi.org/10.1016/j.ejon.2016.10.007
Zhou, K., Li, X., Li, J., Liu, M., Dang, S., & Wang, D. (2014). A Clinical Randomized Controlled Trial of Music Therapy and Progressive Muscle Relaxation Training in Female Breast Cancer Patients After Radical Mastectomy: Results on Depression, Anxiety and Length of Hospital Stay. European Journal of Oncology Nursing, xxx, 1–6. https://doi.org/10.1016/j.ejon.2014.07.010
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Jurnal Perilaku Kesehatan Terpadu

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Please find the rights and licenses in Register: Jupiter Perilaku Kesehatan Terpadu. By submitting the article/manuscript of the article, the author(s) agree with this policy. No specific document sign-off is required.
1. License
The non-commercial use of the article will be governed by the Creative Commons Attribution license as currently displayed on Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
2. Author(s)' Warranties
The author warrants that the article is original, written by stated author(s), has not been published before, contains no unlawful statements, does not infringe the rights of others, is subject to copyright that is vested exclusively in the author and free of any third party rights, and that any necessary written permissions to quote from other sources have been obtained by the author(s).
3. User/Public Rights
Register's spirit is to disseminate articles published are as free as possible. Under the Creative Commons license, Register permits users to copy, distribute, display, and perform the work for non-commercial purposes only. Users will also need to attribute authors and Register on distributing works in the journal and other media of publications. Unless otherwise stated, the authors are public entities as soon as their articles got published.
4. Rights of Authors
Authors retain all their rights to the published works, such as (but not limited to) the following rights;
Copyright and other proprietary rights relating to the article, such as patent rights,
The right to use the substance of the article in own future works, including lectures and books,
The right to reproduce the article for own purposes,
The right to self-archive the article (please read out deposit policy),
The right to enter into separate, additional contractual arrangements for the non-exclusive distribution of the article's published version (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal (Register: Jurnal Ilmiah Teknologi Sistem Informasi).
5. Co-Authorship
If the article was jointly prepared by more than one author, any authors submitting the manuscript warrants that he/she has been authorized by all co-authors to be agreed on this copyright and license notice (agreement) on their behalf, and agrees to inform his/her co-authors of the terms of this policy. Register will not be held liable for anything that may arise due to the author(s) internal dispute. Register will only communicate with the corresponding author.
6. Royalties
Being an open accessed journal and disseminating articles for free under the Creative Commons license term mentioned, author(s) aware that Register entitles the author(s) to no royalties or other fees.
7. Miscellaneous
Register will publish the article (or have it published) in the journal if the article’s editorial process is successfully completed. Register's editors may modify the article to a style of punctuation, spelling, capitalization, referencing and usage that deems appropriate. The author acknowledges that the article may be published so that it will be publicly accessible and such access will be free of charge for the readers as mentioned in point 3.

