THE EFFECT OF PROGRESSIVE MUSCLE RELAXATION (PMR) ON SLEEP QUALITY IN ELDERLY
Keywords:
Elderly, , Progressive Muscle Relaxation, Sleep disturbanceAbstract
Introduction: Sleep disturbances are a common and pressing health issue among the elderly, significantly impacting their overall well-being and quality of life. Purpose: To examine the effect of Progressive Muscle Relaxation (PMR) on sleep quality in elderly individuals. A quantitative pre-test and post-test design was employed with 20 elderly participants aged 60 to 90 years. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) before and after the PMR intervention. Method: Results showed that prior to the intervention, 90% of participants experienced mild sleep disturbances and 10% had moderate disturbances. Following the intervention, 20% of participants reported good sleep quality, and none remained in the moderate disturbance category. The Wilcoxon signed-rank test revealed a significant difference between pre- and post-intervention PSQI scores (Z = -3.920, p = 0.000), indicating a significant reduction in sleep disturbances after PMR. Conclusion: These findings suggest that PMR is effective in improving sleep quality among the elderly. The study recommends further development of PMR programs as a non-pharmacological intervention to enhance sleep health in older populations across various settings.
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Adiputra, I. M. S. et al. (2021) Metodologi Penelitian Kesehatan. Edited by R. Watrianthos and J. Simarmata. Denpasar: Yayasan Kita Menulis.
Baklouti, S. et al. (2023) ‘The effect of web-based Hatha yoga on psychological distress and sleep quality in older adults: A randomized controlled trial’, Complementary Therapies in Clinical Practice. Elsevier Ltd, 50(November 2022), p. 101715. doi: 10.1016/j.ctcp.2022.101715.
Beswick, A. D. et al. (2023) ‘The effectiveness of non-pharmacological sleep interventions for improving inpatient sleep in hospital: A systematic review and meta-analysis’, Sleep Medicine. The Authors, 107, pp. 243–267. doi: 10.1016/j.sleep.2023.05.004.
Cuenca-Martínez, F. et al. (2023) ‘Exercise-based interventions on sleep quality in patients with fibromyalgia syndrome: An umbrella and mapping review with meta-analysis’, Seminars in Arthritis and Rheumatism, 61(May). doi: 10.1016/j.semarthrit.2023.152216.
Firmansyah, D. and Dede (2022) ‘Teknik Pengambilan Sampel Umum dalam Metodologi Penelitian: Literature Review’, Jurnal Ilmiah Pendidikan Holistik (JIPH), 1(2), pp. 85–114. doi: 10.55927/jiph.v1i2.937.
Gharehbaghi, M. et al. (2024) ‘Benson relaxation technique to address sleep quality and aggression among patients with bipolar type I disorder: A randomized clinical trial study’, Heliyon. Elsevier Ltd, 10(9), p. e30648. doi: 10.1016/j.heliyon.2024.e30648.
Hajibashi, A. et al. (2023) ‘Effect of progressive muscle relaxation as an add-on to pulmonary telerehabilitation in discharged patients with COVID-19: A randomised controlled trial’, Complementary Therapies in Clinical Practice. Elsevier Ltd, 51(January), p. 101730. doi: 10.1016/j.ctcp.2023.101730.
Han, F. Y. et al. (2024) ‘Vividness of visual imagery is associated with the effect of relaxation response meditation training in elderly people with nonorganic insomnia: A randomized, double-blind, multi-center clinical trial’, Experimental Gerontology. Elsevier Inc., 194(June), p. 112486. doi: 10.1016/j.exger.2024.112486.
Karimi, N. et al. (2024) ‘The effect of Aromatherapy with Pelargonium graveolens (P. graveolens) on the fatigue and sleep quality of critical care nurses during the Covid-19 pandemic: A randomized controlled trial’, Explore. Elsevier Inc., 20(1), pp. 82–88. doi: 10.1016/j.explore.2023.06.006.
Kondo, Y. et al. (2023) ‘Assessment of sleep quality improvement associated with simple progressive muscle relaxation in patients with cancer’, The Kitakanto Medical Journal, 73(3), pp. 207–212. Available at: https://doi.org/10.2974/kmj.73.207.
Li, X. et al. (2020) ‘COVID-19 in Guangdong: Immediate Perceptions and Psychological Impact on 304,167 College Students’, Frontiers in Psychology, 11(August), pp. 1–13. doi: 10.3389/fpsyg.2020.02024.
McLay, L. et al. (2024) ‘An evaluation of psychosocial sleep interventions for children with chronic health conditions: A systematic review’, Sleep Medicine Reviews. Elsevier Ltd, 77(April), p. 101962. doi: 10.1016/j.smrv.2024.101962.
Mueller, C. et al. (2024) ‘Effects of exercise on sleep in patients with epilepsy: A systematic review’, Epilepsy and Behavior Reports. Elsevier Inc., 26(January), p. 100675. doi: 10.1016/j.ebr.2024.100675.
Nursalam (2020) Metodologi Penelitian Ilmu Keperawatan: Pendekatan Praktis. Jakarta: Salemba Medika.
Özlü, İ., Öztürk, Z., Karaman Özlü, Z., Tekin, E. and Gür, A (2021) ‘The effects of progressive muscle relaxation exercises on the anxiety and sleep quality of patients with COVID-19: A randomized controlled study’, Perspectives in Psychiatric Care, 57(4), pp. 1791–1797. Available at: https://doi.org/10.1111/ppc.12750.
Özlü, İ., Öztürk, Z., Karaman Özlü, Z., Tekin, E. and Gür, A. (2021) ‘The effects of progressive muscle relaxation exercises on the anxiety and sleep quality of patients with COVID‐19: A randomized controlled study’, Perspectives in Psychiatric Care, 57(4), pp. 1791–1797. Available at: https://doi.org/10.1111/ppc.12750.
Rodiyah, W., Tatius, B. and Dewi, N. S. (2021) ‘Differences in effectiveness between progressive muscle relaxation therapy and slow deep breathing therapy on elderly sleep quality’, Medica Hospitalia: Journal of Clinical Medicine, 11(2), p. 1015. Available at: https://doi.org/10.36408/mhjcm.v11i2.1015medicahospitalia.rskariadi.co.id.
Rosdiana, I. and Cahyati, Y. (2021) ‘The effect of the progressive muscle relaxation combined withs lavender aromatherapy on insomnia of hemodialysis patients’, Enfermeria Nefrologica, 24(1), pp. 39–46. doi: 10.37551/S2254-28842021004.
Sayed, S. M. and Younis, M. (2023) ‘The effect of progressive muscle relaxation exercises on sleep quality in patients receiving hemodialysis treatment: A randomized controlled study’, Turkish Journal of Sleep Medicine, 20(1), pp. 1–8. Available at: https://doi.org/10.4274/jtsm.galenos.2023.81994.
Talo, B. and Turan, G. B. (2023) ‘Effects of progressive muscle relaxation exercises on patients with epilepsy on level of depression, quality of sleep, and quality of life: A randomized controlled trial’, Seizure. Elsevier Ltd, 105(January), pp. 29–36. doi: 10.1016/j.seizure.2023.01.002.
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