Application of Progressive Muscle Relaxation Therapy for Preoperative Anxiety in Cesarean Section at Kajen Regional General Hospital, Pekalongan Regency
DOI:
https://doi.org/10.65310/2zb42082Keywords:
Progressive Muscle Relaxation, Preoperative Anxiety, Cesarean Section, Non-Pharmacological Intervention, Perioperative Nursing Care.Abstract
Background: Sectio Caesarea is a major surgical procedure that often causes anxiety in preoperative patients. Unmanaged anxiety can negatively affect patients’ physiological and psychological conditions and influence their readiness for surgery. One non-pharmacological intervention that nurses can apply to reduce anxiety is Progressive Muscle Relaxation (PMR) therapy, a relaxation technique performed by systematically tensing and relaxing muscle groups to achieve a relaxed state. Methods: This study used a descriptive method with a case study approach employing a one group pre-test and post-test without control design. The subjects consisted of five preoperative Sectio Caesarea patients who met the inclusion criteria. Anxiety levels were measured using the Hamilton Rating Scale for Anxiety (HRS-A) before and after the PMR intervention. The PMR therapy was administered twice, namely on the night before surgery and in the morning before the patient was transferred to the operating room, with a duration of approximately 20 minutes per session. Results: The results showed that prior to the PMR intervention, all respondents were in the moderate anxiety category. After the PMR intervention, anxiety levels decreased in all respondents to the mild anxiety category, as indicated by a consistent reduction in HRS-A scores for each patient.
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Alifiani, A. P., Sukmaningtyas, W., & Utami, T. (2025). Implementasi Relaksasi Otot Progresif Terhadap Penurunan Tingkat Kecemasan Pasien Pre Sectio Caesarea. Jurnal Pengabdian Masyarakat-PIMAS, 4(3), 192-200. https://doi.org/10.35960/pimas.v4i3.1860.
Almurhan, A., Diani, S., Sulastri, S., & Musiana, M. (2024). Menurunkan Kecemasan Pre-operasi dengan Latihan Otot Progresif. Jurnal Ilmu Keperawatan Indonesia, 5(1), 256-264. https://doi.org/10.57084/jikpi.v5i1.1525.
Dukundane, A., Renzaho, J. N., Ndicunguye, V. M., Sheferaw, E. D., & Amberbir, A. (2025). Factors associated with respectful maternity care reported by patients in selected health facilities in Musanze District, Rwanda: a facility-based cross-sectional study. BMC Women's Health, 25(1), 259. https://doi.org/10.1186/s12905-025-03803-2.
Groß, D., & Kohlmann, C. W. (2021). Increasing heart rate variability through progressive muscle relaxation and breathing: a 77-day pilot study with daily ambulatory assessment. International journal of environmental research and public health, 18(21), 11357. https://doi.org/10.3390/ijerph182111357.
Herlina, L., Wijayanto, W. P., & Amirudin, I. (2024). Penerapan Terapi Relaksasi Otot Progresif Terhadap Kecemasan Pasien Pre Operasi Sectio Caesarea Di RS Bhayangkara Polda Lampung Tahun 2024. Majalah Cendekia Mengabdi, 2(4), 292-297. https://doi.org/10.63004/mcm.v2i4.477.
Izzati, F. H., Handayani, R. N., & Firdaus, E. K. (2024). Pengaruh Terapi Musik Klasik Terhadap Kecemasan Di Pre Operasi Pada Pasien Sc. Journal Of Nursing And Health, 9(1), 9-18. https://doi.org/10.52488/jnh.v9i1.290.
Lestaluhu, M., Peristiowati, Y., & Elliana, A. D. (2024). Combination Of Progressive Muscle Relaxation (Pmr) And Positive Affirmation On Anxiety Reduction And Heart Patient Pain. Jurnal Medika Usada, 7(1), 1-8. https://doi.org/10.54107/medikausada.v7i1.225.
Lihu, I. (2025). Pengaruh Terapi Relaksasi Otot Progresif Terhadap Penurunan Tingkat Kecemasan Pada Pasien Pre Operasi Sectio Caesarea Di RSIA Sitti Khadijah Kota Gorontalo. Jurnal Keperawatan Muhammadiyah, 10(1), 45-53. https://doi.org/10.30651/jkm.v10i1.25078.
Maiseptyasari, R. (2019). Pengaruh Terapi Musik terhadap Tingkat Kecemasan Pasien Pre Operasi Sectio Caesaria di RSUD Curup. Jurnal Ilmiah Kesehatan Ar-Rum Salatiga, 3(2). https://doi.org/10.36409/jika.v3i2.36.
Nurastam, S. N. M. (2019). Efektifitas Teknik Relaksasi Otot Progresif dan Relaksasi Autogenik terhadap Tingkat Nyeri pada Pasien Post Operasi Seksio Caesarea di Ruang Cempaka RSUD Ngudi Waluyo. Jurnal Keperawatan Terapan, 5(2), 145-154. https://doi.org/10.31290/jkt.v5i2.355.
Pragholapati, A. (2020). Effect Of Progressive Muscle Relaxation Technique On Pain In Post Sectio caesarea. Jurnal Kesehatan dr. Soebandi, 8(2), 112-122. https://doi.org/10.36858/jkds.v8i2.216.
Putri, D., Kartilah, T., & Nurhayati, T. (2025). Penerapan Relaksasi Nafas Dalam Dengan Progresive Muscle Relaxation (PMR) Terhadap Penurunan Tingkat Nyeri Post Sectio Caesarea. Quality: Jurnal Kesehatan, 19(2), 101-107. https://doi.org/10.36082/qjk.v19i2.2450.
Rahardiantini, I. (2022). Pengaruh Terapi Progressive Muscle Relaxation Terhadap Rasa Cemas Pre Operasi Sectio. Jurnal Keperawatan, 12(1), 37-43. https://doi.org/10.59870/jurkep.v12i1.136.
Rahayu, T. P., MM, W. Q., Sucipto, A., & Lestari, L. (2025). Pengaruh Hipnosis Lima Jari Terhadap Kecemasan Pada Pasien Pre Operasi Sectio Caesarea (SC) Di Ruang Bengkirai Rsud Sultan Imanuddin Pangkalan Bun. Yahya Bima: The Scientific Journal Health, 2(1). https://doi.org/10.70873/tsjh.v2i1.34.
Rihi, P., Muniroh, M., & Susilawati, D. (2020). Relaxation therapy on the level of anxiety of post sectio caesarea: A literature review. STRADA: Jurnal Ilmiah Kesehatan, 9(2), 1687-1693. https://doi.org/10.30994/sjik.v9i2.520.
RSUD Kajen Kebupaten. (2025). Data Rekam Medik RSUD Kajen.
Setyoningsih, A. (2023). Teknik Genggam Jari Dan Stress Ball Dapat Menurunkan Kecemasan Pada Pasien Sectio Caesarea Di Rumah Sakit Bina Husada Tahun 2021. Indonesian Scholar Journal of Nursing and Midwifery Science, 2(06), 695-702. https://doi.org/10.54402/isjnms.v2i06.320.
Syafi, A. G. A., Agustin, A. N., Olivia, C., Novitasari, D., Bintang, K. K. M., Aini, N. R. N., & Arini, L. D. D. (2025). Sistem Muskuloskeletal dan Integumen. Jejak digital: Jurnal Ilmiah Multidisiplin, 1(6), 4322-4325. https://doi.org/10.63822/vqjp9b43.
Vinet, L., & Zhedanov, A. (2011). A ‘missing’family of classical orthogonal polynomials. Journal of physics a: mathematical and theoretical, 44(8), 085201. Https://Doi.Org/10.1088/1751-8113/44/8/085201.
WHO. (2023a). Maternal Mortality. World Health Organization.
WHO. (2023b). Trends In Maternal Mortality 2000 To 2020: Estimates. In WHO, Geneva. Https://Www.Who.Int/Reproductivehealth/Publications/Maternal-Mortality-2000-2017/En/.
Widiyawati, W., Wardani, L. K., Rinawati, F., Widyastuti, B., Hidajaturrokhmah, N. Y., & Saputro, H. (2024). Effectiveness of finger hand relaxation and progressive muscle relaxation techniques on anxiety in pre-operative sectio caesarea patients. Journal Of Nursing Practice, 8(1), 229-236. https://doi.org/10.30994/jnp.v8i1.657.
Zhakia, L. P., Sepdianto, T. C., & Supono, S. (2025). Pengaruh Relaksasi Otot Progresif Dan Slow Deep Breathing Terhadap Penurunan Tingkat Kecemasan Pasien Pre Operasi Ca Mamae Di RSUD dr. Soenono Provinsi Jawa Timur. Jurnal Keperawatan Muhammadiyah, 10(4). https://doi.org/10.30651/jkm.v10i4.23358.
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