Effectiveness of Progressive Muscle Relaxation in Reducing Depression, Anxiety and Stress among Haemodialysis Patients attending a Public Hospital at Central Java Indonesia.
- Author:
Hudiyawati Da
- Collective Name:Muhlisin A , Normala Ibrahim
- Publication Type:Journal Article
- Keywords:
hemodialysis, progressive muscle relaxation (PMR), depression, anxiety, stress
- From:
The International Medical Journal Malaysia
2019;18(3):3-10
- CountryMalaysia
- Language:English
-
Abstract:
The increasing trend of Chronic Kidney Disease (CKD) prevalence in Indonesia is a public health concern as
it increases mortality, morbidity and burden of disease that has great implication on the health economic.
In addition, CKD patients who are more likely to undergo hemodialysis is commonly associated with
psychological problems such as depression, anxiety and stress and these have added more to the disease
burden. Immediate measures such as progressive muscle relaxation (PMR) to reduce the psychological
symptoms is of great importance before the symptoms progress into psychiatric disorders. The study was
aimed to evaluate the effectiveness of PMR in reducing symptoms of depression, anxiety and stress among
patients undergoing hemodialysis. It was a quasi-experimental, pretest-posttest control study that recruited
60 eligible respondents who underwent hemodialysis and was randomly allocated into intervention and waitlist control groups. Respondents in the intervention group performed PMR twice a day for two weeks. Mean
scores of depression, anxiety and stress of respondents were examined before and after intervention using
Depression, Anxiety and Stress Scale–21 questionnaire (DASS-21). Results showed that mean scores of
depression, anxiety and stress differed significantly before and after intervention between groups and within
the intervention group (p<0.05). PMR was effective to reduce the psychological symptoms among patients
underwent hemodialysis. This highlight the importance to screen psychological symptoms among those
patients and PMR should be taught to them as one of the stress-reducing measures.
- Full text:180302.pdf
