Progressive Muscle Relaxation As An Effort To Reduce Pain Intensity In Cervical Cancer Sufferers
Latar Belakang : Kanker serviks merupakan masalah global penyakit tidak menular yang menyebabkan nyeri hingga kematian pada wanita. Nyeri merupakan keluhan yang sering dialami oleh pasien kanker serviks. Berdasarkan pra-survei yang dilakukan peneliti terhadap pasien kanker serviks, 70% mengalami nyeri kanker. Salah satu terapi komplementer yaitu Relaksasi Otot Progresif merupakan teknik untuk menurunkan ketegangan otot dengan proses yang sederhana dan sistematis.
Tujuan : Tujuan penelitian ini adalah untuk mengetahui pengaruh PMR terhadap nyeri kanker pada pasien kanker serviks.
Metode : Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan desain penelitian quasy eksperimen dengan metode one group pretest – posttest. Penelitian ini dilakukan pada bulan Februari – Juli 2024 terhadap 43 responden dari populasi 75 pasien nyeri kanker serviks, pengumpulan data dilakukan dengan menggunakan kuesioner penilaian nyeri dengan menggunakan Numeric Rating Scale. Data diolah dengan menggunakan uji statistik analisis univariat dan bivariat yang kemudian dilakukan uji hipotesis dengan menggunakan uji Wilcoxon.
Hasil : Hasil penelitian menunjukkan rata-rata skala nyeri sebelum PMR sebesar 5,07 (nyeri sedang), sedangkan rata-rata skala nyeri sesudah PMR menurun menjadi 3,74 (nyeri ringan). Hasil uji statistik menunjukkan adanya pengaruh yang signifikan relaksasi otot progresif terhadap penurunan nyeri pada pasien kanker serviks (p-value=0,000).
Kesimpulan : Oleh karena itu, disarankan bagi tenaga kesehatan untuk mempertimbangkan penggunaan PMR sebagai salah satu intervensi dalam manajemen nyeri pada pasien, khususnya pada pasien kanker serviks.
Kata Kunci : Relaksasi Otot Progresif, Nyeri, Kanker Serviks, Pasien, Efek
ABSTRACT
Backgrounds : Cervical cancer is a global problem of non-communicable diseases that cause pain to death in women. Pain is a complaint that is often experienced by cervical cancer patients. Based on a pre-survey conducted by researchers on cervical cancer patients, 70% experienced cancer pain. One of the complementary therapies, namely Progressive Muscle Relaxation, is a technique to reduce muscle tension with a simple and systematic process.
Purpose : The purpose of this study is to determine the effect of PMR on cancer pain in cervical cancer patients.
Methods : The type of research is quantitative research with a Quasy experiment research design with the one group pretest – posttest method. This study was conducted in February – July 2024 on 43 respondents from a population of 75 cervical cancer pain patients, data was collected using a pain assessment questionnaire using the Numeric Rating Scale. The data was processed using statistical tests of univariate and bivariate analysis which was then carried out hypothesis tests using the Wilcoxon test.
Results : The research result showed that the average pain scale before PMR was 5.07 (moderate pain), while the average pain scale after decreased to 3.74 (mild pain). The results of the statistical test revealed a significant influence of progressive muscle relaxation on reducing pain in cervical cancer patients (p-value=0.000).
Conclusion : Therefore, it is recommended that healthcare professionals consider using PMR as one of the interventions in pain management in patients, especially for cervical cancer patients.
Keywords : Progressive Muscle Relaxation, Pain, Cervical Cancer, Patient, Effect
Keywords : : Progressive Muscle Relaxation, Pain, Cervical Cancer, Patient, Effect
- American Cancer Society. (2020). Cervical Cancer; Causes, Risks and Prevention. 2020. https://www.cancer.org/cancer/cervical-cancer/causes-risks-prevention/whatcauses.html
- Brunner, & Suddarth. (2014). Medical Surgical Nursing Textbook. Jakarta : EGC.
- Elsaqaa, H.S, Sobhy, S.I., Zaki, N. H (2016). Effect of Progressive Muscle Relaxation Technique on Pain and Anxiety Among Post Caesarean Mothers. Ijsr- international Journal Of Scientific Research, 5(3), 11 -24.
- Haryati, H. (2015). The Effect of Progressive Muscle Relaxation Exercise on Functional Status in the Context of Nursing Care for Cancer Patients with Chemotherapy at Dr. Wahidin Sudirohusodo Hospital, Makassar. https://www.neliti.com/publications/151862/
- Kurniasih, Dwi. (2023). Progressive Muscle Relaxation as an Effort to Reduce Pain in Cervical Cancer at Dr. Soedarso Pontianak Hospital. Journal of Scientific and Nursing Research, Vol 83 no.8, June 2023.
- https://doi.org/10.33024/mahesa.v3i8.10656
- Mariza, A., & Sunarsih, S. (2024). PREMARITAL AND PRECONCEPTION MIDWIFERY CARE. Tahta Media Publisher.
- Mariza, A., & Usman, M. (2015). Analysis of Risk Factors Related to the Incidence of Albus Fluorine in Female Students in Junior High School in Teluk Betung Barat District, Bandar Lampung City in 2013. Journal of the World Health Service, 4(2).
- Maryani, A. (2019). Effect of Progressive Muscle Relaxation on Anxiety, Nausea and Vomiting, After Chemotherapy in Breast Cancer Patients at DR Hasan Sadikin Hospital Bandung (Thesis). University of Indonesia.
- Niven, N. (2018). Health Psychology: An Introduction to Nurses and Other Health Professions. Jakarta : EGC.
- Rahmania, Eka Nadya. Nastoba, J. & Adhisty, Karolin (2020). The Effect of Progressive Musle Relaxation as the Application of Palliative Care on Pain and Anxiety of Cervical Cancer Patients. Journal of Scientific and Research Nursing, Vol 8 no.1, June 2020. https://doi.org/10.53345/bimiki.v8i1.123
- Ratna, R. N., Mariza, A., Yuviska, I. A., & Putri, R. D. (2023). The Effect Of Vulva Hygiene Education Video Media On The Knowledge Level And Attitude Of Adolescent Women With Fluor Albus. JKM (Jurnal Kebidanan Malahayati), 9(2), 293-301.
- Sari, A., & Subandi. (2015). Training on relaxation techniques to reduce anxiety in primary caregivers with breast cancer. Program. Master of Psychology Profession, Faculty of Psychology, Gadjah Mada University. ISSN: 2407-7801, 1(3), 173 – 192. DOI: 10.22146/gamajpp.9393
- Sigalingging, G., Sitopu, S. D., & Sihaloho, L. (2018). The Effect of Progressive Muscle Relaxation (PMR) on Anxiety Levels in Cervical Cancer Patients Undergoing Chemotherapy at Dr.MOEWARDI SURAKARTA Hospital. https://repository.umy.ac.id/handle/123456789/20920
- Smeltzer, & Bare. (2017). Textbook of Medical Surgical Nursing Brunner and Suddarth (12 ed.). Jakarta : EGC.
- supetran, Iwayan. (2016). The Effectiveness of the Use of Progressive Muscle Relaxation Techniques in Reducing the Pain Level of Gatritis Patients at Madani Palu Hospital.
- https://jurnal.unismuhpalu.ac.id/index.php/PJKM/article/view/2
- Syahdatunnisa, Rahmadani. Apriza. Fitria Ningsih, Neneng. (2024). Nursing Care for Mrs. A With the Application of Progressive Muscle Relaxation Therapy to Reduce the Pain Scale in Ca Mammae Patients in the Inpatient Room of the Dahlia Room of Arifin Achmad Hospital, Riau Province.
- Prazona, Yutari. Erika. Tri Utami, Gamya. (2023). The Effect of Progressive Muscle Relaxation on Pain Reduction in Cancer Patients: Literature Review.https://jurnalmedikahutama.com/index.php/JMH/article/view/633/442
- Wulandari, Septiyana Indri. Mus'tain. & Irawan AM, Ady. (2023). The Effect of Slow Deep Breathing and Progressive Muscle Relaxation on Blood Pressure in Adults with Hypertension in Teak Village. Journal Of Nursing Practice and Education. Vol4 No.1. https://doi.org/10.34305/jnpe.v4i1.831
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