The Effect Of Progressive Muscle Relaxation On Sleep Quality In Patients With Hypertension In South Cilacap City



Introduction : Patients with hypertension patients can have sleep disorders such as dizziness or headache, feeling tired during the day, anxiety, decreasing concentration and irritability. This study aimed to evaluate the effect of progressive muscle relaxation (PMR) on sleep quality in patients with hypertension in South Cilacap City. Method : The research used quasi-experiment with pre-post test without control group. Respondents werw patients with hypertension in South Cilacap City, with the criteria forthose who were active in health care programme, able to perform independent activities, consume of anti-hypertensive drugs, have done PMR regularly for 7 days, and the exclusion criteria was patients with impaired osteoarthritis and rheumatoid arthritis. Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep quality twice, before and 7 days after interventions PMR. Statistic analysis used wilcoxon test. 16 respondents included in the criteria. Result : The quality of sleep before treatment PMR was 7 people (43.8%) poor, 9 people (56.3%) very bad. After treatment PMR was 3 people (18.8%) rather good, 13 people (81.3%) less good. The analysis shown the sleep quality was difference between before and after PMR with p-value <0.001. Discussion : The study shows there is difference between before and after PMR in hypertensive patients in South Cilacap. PMR can be used to improve the sleep quality of hypertensive patients.


hypertension, sleep quality, progressive muscle relaxation

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Backhaus, J., Junghanns, K., Broocks, A., Riemann, D., & Hohagen, F. (2002). Test – retest reliability and validity of the Pittsburgh Sleep Quality Index in primary insomnia. Journal of Psychosomatic Research, 53, 737–740.

Brunelli, S., Morone, G., Iosa, M., Ciotti, C., Giorgi, R. De, Foti, C., & Traballesi, M. (2015). Efficacy of Progressive Muscle Relaxation , Mental Imagery , and Phantom Exercise Training on Phantom Limb : A Randomized Controlled Trial. Archives of Physical Medicine and Rehabilitation, 8–12.

Cohen, J. D. (2009). Hypertension Epidemiology and Economic Burden : Refining Risk Assessment To Lower Costs. Managed Care, (October), 51–58.

Conrad, A., & Roth, W. T. (2007). Muscle relaxation therapy for anxiety disorders: It works but how? Journal of Anxiety Disorders, 21(3), 243–264.

de Niet, G., Tiemens, B., Lendemeijer, B., & Hutschemaekers, G. (2009). Music-assisted relaxation to improve sleep quality: meta-analysis. Journal of Advanced Nursing, 65(7), 1356–1364.

Dinas Kesehatan Kabupaten. (2017). Laporan Tahunan Penyakit Tidak Menular (PTM). Cilacap.

Feldman, G., Greeson, J., & Senville, J. (2010). Behaviour Research and Therapy Differential effects of mindful breathing , progressive muscle relaxation , and loving-kindness meditation on decentering and negative reactions to repetitive thoughts. Behaviour Research and Therapy, 48(10), 1002–1011.

Gezer, O., Batmaz, I., Sariyildiz, M. A., Sula, B., Gezer, O., Ucmak, D., … Nas, K. (2014). Sleep quality in patients with psoriatic arthritis. International Journal of Rheumatic Disessases, 1–7.

Guissard, N., Duchateau, J., & Hainaut, K. (2001). Mechanisms of decreased motoneurone excitation during passive muscle stretching. Experimental Brain Research, 137(2), 163–169.

Javaheri, S., Storfer-isser, A., Rosen, C. L., & Redline, S. (2008). Sleep Quality and Elevated Blood Pressure in Adolescents. Circulation, 118, 1034–1040.

Mancia, G., Fagard, R., Narkiewicz, K., Redon, J., Zancetti, A., Bohm, M., & Christien, T. (2013). 2013 ESH / ESC Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension ( ESH ) and of the European Society of Cardiology ( ESC ). Blood Pressure, (early online), 1–86.

Nadruz, W. (2015). Myocardial remodeling in hypertension. Journal of Human Hypertension, 29(1), 1–6.

Nagai, M., & Kario, K. (2012). [Sleep disorder and hypertension]. Nihon Rinsho. Japanese Journal of Clinical Medicine, 70(7), 1188—1194.

Niet, G. J. De, Tiemens, B. G., Kloos, M. W., & Hutschemaekers, G. J. M. (2009). Review of systematic reviews about the efficacy of non-pharmacological interventions to improve sleep quality. International Journal Evidence Based Healthcare, 7, 233–242.

Persson, K., Clow, A., Edwards, S., Hucklebridge, F., & Rylander, R. (2003). Effects of nighttime low frequency noise on the cortisol response to awakening and subjective sleep quality. Life Science, 72, 863–875.

Richardson, S. (2003). Effects of Relaxation and Imagery on the Sleep of Critically Ill Adults. Dimensions of Critical Care Nursing, 22(4), 182–190.

Saeedi, M., Ashktorab, T., Saatchi, K., Zayeri, F., Amir, S., & Akbari, A. (2012). The Effect of Progressive Muscle Relaxation on Sleep Quality of Patients Undergoing Hemodialysis. Iranian Journal of Critical Care Nursing, 5(1), 23–28.

Sheu, S., Irvin, B. L., Lin, H.-S., & Mar, C.-L. (2003). Effects of Progressive Muscle Relaxation on Blood Pressure and Psychosocial Status for Clients with Essential Hypertension in Taiwan. Holistic Nursing Practice, 17(1).

Singh, V. P., Rao, V., V, P., R C, S., & K, K. P. (2009). Comparison of the effectiveness of music and progressive muscle relaxation for anxiety in COPD--A randomized controlled pilot study. Chronic Respiratory Disease, 6(4), 209–216.

Weber, M. A., Schiffrin, E. L., White, W. B., Mann, S., Lindholm, L. H., Kenerson, J. G., … Ram, C. V. S. (2014). Clinical Practice Guidelines for the Management of Hypertension in the Community A Statement by the American Society of Hypertension and the International Society of Hypertension. The Journal of Clinical Hypertension, 16(1), 14–26.



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