Penurunan Fatigue pada Pasien HIV/AIDS dengan Progressive Muscle Relaxation
Abstract
This study aims to identify the effect of Progressive Muscle Relaxation (PMR) therapy on reducing fatigue scores in HIV/AIDS patients. The research method uses a pre-post quasi-experimental design with a control group design. The study results showed that giving progressive muscle relaxation therapy to the intervention group decreased fatigue by 8.763 points, with a p-value of 0.000. In conclusion, advanced muscle relaxation therapy can be used as an intervention of choice to reduce fatigue conditions in HIV/AIDS patients for seven days, at least once a day, in the afternoon for 10-20 minutes per exercise, taking into account the factors of Hb levels, duration of ARV use, and psychological factors.
Keywords: Fatigue, HIV/AIDS, Progressive Muscle Relaxation
References
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Sutini, S., Rahayu, S. R., Saefurrohim, M. Z., Al Ayubi, M. T. A., Wijayanti, H., Wandastuti, A. D., Miarso, D., & Susilastuti, M. S. (2022). Prevalence and Determinants of Opportunistic Infections in HIV Patients: A Cross-Sectional Study in the City of Semarang. Ethiopian Journal of Health Sciences, 32(4), 809–816. https://doi.org/10.4314/ejhs.v32i4.18
Toussaint, L., Nguyen, Q. A., Roettger, C., Dixon, K., Offenbächer, M., Kohls, N., Hirsch, J., & Sirois, F. (2021). Effectiveness of Progressive Muscle Relaxation, Deep Breathing, and Guided Imagery in Promoting Psychological and Physiological States of Relaxation. Evidence-Based Complementary and Alternative Medicine, 2021(5924040), 1–8. https://doi.org/10.1155/2021/5924040
Uly, R. G. Z., Sujianto, U., & Sulisno, M. (2020). Efektivitas Intervensi Depresi dan Jumlah CD4 pada Orang yang Hidup dengan HIV. Jurnal Ilmu Keperawatan Jiwa, 3(1), 17-26. https://doi.org/10.32584/jikj.v3i1.473
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Andrianto, M. B., Padila, P., Andri, J., Sartika, A., & Harsismanto, J. (2021). Religious Practices on HIV/AIDS Patients. JOSING: Journal of Nursing and Health, 2(1), 8-14. https://doi.org/10.31539/josing.v2i1.2976
Bansal, R., Surana, A., & Kayanja, H. (2020). Infections in HIV: Look Once, Look Again. American Journal of Respiratory and Critical Care Medicine, 201(1), A5477–A5477. https://doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a5477
Baye, M., Fisseha, B., Bayisa, M., Abebe, S. M., & Janakiraman, B. (2020). Experience of Fatigue and Associated Factors among Adult People Living with HIV Attending ART Clinic: A Hospital-Based Cross-Sectional Study in Ethiopia. BMJ Open, 10(10), 1–11. https://doi.org/10.1136/bmjopen-2020-042029
Bukenya, D., Mayanja, B. N., Nakamanya, S., Muhumuza, R., & Seeley, J. (2019). What Causes Non-Adherence among Some Individuals on Long Term Antiretroviral Therapy? Experiences of Individuals with Poor Viral Suppression in Uganda. AIDS Research and Therapy, 16(1), 1–9. https://doi.org/10.1186/s12981-018-0214-y
Cao, G., Wang, Y., Wu, Y., Jing, W., Liu, J., & Liu, M. (2022). Prevalence of Anemia among People Living with HIV: A Systematic Review and Meta-analysis. EClinicalMedicine, 44(38). https://doi.org/10.1016/j.eclinm.2022.101283
Gebreyesus, T., Belay, A., Berhe, G., & Haile, G. (2020). Burden of Fatigue among Adults Living with HIV/AIDS Attending Antiretroviral therapy in Ethiopia. BMC Infectious Diseases, 20(1), 1–10. https://doi.org/10.1186/s12879-020-05008-4
Indah, F. P. S., & Eryando, T. (2023). Determinant of Perception Factors in People Living with HIV/AIDS (PLWHA) with the Attitude of Preventing Opportunistic Infections. Malaysian Journal of Nursing, 14(3), 178–184. https://doi.org/10.31674/mjn.2023.v14i03.021
Korkut, S., Ülker, T., Çidem, A., & Şahin, S. (2021). The Effect of Progressive Muscle Relaxation and Nature Sounds on Blood Pressure Measurement Skills, Anxiety Levels, and Vital Signs in Nursing Students. Perspectives in Psychiatric Care, 57(4), 1782–1790. https://doi.org/10.1111/ppc.12749
Langseth, R., Berg, R. C., Rysstad, O., Sørlie, T., Lie, B., & Skogen, V. (2022). Prevalence and Predictors of Fatigue among People Living with HIV in Norway. AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, 34(8), 1008–1013. https://doi.org/10.1080/09540121.2021.1934379
Lee, K. A., Jong, S., & Gay, C. L. (2020). Fatigue Management for Adults Living with HIV: A Randomized Controlled Pilot Study. Research in Nursing & Health, 43(1), 56–67. https://doi.org/10.1002/nur.21987
Loh, E. W., Shih, H. F., Lin, C. K., & Huang, T. W. (2022). Effect of Progressive Muscle Relaxation on Postoperative Pain, Fatigue, and Vital Signs in Patients with Head and Neck Cancers: A Randomized Controlled Trial. Patient Education and Counseling, 105(7), 2151–2157. https://doi.org/10.1016/j.pec.2021.10.034
Mauliku, N. E., Endah, S. N., & Yuniarti, S. (2021). Pengaruh Relaksasi Otot Progresif terhadap Kecemasan pada Wanita Pasangan Usia Subur (WPUS) Penderita HIV/AIDS. JOMIS (Journal of Midwifery Science), 5(2), 148–157. https://doi.org/10.36341/jomis.v5i2.1723
Nermin, & Parlar, S. (2023). The Effect of Progressive Muscle Relaxation on Sleep Quality and Fatigue in Patients with Rheumatoid Arthritis: A Randomized Controlled Trial. International Journal of Nursing Practice, 29(3), 580-584. https://doi.org/https://doi.org/10.1111/ijn.13015
Siegler, E. L., Moxley, J. H., & Glesby, M. J. (2021). Aging-Related Concerns of People Living with HIV Referred for Geriatric Consultation. HIV/AIDS - Research and Palliative Care, 13(65), 467–474. https://doi.org/10.2147/HIV.S306532
Sundari, A. R. P., Tursina, A., & Siddiq, T. B. (2023). Gambaran Karakteristik Pasien Infeksi Oportunistik Tuberkulosis dengan HIV/AIDS di RSUD Al-Ihsan. Bandung Conference Series: Medical Science, 3(1), 141–148. https://doi.org/10.29313/bcsms.v3i1.5762
Sutini, S., Rahayu, S. R., Saefurrohim, M. Z., Al Ayubi, M. T. A., Wijayanti, H., Wandastuti, A. D., Miarso, D., & Susilastuti, M. S. (2022). Prevalence and Determinants of Opportunistic Infections in HIV Patients: A Cross-Sectional Study in the City of Semarang. Ethiopian Journal of Health Sciences, 32(4), 809–816. https://doi.org/10.4314/ejhs.v32i4.18
Toussaint, L., Nguyen, Q. A., Roettger, C., Dixon, K., Offenbächer, M., Kohls, N., Hirsch, J., & Sirois, F. (2021). Effectiveness of Progressive Muscle Relaxation, Deep Breathing, and Guided Imagery in Promoting Psychological and Physiological States of Relaxation. Evidence-Based Complementary and Alternative Medicine, 2021(5924040), 1–8. https://doi.org/10.1155/2021/5924040
Uly, R. G. Z., Sujianto, U., & Sulisno, M. (2020). Efektivitas Intervensi Depresi dan Jumlah CD4 pada Orang yang Hidup dengan HIV. Jurnal Ilmu Keperawatan Jiwa, 3(1), 17-26. https://doi.org/10.32584/jikj.v3i1.473
UNAIDS. (2021). UNAIDS Data 2021. Jaint United Nationns Programme on HIV/AIDS. unaids.Org
WHO. (2022). World Health Statistics 2022. Monitoring Health of the SDGs. http://apps.who.int/bookorders
