Evidence Based Nursing Jacobson’s Progressive Muscle Relaxation untuk Mengurangi Kecemasan dan Depresi pada Pasien Dengan Hiv
Abstract
Kecemasan dan depresi yang tidak di obati akan mengganggu proses perawatan HIV dan mengarah pada ketidakpatuhan pengobatan ARV (Manavalan et al., 2023), penurunan kesehatan mental dan kesejahteraan pada ODHA berhubungan dengan jumlah CD4, dan jumlah CD4 yang rendah dapat menjadi indikator depresi yang tidak diobati (Ramirez-garcia et al., 2019). Jacobson’s Progresive Muscle Relaxation (JPMR) telah digunakan untuk mengatasi berbagai jenis masalah kesehatan termasuk untuk mengatasi kecemasan dan depresi pada pasien dengan HIV/AIDS. Dengan metode one group pre test dan post test, partisipan sebanyak 20 responden. Dengan kriteria inklusi pasien HIV/AIDS berusia lebih dari 20 tahun, dan mengalami kecemasan dan depresi. Sedangkan kriteria eksklusinya adalah pasien dengan gangguan depresi berat dan terdapat gangguan system neurologis. Menggunakan instrumen Hospital Anxiety and Depression Scale (HADS) untuk mengukur skor pre test dan post test terhadap kecemasan dan depresi yang dirasakan oleh pasien HIV/AIDS yang berobat ke poliklinik Wijayakusuma RSUP Fatmawati. Pemberian intervensi teknik Jacobson’s Progresive muscle relaxation pada pasien dengan HIV terbukti efektif, efisien merupakan metode non-invasif yang sederhana, hemat biaya dan dapat dilakukan kapan saja dan dimana saja untuk menurunkan kecemasan dan depresi pada pasien dengan HIV.
Kata Kunci: Jacobson’s Progresive muscle relaxation, kecemasan, depresi orang dengan HIV/AIDS
References
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Damtie, Y., Kefale, B., Yalew, M., Arefaynie, M., Adane, B., Edmealem, A., & Andualem, A. (2021). Depressive Symptoms and Associated Factors Among HIV Positive Patients Attending Public Health Facilities of Dessie Town: A Crosssectional Study. PLoS One, 16(8 August), 1–12. https://doi.org/10.1371/journal.pone.0255824
Ding, F., Wu, J., & Zhang, Y. (2023). Can Mindfulness-Based Stress Reduction Relieve Depressive Symptoms? A Systematic Review and Meta-Analysis. Journal of Pacific Rim Psychology, 17(489). https://doi.org/10.1177/18344909221145814
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Khir, S. M., Yunus, W. M. A. W. M., Mahmud, N., Wang, R., Panatik, S. A., Mohd Sukor, M. S., & Nordin, N. A. (2024). Efficacy of Progressive Muscle Relaxation in Adults for Stress, Anxiety, and Depression: A Systematic Review. Psychology Research and Behavior Management, 17(February), 345–365. https://doi.org/10.2147/PRBM.S437277
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Margi, P., Rashmika, M., Rutu, P., Nisha, P., Vrutta, P., Linus, K., Jay, P., & Das, N. (2020). A Study To Assess Effectiveness of Jacobson Progressive Relaxation Technique on Sleep Quality Among Elderly in Selected Old-Age Home of Kheda District. Medico-Legal Update, 20(3), 157–160. https://doi.org/10.37506/mlu.v20i3.1385
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
Palkar, D., Panigrahi, S., Shatadal, P., & Mehta, R. (2021). Impact of Jacobson’s Progressive Muscle Relaxation on Stress Levels of Exam Going MBBS Students of a Medical College in South Gujarat, India. Journal of Clinical and Diagnostic Research, 15(8), 13–16. https://doi.org/10.7860/jcdr/2021/48607.15269
Pole, J. S., Andri, J., & Padila, P. (2021). Cardiovascular Patient’s Anxiety in the Time of the Covid-19 Pandemic. JOSING: Journal of Nursing and Health, 2(1), 15-21. https://doi.org/10.31539/josing.v2i1.3022
Perakam, S., Devpura, G., & Manohar, S. (2019). The Effect of Jacobson ’ s Progressive Muscle Relaxation Technique on Depression in Diabesity Patients. F Health Sciences and Research, 9(March), 34–41. https://www.ijhsr.org/IJHSR_Vol.9_Issue.3_March2019/6.pdf
Ramirez-Garcia, M. P., Gagnon, M., Colson, S., Côté, J., Flores-Aranda, J., & Dupont, M. (2019). Mind-Body Practices for People Living with HIV : a Systematic Scoping Review. BMC Complementary and Alternative Medicine, 19. https://doi.org/https://doi.org/10.1186%2Fs12906-019-2502-z
Subitsa, M., & Neelakandan, R. (2022). Effectiveness of Jacobson ’ S Progressive Muscle Relaxation Techniques to Reduce Anxiety and Enhance Mental Health Among Type II Diabetes Mellitus Patients (Review of Literature). Emerging Technologies and Innovative Research, 9(5), 470–476. https://www.jetir.org/papers/JETIR2205267.pdf
Torales, J., O’Higgins, M., Barrios, I., González, I., & Almirón, M. (2020). An Overview of Jacobson’s Progressive MuscleRrelaxation in Managing Anxiety. Revista Argentina de Clinica Psicologica, 29(3), 17–23. https://doi.org/10.24205/03276716.2020.748
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. https://doi.org/10.1155/2021/5924040
Yousuf, A., Musa, R., Isa, M. L. M., & Arifin, S. R. M. (2020). Anxiety and Depression Among Women Living with HIV: Prevalence and Correlations. Critical Reviews, 16(1), 59–66. https://doi.org/10.2174/1745017902016010059
Zhang, Y., Chai, C., Xiong, J., Zhang, L., Zheng, J., Ning, Z., & Wang, Y. (2023). The Impact of Anxiety, Depression, and Social Support on The Relationship between HIV-Related Stigma and Mental Health-Related Quality of Life Among Chinese Patients: A Cross-Sectional, Moderate-Mediation Study. BMC Psychiatry, 23(1), 1–10. https://doi.org/10.1186/s12888-023-05103-1
Andri, J., Ramon, A., Padila, P., Sartika, A., & Putriana, E. (2020). Pengalaman Pasien ODHA dalam Adaptasi Fisiologis. Journal of Telenursing (JOTING), 2(2), 127-141. https://doi.org/10.31539/joting.v2i2.1397
Andri, J., Padila, P., & Arifin, N. A. (2021). Tingkat Kecemasan Pasien Kardiovaskuler pada Masa Pandemi COVID-19. Journal of Telenursing (JOTING), 3(1), 382-389. https://doi.org/10.31539/joting.v3i1.2167
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
Cahyanti, L., Sujianto, U., & Rejeki, S. (2020). Effect of Progressive Muscle Relaxation (PMR) Interventions on Sleep Quality of HIV / AIDS Patients : A Meta-Analysis. Critical Reviews, 7(13), 1663–1666. https://doi.org/http://dx.doi.org/10.31838/jcr.07.13.262
Damtie, Y., Kefale, B., Yalew, M., Arefaynie, M., Adane, B., Edmealem, A., & Andualem, A. (2021). Depressive Symptoms and Associated Factors Among HIV Positive Patients Attending Public Health Facilities of Dessie Town: A Crosssectional Study. PLoS One, 16(8 August), 1–12. https://doi.org/10.1371/journal.pone.0255824
Ding, F., Wu, J., & Zhang, Y. (2023). Can Mindfulness-Based Stress Reduction Relieve Depressive Symptoms? A Systematic Review and Meta-Analysis. Journal of Pacific Rim Psychology, 17(489). https://doi.org/10.1177/18344909221145814
Gerans, R., & Waluyo, A. (2019). a Psychosocial Intervention for Mental Health of People With Hiv (Plwh): a Literature Review. International Journal of Nursing and Health Services (IJNHS), 2(3), 45–57. https://doi.org/10.35654/ijnhs.v2i3.118
Jain, D., Kumar, J., Katyal, V. K., Jain, P., & Malik, D. (2023). Evaluation of Depression, Anxiety and Insomnia in People Living with HIV/AIDS in India. HIV and AIDS Review, 22(2), 138–149. https://doi.org/10.5114/hivar.2023.126586
Kareri, D. G. R., Manafe, D. R. T., & Payon, M. K. E. (2020). The Effect of Jacobson’s Progressive Muscular Relaxation on Sleep Quality in Elderly at Budi Agung Social Institution. Indonesian Journal of Physical Medicine and Rehabilitation, 9(01), 12–18. https://doi.org/10.36803/ijpmr.v9i1.252
Khir, S. M., Yunus, W. M. A. W. M., Mahmud, N., Wang, R., Panatik, S. A., Mohd Sukor, M. S., & Nordin, N. A. (2024). Efficacy of Progressive Muscle Relaxation in Adults for Stress, Anxiety, and Depression: A Systematic Review. Psychology Research and Behavior Management, 17(February), 345–365. https://doi.org/10.2147/PRBM.S437277
Kusumastuti, R. K., Astuti, K., & Budiyani, K. (2022). Relaksasi Otot Progresif untuk Menurunkan Tingkat Stres pada Waria yang Terinfeksi HIV/AIDS. Jurnal Psikologi, 18(2), 23–29. https://ejournal.up45.ac.id/index.php/psikologi/article/view/1212
Manavalan, P., Li, Y., Mills, J. C., Kwara, A., Zhou, Z., Ritter, A. S., Spencer, E., Pence, B. W., & Cook, R. L. (2023). Depression and Anxiety Symptoms and Treatment Utilization, and Associated HIV Outcomes among Adults with HIV in Rural Florida. AIDS and Behavior. https://doi.org/10.1007/s10461-023-04147-4
Margi, P., Rashmika, M., Rutu, P., Nisha, P., Vrutta, P., Linus, K., Jay, P., & Das, N. (2020). A Study To Assess Effectiveness of Jacobson Progressive Relaxation Technique on Sleep Quality Among Elderly in Selected Old-Age Home of Kheda District. Medico-Legal Update, 20(3), 157–160. https://doi.org/10.37506/mlu.v20i3.1385
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
Palkar, D., Panigrahi, S., Shatadal, P., & Mehta, R. (2021). Impact of Jacobson’s Progressive Muscle Relaxation on Stress Levels of Exam Going MBBS Students of a Medical College in South Gujarat, India. Journal of Clinical and Diagnostic Research, 15(8), 13–16. https://doi.org/10.7860/jcdr/2021/48607.15269
Pole, J. S., Andri, J., & Padila, P. (2021). Cardiovascular Patient’s Anxiety in the Time of the Covid-19 Pandemic. JOSING: Journal of Nursing and Health, 2(1), 15-21. https://doi.org/10.31539/josing.v2i1.3022
Perakam, S., Devpura, G., & Manohar, S. (2019). The Effect of Jacobson ’ s Progressive Muscle Relaxation Technique on Depression in Diabesity Patients. F Health Sciences and Research, 9(March), 34–41. https://www.ijhsr.org/IJHSR_Vol.9_Issue.3_March2019/6.pdf
Ramirez-Garcia, M. P., Gagnon, M., Colson, S., Côté, J., Flores-Aranda, J., & Dupont, M. (2019). Mind-Body Practices for People Living with HIV : a Systematic Scoping Review. BMC Complementary and Alternative Medicine, 19. https://doi.org/https://doi.org/10.1186%2Fs12906-019-2502-z
Subitsa, M., & Neelakandan, R. (2022). Effectiveness of Jacobson ’ S Progressive Muscle Relaxation Techniques to Reduce Anxiety and Enhance Mental Health Among Type II Diabetes Mellitus Patients (Review of Literature). Emerging Technologies and Innovative Research, 9(5), 470–476. https://www.jetir.org/papers/JETIR2205267.pdf
Torales, J., O’Higgins, M., Barrios, I., González, I., & Almirón, M. (2020). An Overview of Jacobson’s Progressive MuscleRrelaxation in Managing Anxiety. Revista Argentina de Clinica Psicologica, 29(3), 17–23. https://doi.org/10.24205/03276716.2020.748
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. https://doi.org/10.1155/2021/5924040
Yousuf, A., Musa, R., Isa, M. L. M., & Arifin, S. R. M. (2020). Anxiety and Depression Among Women Living with HIV: Prevalence and Correlations. Critical Reviews, 16(1), 59–66. https://doi.org/10.2174/1745017902016010059
Zhang, Y., Chai, C., Xiong, J., Zhang, L., Zheng, J., Ning, Z., & Wang, Y. (2023). The Impact of Anxiety, Depression, and Social Support on The Relationship between HIV-Related Stigma and Mental Health-Related Quality of Life Among Chinese Patients: A Cross-Sectional, Moderate-Mediation Study. BMC Psychiatry, 23(1), 1–10. https://doi.org/10.1186/s12888-023-05103-1
Published
2024-03-31
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