The Effect of Progressive Muscle Relaxation on Anxiety in Covid-19 Patients in Bandung
Keywords:
Progressive Muscle , Anxiety, , COVID-19Abstract
Aims: Hospitalized patients with COVID-19 have been shown to experience high levels of anxiety, according to studies of their mental health, and yet these patients' states of mind have been shown to play a significant role in boosting the immune system during COVID-19 treatment.
Purpose: The purpose of this study was to determine the effect of progressive muscle relaxation on anxiety in patients with COVID-19.
Methods : The research method was a Quasi Experimental pre-test and post-test design with a control group. The sampling technique was Convenience Sampling with 40 samples which were divided into 20 samples as intervention group and 20 people as control group. Progressive muscle relaxation of 20-30 minutes twice a day for 5 days was only given to the intervention group. A pre-test and post-test using the Fear of COVID-19 Scale (FCV-19S) were implemented to measure anxiety. Data was collected and analyzed using Paired Sample T-test and ANCOVA.
Results: showed a statistically significant change in anxiety levels from pre- to post-test for those in the intervention group, but no such change for those in the control group. The significance level for this test is 0.05, so the square root of the mean is 123,578 (F = 115,479) and the standard deviation is 0.000 (p 0.0001). In the intervention group, there is a statistically significant change in sleep quality scores between the pre- and post-test, while in the control group, there is no such change. Its square root is 112.118, its factor is 32.315, and its sign is 0.000 (p 0.05).
Conclusions: The conclusion is that anxiety in patients with COVID-19 can be significantly reduced by administering progressive muscle relaxation.
References
Chen K, Wang M, Huang C, Kinney PL, Anastas PT. Air pollution reduction and mortality benefit during the COVID-19 outbreak in China. Lancet Planet Heal. 2020;4(6):e210–2.
WHO. Coronavirus disease 2019 (COVID-19) Situation Report [Internet]. 2020 [cited 2022 Mar 20]. Available from: https://covid19.who.int/
WHO. WHO Coronavirus (COVID-19) Dashboard | WHO Coronavirus (COVID-19) Dashboard With Vaccination Data [Internet]. 2021. Available from: https://covid19.who.int/
Li X. Zhou. Y, Xu, K, Zhang, C, Seigne, J, Benedict, WF, Xu, HJ Expr Retin. 2020;2379–86.
Deng J, Zhou F, Hou W, Silver Z, Wong CY, Chang O, et al. The prevalence of depression, anxiety, and sleep disturbances in COVID‐19 patients: a meta‐analysis. Ann N Y Acad Sci. 2021;1486(1):90–111.
Liguori C, Pierantozzi M, Spanetta M, Sarmati L, Cesta N, Iannetta M, et al. Subjective neurological symptoms frequently occur in patients with SARS-CoV2 infection. Brain Behav Immun. 2020;88:11–6.
Paz C, Mascialino G, Adana‐Díaz L, Rodríguez‐Lorenzana A, Simbaña‐Rivera K, Gómez‐Barreno L, et al. Anxiety and depression in patients with confirmed and suspected COVID‐19 in Ecuador. Psychiatry Clin Neurosci. 2020;
Zarghami A, Farjam M, Fakhraei B, Hashemzadeh K, Yazdanpanah MH. A report of the telepsychiatric evaluation of SARS-CoV-2 patients. Telemed e-Health. 2020;26(12):1461–5.
Segerstrom SC, Miller GE. Psychological stress and the human immune system: a meta-analytic study of 30 years of inquiry. Psychol Bull. 2004;130(4):601.
Seiler A, Fagundes CP, Christian LM. The impact of everyday stressors on the immune system and health. In: Stress challenges and immunity in space. Springer; 2020. p. 71–92.
Birbaumer N, Schmidt RF. Was ist Biologische Psychologie? In: Biologische Psychologie. Springer; 1999. p. 3–10.
Conti P, Ronconi G, Caraffa AL, Gallenga CE, Ross R, Frydas I, et al. Induction of pro-inflammatory cytokines (IL-1 and IL-6) and lung inflammation by Coronavirus-19 (COVI-19 or SARS-CoV-2): anti-inflammatory strategies. J Biol Regul Homeost Agents. 2020;34(2):327–31.
Ramezani M, Simani L, Karimialavijeh E, Rezaei O, Hajiesmaeili M, Pakdaman H. The role of anxiety and cortisol in outcomes of patients with Covid-19. Basic Clin Neurosci. 2020;11(2):179.
Liu K, Chen Y, Wu D, Lin R, Wang Z, Pan L. Effects of progressive muscle relaxation on anxiety and sleep quality in patients with COVID-19.(2020). Complement Ther Clin Pract. 39.
Xiao C-X, Lin Y-J, Lin R-Q, Liu A-N, Zhong G-Q, Lan C-F. Effects of progressive muscle relaxation training on negative emotions and sleep quality in COVID-19 patients: A clinical observational study. Medicine (Baltimore). 2020;99(47).
Cougle JR, Wilver NL, Day TN, Summers BJ, Okey SA, Carlton CN. Interpretation bias modification versus progressive muscle relaxation for social anxiety disorder: a web-based controlled trial. Behav Ther. 2020;51(1):99–112.
Meyer B, Keller A, Wöhlbier H-G, Overath CH, Müller B, Kropp P. Progressive muscle relaxation reduces migraine frequency and normalizes amplitudes of contingent negative variation (CNV). J Headache Pain. 2016;17(1):1–9.
Aksu NT, Erdogan A, Ozgur N. Effects of progressive muscle relaxation training on sleep and quality of life in patients with pulmonary resection. Sleep Breath. 2018;22(3):695–702.
Chegeni PS, Gholami M, Azargoon A, Pour AHH, Birjandi M, Norollahi H. The effect of progressive muscle relaxation on the management of fatigue and quality of sleep in patients with chronic obstructive pulmonary disease: A randomized controlled clinical trial. Complement Ther Clin Pract. 2018;31:64–70.
Sugiyono. Metode Penelitian Pendidikan Pendekatan Kuantitatif, kualitatif, dan R&D. Bandung: Alfabeta; 2010.
Özlü İ, Öztürk Z, Karaman Özlü Z, Tekin E, Gür A. The effects of progressive muscle relaxation exercises on the anxiety and sleep quality of patients with COVID‐19: A randomized controlled study. Perspect Psychiatr Care. 2021;57(4):1791–7.
Izgu N, Gok Metin Z, Karadas C, Ozdemir L, Metinarikan N, Corapcıoglu D. Progressive muscle relaxation and mindfulness meditation on neuropathic pain, fatigue, and quality of life in patients with type 2 diabetes: a randomized clinical trial. J Nurs Scholarsh. 2020;52(5):476–87.
Natosba J, Purwanto S, Jaji J, Rizona F. Aplikasi progressive muscle relaxation sebagai upaya reduksi nyeri dan kecemasan. J Abdimas Madani dan Lestari. 2020;66–75.