Efektivitas Progressive Muscle Relaxation terhadap Kualitas Tidur Pasien Hemodialisis
DOI:
https://doi.org/10.71094/jonp.v2i2.481Keywords:
chronic kidney disease, hemodialysis, nonpharmacological therapy, progressive muscle relaxation, sleep qualityAbstract
Sleep disturbance is a problem among patients with chronic kidney disease undergoing hemodialysis and may worsen fatigue, physical discomfort, daytime functioning, and quality of life. Progressive muscle relaxation is a nonpharmacological intervention involving muscle tension and release to promote a relaxation response. This study aimed to analyze the effectiveness of progressive muscle relaxation in improving sleep quality among hemodialysis patients. A quasi-experimental pretest-posttest control group design was used with 30 respondents divided into intervention and control groups. The intervention group received progressive muscle relaxation for four weeks, with three guided sessions each week lasting 20–30 minutes, while the control group received standard hemodialysis care. Sleep quality was measured using the Pittsburgh Sleep Quality Index and analyzed descriptively. The findings presented in this manuscript were based on simulated data. Before the intervention, all respondents in both groups had poor sleep quality. The mean PSQI score in the intervention group decreased from 13.1 to 7.4, whereas the control group changed from 12.9 to 12.3. Fourteen respondents in the intervention group showed improved scores, and six achieved good sleep quality. Improvements were observed in sleep latency, sleep duration, nighttime awakenings, relaxation before sleep, and daytime functioning. Descriptively, progressive muscle relaxation showed greater potential than standard care for improving sleep quality. This intervention may be considered a practical, safe, inexpensive, and teachable nursing measure, although studies with larger samples and inferential analyses remain necessary
References
Al Hasbi, H., & Sutanta. (2020). Pengaruh progressive muscle relaxation terhadap kualitas tidur pasien hemodialisa. Jurnal Kesehatan Samodra Ilmu, 11(1), 29–37. https://doi.org/10.55426/jksi.v11i1.12
Boughdady, A. M., Elashri, N. I. E., & Ibrahim, S. M. E. (2024). Effect of Jacobson’s progressive muscle relaxation on fatigue and sleep quality among geriatric patients undergoing hemodialysis. Zagazig Nursing Journal, 20(1), 149–167. https://doi.org/10.21608/znj.2024.343343
Cengić, B., Resić, H., Spasovski, G., Avdić, E., & Alajbegović, A. (2012). Quality of sleep in patients undergoing hemodialysis. International Urology and Nephrology, 44(2), 557–567. https://doi.org/10.1007/s11255-010-9881-x
Farida, N., Bakar, A., & Pratiwi, I. N. (2025). Effectiveness of progressive muscle relaxation on sleep quality: A systematic review. Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan, 13(2), 191–197. https://doi.org/10.20527/jdk.v13i2.253
Faridah, V. N., Lestari, T. P., & Rizkyawan, D. D. (2020). Literature review: Pengaruh relaksasi otot progresif terhadap kualitas tidur pada pasien penyakit ginjal kronik yang menjalani hemodialisis. Bali Medika Jurnal, 7(2), 38–49. https://doi.org/10.36376/bmj.v7i2.150
Fauzi, A., & Triaswati, R. (2021). The effect of intradialytic stretching training on restless legs syndrome and sleep quality in hemodialysis patients. Korean Journal of Adult Nursing, 33(1), 37–43. https://doi.org/10.7475/kjan.2021.33.1.37
Gusyam, R. M. (2024). Literatur review pengaruh relaksasi otot progresif terhadap kualitas tidur pasien hemodialisa. SENTRI: Jurnal Riset Ilmiah, 3(1), 426–433. https://doi.org/10.55681/sentri.v3i1.2195
Hasanzadeh, M., Miri, K., Pourghaznein, T., Vaghee, S., Azhari, A., & AfzalAghaee, M. (2025). The effect of progressive muscle relaxation and physical exercises on subjective well-being and fatigue of patients receiving hemodialysis: A randomized clinical trial. Scientific Reports, 15, Article 43440. https://doi.org/10.1038/s41598-025-27302-4
Hudiyawati, D., Muhlisin, A., & Ibrahim, N. (2019). Effectiveness of progressive muscle relaxation in reducing depression, anxiety and stress among haemodialysis patients attending a public hospital at Central Java Indonesia. IIUM Medical Journal Malaysia, 18(3), 3–10. https://doi.org/10.31436/imjm.v18i3.185
Jannah, F. R., Rochmawati, E., & Zuhri, A. (2025). Intervensi keperawatan berbasis evidence relaksasi otot progresif terhadap kualitas tidur pada pasien yang menjalani hemodialisa. Jurnal Kesehatan Tambusai, 6(2), 9312–9318. https://doi.org/10.31004/jkt.v6i2.45528
Kaplan Serin, E., Ovayolu, N., & Ovayolu, Ö. (2020). The effect of progressive relaxation exercises on pain, fatigue, and quality of life in dialysis patients. Holistic Nursing Practice, 34(2), 121–128. https://doi.org/10.1097/HNP.0000000000000347
Kavala, A., Özdemir, N., & Çalışkan, F. (2025). The effect of fatigue levels of patients undergoing hemodialysis on their sleep quality after dialysis treatment. Seminars in Dialysis, 38(4), 286–294. https://doi.org/10.1111/sdi.70006
Muz, G., Erdoğan Yüce, G., Yıldırım, C., & Dağdelen, M. (2021). The effect of sleep hygiene training applied to hemodialysis patients on sleep quality and quality of life: Randomized controlled trial. Sleep and Biological Rhythms, 19(3), 227–236. https://doi.org/10.1007/s41105-020-00293-7
Nasir, A. M., Kadhim, A. J., Seghaleh, M. M., Ahmadi Chenari, H., Khachian, A., & Baumann, S. L. (2025). Improving sleep quality for persons on hemodialysis in Iraq. Nursing Science Quarterly. Advance online publication. https://doi.org/10.1177/08943184251388304
Pambudiarto, A. A., Azizah, A. N., Amalia, L., Niswatin, T. K., Hudiyawati, D., & Susanti, E. (2024). Evidence based nursing: Penerapan intervensi progressive muscle relaxation untuk meningkatkan kualitas tidur pada pasien hemodialisa di RSUD Ir. Soekarno Sukoharjo. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 7(5), 2276–2287. https://doi.org/10.33024/jkpm.v7i5.14588
Parlak, A. G., & Şahin, Z. A. (2024). The effect of massage on cramp frequency, cramp severity, and sleep quality of hemodialysis patients: A randomized controlled trial. Hemodialysis International, 28(4), 405–418. https://doi.org/10.1111/hdi.13169
Pawar, Y. S., Gattani, V. S., Chaudhari, K. S., Chheda, B., & Vankudre, A. J. (2023). Impact of hemodialysis on sleep disorders in patients with end-stage renal disease in a tertiary care academic hospital. Cureus, 15(8), Article e44416. https://doi.org/10.7759/cureus.44416
Rohmawati, D. L., Ekayamti, E., Pratama, S. W., & Pitayanti, A. (2024). The effect of progressive muscle relaxation with self instruction training (SIT) techniques in video media on the sleep quality of hemodialysis patients. Professional Health Journal, 6(2), 614–622. https://doi.org/10.54832/phj.v6i2.893
Sanad, H. S., Abd El Aziz, H. E., Hassan, S. S., & Mohamed, A. A. (2023). Effect of progressive muscle relaxation technique on anxiety and sleep quality among hemodialysis patients. International Journal of Advanced Psychiatric Nursing, 5(2), 21–32. https://doi.org/10.33545/26641348.2023.v5.i2a.127
Sanad, H. S., Abd El Aziz, H. E., Mohammed, A. A., & Hassan, S. S. (2023). Effect of progressive muscle relaxation technique on sleep quality among hemodialysis patients. Minia Scientific Nursing Journal, 13(1), 136–145. https://doi.org/10.21608/msnj.2023.217134.1068
Sayed, S. E., & Younis, G. A. A. (2016). The effect of relaxation techniques on quality of sleep for patients with end stage renal failure undergoing hemodialysis. Menoufia Nursing Journal, 1(2), 25–37. https://doi.org/10.21608/menj.2016.120315
Wijaya, A. K., Andari, F. N., & Wati, N. (2024). Pengaruh relaksasi otot progresif terhadap kualitas tidur pasien gagal ginjal kronik di RSUD Dr. M. Yunus Bengkulu. MAHESA: Malahayati Health Student Journal, 4(9), 3811–3823. https://doi.org/10.33024/mahesa.v4i9.14992
Wu, S.-S., Chen, J.-F., Yan, H.-Y., Wu, T.-F., Li, X.-W., Gu, Q., Li, J., Jiang, L., & Fang, X.-L. (2026). The effect of Benson relaxation technique on sleep quality and negative emotion in maintenance hemodialysis patients. Frontiers in Psychiatry, 16, Article 1662472. https://doi.org/10.3389/fpsyt.2025.1662472
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