Effectiveness Nursing Intervention of Progressive Muscle Relaxation (PMR) on the Fatigue Level of the Older Adults Covid 19 Survivors at Pekanbaru

Authors

  • Abdurrahman Hamid a:1:{s:5:"en_US";s:26:"STIKes Hang Tuah Pekanbaru";}
  • Eka Wisanti Universitas Hang Tuah Pekanbaru
  • Awaliyah Ulfah Ayudytha Ezdha STIKes Pekanbaru Medical Center

DOI:

https://doi.org/10.25311/keskom.Vol9.Iss2.1340

Abstract

Introduction Fatigue is the most common symptom experienced by older adults COVID-19 survivors after fever and shortness of breath where the incidence is 30% of all older adults COVID-19 survivors. Treatment of older adults COVID-19 survivors requires an intervention that is able to accelerate the recovery of older adults from fatigue. The purpose of the study was to look at the effect of Progressive Muscle Relaxation nursing interventions on fatigue in older adults COVID-19 survivors. Methods. this study used a quasi-experimental research design with the type of pretest and posttest without a control group. By using a sample calculation of the population hypothesis test, the minimum sample size is 40 older adults. In this study, the sampling method used was multistage random sampling. The study was conducted in June-August 2022. Bivariate analysis using Paired T-Test. Results/findings The results of the study found that there was an effect of Progressive Muscle Relaxation Nursing Intervention on the fatigue level of the older adults COVID-19 survivors at Pekanbaru with a p-value of 0.001 (<0.05). This can be seen from the changes in the level of fatigue before and after the intervention. If the PMR therapy is associated with fatigue, that is, when doing this therapy, the production of endorphins, enkephalins, and serotonin releases the hormones, which will then lead to a feeling of calm and relaxation. In conclusion, this PMR Nursing Intervention can be used as an alternative form of nursing intervention to overcome fatigue problems in older adults and can be carried out by nurses in primary health care.

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References

Wahyono, E. (Januari 2021). Tambah 12.568, kasus Corona di RI per Januari jadi 939.948. Detiknews. Diunduh dari https://news.detik.com/berita/d5341564/tambah-12568-kasus-Corona-di-ri-per20-januari-jadi-939948

Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Rapid review, 395(10227), 912-920. Diunduh dari https://www.thelancet.com/journals/lancet/article/ PIIS0140-6736(20)30460-8/fulltext

Qiu, J., Shen, B., Zhao, M., Wang, Z., Xie, B., & Xu, Y. (2020). A nationwide survey of psychological distress among Chinese people in the Covid-19 epidemic: Implications and policy recommendations. General psychiatry, 33, 1-3. doi: 10.1136/gpsych-2020-100213

Jacobs, J. J. L. (2021). Persistent SARS-2 infections contribute to long covid-19. Medical hypotheses, 149, 1-2. doi: https://doi.org/10.1016/j.mehy.2021.110538

Christianti, C. (2019). Keefektifan Relaksasi Otot Progresif Untuk Menurunkan Tingkat Kecemasan Mahasiswa Program Studi Pendidikan Dokter.

Burhan, E., Dwi Susanto, A., Isbaniah, F., Aman Nasution, S., Ginanjar, E., Wicaksono Pitoyo, C., Susilo, A., Firdaus, I., Santoso, A., Arifa Juzar, D., Kamsul Arif, S., Lolong Wulung, N. G., Muchtar, F., Pulungan, A. B., Ambara Sjakti, H., Prawira, Y., Dwi Putri TIM PENYUSUN Erlina Burhan, N., Adityaningsih, D., Fahrial Syam, A., … Mayung Sambo, C. (2020). PEDOMAN TATALAKSANA COVID-19 Edisi 3 TIM EDITOR Perhimpunan Dokter Paru Indonesia (PDPI) Perhimpunan Dokter Spesialis Kardiovaskular Indonesia (PERKI) Perhimpunan Dokter Spesialis Penyakit Dalam Indonesia (PAPDI) Perhimpunan Dokter Anestesiologi dan Terap. https://www.papdi.or.id/pdfs/983/Buku Pedoman Tatalaksana COVID-19 5OP Edisi 3 2020.pdf

CDC. (2020). Interim Guidelines for Clinical Specimens for COVID-19 | CDC. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-nCoV/lab/guidelines-clinicalspecimens.html

Shereen, M. A., Khan, S., Kazmi, A., Bashir, N., & Siddique, R. (2020). COVID-19 infection: Origin, transmission, and characteristics of human coronaviruses. In Journal of Advanced Research (Vol. 24, pp. 91–98). Elsevier B.V. https://doi.org/10.1016/j.jare.2020.03.0 05

Guo, Y. R., Cao, Q. D., Hong, Z. S., Tan, Y. Y., Chen, S. D., Jin, H. J., Tan, K. Sen, Wang, D. Y., & Yan, Y. (2020). The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak- A n update on the status. In Military Medical Research (Vol. 7, Issue 1, p. 11). BioMed Central Ltd. https://doi.org/10.1186/s40779-020- 00240-0

Wang, X., Guo, X., Xin, Q., Pan, Y., Hu, Y., Li, J., Chu, Y., Feng, Y., & Wang, Q. (2020). Neutralizing Antibody Responses to Severe Acute Respiratory Syndrome Coronavirus 2 in Coronavirus Disease 2019 Inpatients and Convalescent Patients. Clinical Infectious Diseases, 71(10), 2688–2694. https://doi.org/10.1093/cid/ciaa721

Kurniawan, Y., & Susilo, M. N. I. B. (2021). Bangkit pascainfeksi: Dinamika resiliensi pada penyintas Covid-19. Philanthropy journal of psychology, 5(1), 131-156. doi: http://dx.doi.org/10.26623/philanthropy.v5i1.3326

Amalia, intan Nurulfa. (2019). Hubungan antara kualitas tidur dengan kelelahan pada lansia. Universitas Diponegoro: Semarang.

Gultom, S., Endriani, D., & Harahap, A. S. (2022). Less Emotion but More Fatigue: Social-Emotional Learning (SEL) Competencies, and Compassion Fatigue among Educators during the COVID-19 Pandemic. Kinestetik : Jurnal Ilmiah Pendidikan Jasmani, 6(1), 146–158. https://doi.org/10.33369/jk.v6i1.21034.

Carfì A, Bernabei R, Landi F. (2020). Persistent symptoms in patients after acute COVID-19. JAMA. (2020) 324:603–5. 10.1001/jama.2020.12603

Yelland GW (2021). Gluten-induced cognitive impairment (“brain fog”) in coeliac disease. J Gastroenterol Hepatol. 2021;32:90–3. doi:10.1111/jgh.13706.

Sherwood, Laurel.(2018). Human Physiology: From Cells to Systems. New York: Elsevier.

Shahriari M., Dehghan M., Pahlavanzadeh S., Hazini A. Effects of progressive muscle relaxation, guided imagery and deep diaphragmatic breathing on quality of life in elderly with breast or prostate cancer. Journal of Education and Health Promotion. 2017;6:p. 1. doi: 10.4103/jehp.jehp_147_14.

Nasiri S., Akbari H., Tagharrobi L., Tabatabaee A. S. The effect of progressive muscle relaxation and guided imagery on stress, anxiety, and depression of pregnant women referred to health centers. Journal of Education and Health Promotion. 2018;7:p. 41. doi: 10.4103/jehp.jehp_158_16.

Supariasa, I. D. N., Bakri, B., & Fajar, I. (2012). Penilaian Status Gizi (Edisi Revisi). Jakarta, Indonesia: Penerbit Buku Kedokteran EGC.

Kemenkes RI. (2016). PMK No. 25 tentang Rencana Aksi Nasional Kesehatan Lanjut Usia Tahun 2016-2019. Kementerian Kesehatan RI. Jakarta, Indonesia.

Submitted

2022-09-23

Accepted

2023-06-23

Published

2023-07-31

How to Cite

1.
Hamid A, Wisanti E, Ezdha AUA. Effectiveness Nursing Intervention of Progressive Muscle Relaxation (PMR) on the Fatigue Level of the Older Adults Covid 19 Survivors at Pekanbaru. J Keskom [Internet]. 2023 Jul. 31 [cited 2024 Apr. 28];9(2):313-9. Available from: https://jurnal.htp.ac.id/index.php/keskom/article/view/1340