Efektivitas Intervensi Relaksasi Otot Progresif (ROP) terhadap Penurunan Tingkat Depresi pada Lansia: Case Report Keperawatan

Azhrah Fatimah Ayunurrochim; Nopryan Ekadinata; Muh Fathoni Rohman

doi:10.61132/corona.v2i2.410

Authors

Azhrah Fatimah Ayunurrochim Universitas Muhammadiyah Yogyakarta
Nopryan Ekadinata Universitas Muhammadiyah Yogyakarta
Muh Fathoni Rohman Balai Pelayanan Sosial Tresna Werdha Yogyakarta

DOI:

https://doi.org/10.61132/corona.v2i2.410

Keywords:

Elderly, Depression, Progressive muscle relaxation therapy

Abstract

The proportion of the elderly population is increasing every year, and the elderly are experiencing various changes, both in physical, mental and social aspects. The elderly are residents aged over 60 years. Elderly people often experience various psychological problems such as loneliness, isolation, helplessness, lack of self-confidence, post-power syndrome, anxiety disorders and depression. Depression is a mood disorder that can cause prolonged feelings of sadness and persistent loss of interest, characterized by prolonged sadness, mood swings, and lack of interest in activities. The tool used to measure the level of depression in this case report uses the GDS (Geriatric Depression Scale) instrument. In this case report, the results of an assessment of one 66 year old client were obtained with a GDS score of 11 which indicated moderate depression. Management of depression can use pharmacological or non-pharmacological therapy. This case report refers to the Indonesian Nursing Intervention Standards (SIKI) using progressive muscle relaxation (ROP). The ROP intervention was carried out at BPSTW Abiyoso Wisma Talkondo for seven days with three evaluations. The results obtained were that the client experienced a decrease in the level of depression with a score of 5, namely mild depression. It can be concluded that ROP is effective in reducing depression levels in the elderly.

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References

Alexopoulos, G. S. (2019). Mechanisms and treatment of late-life depression. Translational Psychiatry, 9(1). https://doi.org/10.1038/s41398-019-0514-6

Anisah, I. N., & Maliya, A. (2021). Efektivitas Relaksasi Benson Terhadap Kecemasan Pasien Yang Menjalani Hemodialisa. Jurnal Berita Ilmu Keperawatan, 14(1), 57–64. https://doi.org/10.23917/bik.v14i1.12226

Asnaniar, W. O. S., & Agustini, T. (2018). Progressive Muscle Relaxation Reduces Depression in Elderly. Window of Health: Jurnal Kesehatan, 1(1), 1–5. https://doi.org/10.33368/woh.v0i0.1

Berliyanti, E. A., & Wardaningsih, S. (2023). Intervensi Terapi Relaksasi Otot Progresif Untuk Menurunkan Kecemasan Pada Lansia. Jurnal Ilmu Kesehatan Dan Keperawatan, 1(2), 122–130. https://doi.org/10.59581/diagnosa-widyakarya.v1i2.390

Binoriang, D. P., & Pramesti, S. W. (2021). The comparison of the effectiveness between cananga aromatherapy and dzikr therapy on reducing anxiety in the elderly with hypertension at posyandu Tawarsari Wonosari Gunungkidul. Bali Medical Jurnal, 10(3), 1263–1267. https://doi.org/10.15562/bmj.v10i3.2871

Brañez Condorena, A., Soriano Moreno, D. R., Navarro Flores, A., Solis Chimoy, B., Diaz Barrera, M. E., & Taype Rondan, A. (2021). Accuracy of the Geriatric Depression Scale (GDS)-4 and GDS-5 for the screening of depression among older adults: A systematic review and meta-analysis. PLoS ONE, 16(7 July), 1–16. https://doi.org/10.1371/journal.pone.0253899

Chand, S. P., & Arif, H. (2023). Depression. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK430847/

Cougle, J. R., Wilver, N. L., Day, T. N., Summers, B. J., Okey, S. A., & Carlton, C. N. (2020). Interpretation Bias Modification Versus Progressive Muscle Relaxation for Social Anxiety Disorder: A Web-Based Controlled Trial. Behaviour Therapy, 51(1), 99–112. https://doi.org/https://doi.org/10.1016/j.beth.2019.05.009

Ermayani, M., Prabawati, D., & Hary Susilo, W. (2020). The effect of progressive muscle relaxation on anxiety and blood pressure among hypertension patients in east Kalimantan, Indonesia. Enfermería Clínica, 30(7), 121–125.

Fikri Erwanto, Herlina, & Aminatul Fitri. (2023). Gambaran Tingkat Depresi Pada Lansia di Wilayah Kerja Puskesmas Sidomulyo Rawat Jalan. Jurnal Vokasi Keperawatan (JVK), 6(1), 28–35. https://doi.org/10.33369/jvk.v6i1.25417

Hadrianti, D., Saherna, J., Arji, A., Pratama, Z., Putri, A., & Khaliza, N. (2024). Geriatric Depression Scale (GDS) sebagai Pengkajian Status Psikologis pada Lansia. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 7(3), 1236–1246. https://doi.org/10.33024/jkpm.v7i3.13387

Jamini, T., Jumaedy, F., & Agustina, D. M. (2020). Hubungan Interaksi Sosial Dengan Tingkat Depresi Pada Lansia Di Panti Sosial Tresna Werdha Budi Sejahtera Provinsi Kalimantan Selatan. Jurnal Surya Medika, 6(1), 171–176. https://doi.org/10.33084/jsm.v6i1.1631

Krishnamoorthy, Y., Rajaa, S., & Rehman, T. (2020). Diagnostic accuracy of various forms of geriatric depression scale for screening of depression among older adults: Systematic review and meta-analysis. Archives of Gerontology and Geriatrics, 87.

Liu, K., Chen, Y., Wu, D., Lin, R., Wang, Z., & Pan, L. (2020). Effects of progressive muscle relaxation on anxiety and sleep quality in patients with COVID-19. Complementary Therapies in Clinical Practice, 39, 101132. https://doi.org/10.1016/j.ctcp.2020.101132

Natale, P., Sc, P., Ruospo, M., Vm, S., Ks, R., Gfm, S., Natale, P., Sc, P., Ruospo, M., Vm, S., Ks, R., & Gfm, S. (2019). Psychosocial interventions for preventing and treating depression in dialysis patients. Cochrane Database of Systematic Reviews Psychosocial, 12, 1–5. https://doi.org/10.1002/14651858.CD004542.pub3.www.cochranelibrary.com

Prastyawati, I. Y., & Yuliana, W. (2022). Kegawatan Sindrom Geriatri, Self Care Deficit, terhadap Kualitas Hidup Lansia. Jurnal Keperawatan Muhammadiyah, 7(4), 79–84. https://doi.org/10.30651/jkm.v7i4.15338

Prihananto, D. I., Sari, N. R., Yoga, B. S., Sintia, M., & Solekhah, S. (2020). Hubungan Faktor Keluarga Dengan Kejadian Depresi Pada Lansia (Studi di UPT Pelayanan Sosial Lanjut Usia Blitar di Tulungagung). Judika (Jurnal …, 19–25. http://repository.unpkediri.ac.id/id/eprint/3050%0Ahttp://repository.unpkediri.ac.id/3050/1/Jurnal Judika Volume 4 No 1 tahun 2020 Fix.pdf

Sari, N. R., Yulianto, K. T., Agustina, R., Wilson, H., Nugroho, S. W., & Anggraeni, G. (2023). STATISTIK PENDUDUK LANJUT USIA 2023 Volume 20, 2023. Badan Pusat Statistik. https://doi.org/4104001

Sayadi, A. R., Khodadadi, A., Akbari, A., & Abbasabadi, Z. (2023). The effect of movement therapy with progressive muscle relaxation on the depression rate of patients admitted to the psychiatric ward of Moradi Rafsanjan Educational and Medical Center in 2021. Journal of Medicine and Life, 16(1), 129–134. https://doi.org/10.25122/jml-2021-0436

Shalafina, M., Ibrahin, & Hadi, N. (2023). The Overview of Mental Health Among Elderly. Jurnal Ilmiah Mahasiswa Fakultas Keperawatan, 7(4), 90–95.

Simon, K. C., McDevitt, E. A., Ragano, R., & Mednick, S. C. (2022). Progressive muscle relaxation increases slow-wave sleep during a daytime nap. Journal of Sleep Research, 31(5), 1–10. https://doi.org/10.1111/jsr.13574

Smara, E. W., Warjiman, & Lanawati. (2024). Tanda Gejala Depresi yang dialami Lansia di Salah Satu Perlindungan dan Rehabilitasi Sosial Lanjut Usia di Klaimantan Selatan. Jurnal Medika Nusantara, 2(1), 218–228.

Sukiswantoi, A., & Rohana, N. (2019). Penerapan Teknik Relaksasi Nafas Dalam Menurunkan Tingkat Depresi pada Penderita Hipertensi. Proceeding Widya Husada Nursing Conference, 2(1), 1–5. https://journal.uwhs.ac.id/index.php/whnc/article/view/436/451

Sumartyawati, N. M., Septiana, E. M., & Fithriana, D. (2021). Relaksasi Otot Progresif Kombinasi Terapi Musik Klasik Terhadap Perubahan Tingkat Depresi Lansia. PrimA: Jurnal Ilmiah Ilmu Kesehatan, 7(1), 1–12. https://doi.org/10.47506/jpri.v7i1.215

Tapeh, Z. A., Darvishpour, A., Besharati, F., & Gholami-Chaboki, B. (2024). Effect of Jacobson’s Progressive Muscle Relaxation on Anxiety and Happiness of Older Adults in the Nursing Home. Iranian Journal of Nursing and Midwifery Research, 29(1), 78–84. https://doi.org/10.4103/ijnmr.ijnmr_183_22

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

Wisnusakti, K. (2021). Pengaruh Terapi Relaksasi Otot Progresif Terhadap Tingkat Stres pada Lansia Di RW 23 Kelurahan Melong. Syntax Literate; Jurnal Ilmiah Indonesia, 6(1), 123. https://doi.org/10.36418/syntax-literate.v6i1.4679

You, Y., Huang, L., Peng, X., Liao, L., Zhang, F., Feng, M., Chen, Y., Chang, H., Mo, B., & Liu, Y. (2023). An analysis of the influencing factors of depression in older adults under the home care model. Frontiers in Public Health, 11(November), 1–9. https://doi.org/10.3389/fpubh.2023.1191266

Yuli Hastuti, R., Sawitri, E., W, A., & Sanggrarini, Y. (2019). Hubungan Kualitas Hidup Dengan Kesehatan Mental Pada. MOTORIK Jurnal Kesehatan, 14(02), 118–122. http://dx.doi.org/10.61902/motorik.v14i2.28%0Ahttps://ejournal.umkla.ac.id/index.php/motor/article/download/28/25

Yuliadarwati, N. M., & Utami, K. P. (2022). Pengaruh Latihan Relaksasi Otot Progresif bagi Lansia dengan Kualitas Tidur Buruk. PengabdianMu: Jurnal Ilmiah Pengabdian Kepada Masyarakat, 7(2), 319–323. https://doi.org/10.33084/pengabdianmu.v7i2.2537