The Effect of Progressive Muscle Relaxation Technique on Anxiety Levels in Chronic Kidney Failure Patients Undergoing Hemodialysis at Gatot Soebroto Army Hospital

Gusti Ayu Tri Shita Devi, Bahreni Yusuf, Hendik Wicaksono, Agus Susilawati

Abstract


Bacground: Patients with chronic kidney disease undergoing hemodialysis frequently experience anxiety duet o the continuous nature of the therapy. Progressive muscle relaxation techniques are used to help reduce anxiety by controlling muscle tension and regulating patients emotional responses. Objective: To determine the effect of progressive muscle relaxation techniques on anxiety levels among patients with chronic kidney disease undergoing hemodialysis at RSPAD Gatot Soebroto. Methods: This study employed a pre experimental one group pretest-posttest design, total sampling was used, involving 21 respondents who met the inclusion and exclusion criteria. The Hamilton Anxiety Rating Scale (HARS) was utilized to measure anxiety levels during the pretest and posttest. Data analysis was performed using the Wilcoxon Signed Rank Test. Results: A reduction in anxiety levels was observed. During the pretest, 16 respondents experienced mild anxiety and 5 respondents experienced moderate anxiety. After the intervention, anxiety levels decreased, with 19 respondents experiencing no anxiety and 2 respondents experiencing mild anxiety. Conclusion: Progressive muscle relaxation techniques significantly reduced anxiety levels in patients undergoing hemodialysis, with a p-value of 0.00 (p < 0.05). Recommendation: This study provides evidence that progressive muscle relaxation is an effective, safe, and simple non-pharmacological intervention for reducing anxiety in patients with chronic kidney disease undergoing hemodialysis, and may serve as a reference for clinical practice, patient self-management, and future research.


Keywords


Anxiety; Chronic Kidney Disease; Hemodialysis; Progressive Muscle Relaxation

Full Text:

PDF

References


D. Ardiandari and G. Priambodo, “The effect of progressive muscle relaxation on anxiety levels among hemodialysis patients at TK III 04.06.04 Surakarta Hospital,” Journal of Universitas Kusuma Husada Surakarta, pp. 1–10, 2024. [Online]. Available: https://eprints.ukh.ac.id/id/eprint/6082/1/naspub%20kian%20denti.pdf

I. Rosdiana, M. Saragih, and Y. Cahyati, “Chronic kidney disease patients: An evidence-based practice approach,” Journal of Independent Community, vol. 14, no. 5, pp. 14, 2024

G. V. Kyneissia, “Diagnosis and management of chronic kidney disease (CKD),” Journal of Medika Hutama, vol. 2, no. 4, pp. 1135–1142, 2021

F. A. Nuriman, “The effect of progressive muscle exercise on anxiety management in hemodialysis patients,” Journal of Bunda Delima Nursing, vol. 6, no. 1, pp. 129–131, 2024. doi: 10.59030/jkbd.v6i1.

A. Damayanti, R. Putri, and B. Santoso, “Risk factors and management of chronic kidney disease,” Indonesian Journal of Nursing, vol. 25, no. 3, pp. 145–152, 2022.

M. R. Firmansyah, “Analysis of factors associated with coping mechanisms in chronic kidney disease patients undergoing hemodialysis,” Journal of Health, vol. 12, no. 1, pp. 6–7, 2020.

NKF, “Chronic Kidney Disease (CKD),” National Kidney Foundation, 2022. [Online]. Available: https://share.google/1hvmsfnnniuejckij

WHO, “World Health Statistics 2022: Monitoring Health for the SDGs, World Health Organization,” 2022.

Ministry of Health of the Republic of Indonesia, “National Clinical Practice Guidelines for the Management of Chronic Kidney Disease,” Decree of the Minister of Health of the Republic of Indonesia, pp. 1–189, 2023.

Indonesian Health Survey, “Indonesian Health Survey 2023 (SKI),” Ministry of Health of the Republic of Indonesia, pp. 235, 2023. [Online]. Available: https://www.kemkes.go.id/id/survei-kesehatan-indonesia-ski-2023

Wenni and I. Wulaningsih, Progressive Muscle Relaxation Techniques for Reducing Blood Pressure in Patients with Hypertension, Yogyakarta, Indonesia: Deepublish Digital, 2025.

V. A. Mangolo, M. A. Kiling, and N. L. Jayanthi, “Progressive muscle relaxation therapy on blood pressure in chronic kidney disease patients undergoing hemodialysis at Manado Adventist Hospital,” Journal of Manado Nursing, vol. 12, no. 2, pp. 178–186, 2024. doi: 10.47718/jpd.v12i2.2371.

N. Hikmah and Y. Sari, “The effect of progressive muscle relaxation on anxiety levels in preoperative patients,” Journal of Muhammadiyah Nursing, vol. 6, no. 2, pp. 112–119, 2021.

N. A. H. Nikmah, Y. Oktarina, and Nurhusna, “The effect of progressive muscle relaxation therapy on anxiety in chronic kidney disease patients undergoing hemodialysis at Dr. Bratanata Hospital, Jambi City,” Journal of Borneo Holistic Health, vol. 5, no. 1, pp. 79–88, 2022. doi: 10.35334/borticalth.v5i1.2683.

S. Rahayu, “The effect of progressive muscle relaxation on anxiety levels in chronic kidney disease patients,” pp. 1–23, 2023.

Y. Anggraini, N. Triana, and S. G. Maya, “The effect of progressive muscle relaxation on anxiety in chronic kidney disease patients undergoing hemodialysis,” Journal of Tambusai Health, vol. 5, no. 4, pp. 10715–10722, 2024. doi: 10.31004/jkt.v5i4.34931.

C. H. A. Husna, A. I. N. Rohmah, and A. A. Pramesti, “The relationship between duration of hemodialysis and patient anxiety,” Indonesian Journal of Nursing and Health Science, vol. 6, no. 1, pp. 31–38, 2021.

E. Suara and D. Retnaningsih, “Characteristics of risk factors in chronic kidney disease (CKD) patients undergoing hemodialysis,” vol. 8, no. 2, pp. 59–63, 2024. doi: 10.33655/mak.v8i1.194.

R. A. W. Pranandhira, E. Y. Rahman, and H. Khatimah, “Characteristics of chronic kidney disease patients undergoing hemodialysis at Ulin Regional General Hospital, Banjarmasin, during the COVID-19 pandemic,” Journal of Homeostasis, vol. 6, no. 1, pp. 69–78, 2023.

L. G. S. A. Suari, I. G. Y. Asmara, and I. A. E. Widiastuti, “Characteristics of hypertension in end-stage renal disease patients undergoing hemodialysis at the Provincial General Hospital of West Nusa Tenggara in 2021,” Lombok Medical Journal, vol. 1, no. 2, pp. 94–99, 2022.

A. Junika, “Characteristics of chronic kidney disease patients undergoing hemodialysis,” Journal of Amanah Health, vol. 5, no. 2, pp. 64–68, 2023.

M. Y. Akbar, “The relationship between demographic characteristics and individual coping function in patients undergoing hemodialysis at Dr. Zainoel Abidin Regional General Hospital, Aceh Province,” Journal of Scientific Students of UBBG, vol. 1, no. 1, 2022.

C. Pramono, S. S. T. Hamranani, and M. Y. Sanjaya, “The effect of progressive muscle relaxation techniques on anxiety levels,” Journal of Medical-Surgical Nursing Science, vol. 2, no. 2, pp. 22, 2020.

J. S. Simanjorang, “The relationship between duration of hemodialysis and stress and anxiety levels in young adult patients undergoing hemodialysis at Mardi Waluyo Hospital,” Journal of STIKes Bethesda Yakkum Yogyakarta, 2024.

E. Prabowo and Y. D. Kurniasari, “The relationship between duration of hemodialysis and anxiety levels in hemodialysis patients at Genteng Regional General Hospital,” Journal of Scientific Nursing, vol. 10, no. 3, pp. 569–574, 2024.

I. G. S. D. Utarayana, K. D. Permana, I. Rizki, and M. Bagiansah, “The relationship between duration of hemodialysis and anxiety levels in chronic kidney disease patients at the Provincial General Hospital of West Nusa Tenggara,” Journal of Health Science, Institut Medika DRG Suherman, vol. 5, no. 1, pp. 143–150, 2023. [Online]. Available: https://jurnal.medikasuherman.ac.id/imds/ind

E. Suprayitno et al., Textbook of Nursing Philosophy and Theory, Central Java, Indonesia: CV Eureka Media Aksara, 2023.

V. M. D. Sumarauw, W. Langelo, and C. T. Lumintang, “The effect of progressive muscle relaxation therapy on anxiety levels in hospitalized patients,” Lasalle Health Journal, vol. 4, no. 1, pp. 30–40, 2025.

T. H. Jesyifa and E. Windyastuti, “Implementation of progressive muscle relaxation (PMR) therapy in reducing anxiety among chronic kidney disease patients undergoing hemodialysis at TK III 04.06.04 Slamet Riyadi Hospital, Surakarta,” Journal of Universitas Kusuma Husada Surakarta, 2023.

N. Rahmawati and Istiqomah, “Efforts to reduce anxiety using progressive muscle relaxation therapy in chronic kidney disease patients,” SBY Proceedings Journal, vol. 1, no. 1, pp. 651–659, 2022.

G. N. L. Muninggar, N. Melati, and A. Eka, Progressive Muscle Relaxation Therapy to Reduce Anxiety in Hemodialysis Patients: A Case Report, STIKES Bethesda Yakkum, 2023.

I. K. Sari, Zuraidah, N. Aprilyadi, and R. A. Oktavianti, Progressive Muscle Relaxation to Reduce Anxiety in Normal Postpartum Women, Kediri, Indonesia: Omega Medika Publishing Institute, 2022. [Online]. Available: https://share.google/el2yeyklqrpl4bqdh




DOI: https://doi.org/10.37430/jen.v9i1.343

Refbacks

  • There are currently no refbacks.


Copyright (c) 2026 JOURNAL EDUCATIONAL OF NURSING(JEN)

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

 

Journal Educational Of Nursing is Indexed By:

 

Lisensi Creative Commons

Journal Educational Of Nursing is distributed under a   Lisensi Creative Commons Attribution-ShareAlike 4.0 Internasional.

View My Stats