PENGARUH RELAKSASI OTOT PROGRESIF TERHADAP TINGKAT INSOMNIA PADA PASIEN RAWAT JALAN DENGAN GAGAL GINJAL KRONIK (GGK) YANG MENJALANI HEMODIALISIS DI RUANG HEMODIALISA RSUD dr. ABDOER RAHEM SITUBONDO

Abstract

Insomnia is a sleep disorder that more commonly happens to CRF patients undergoing hemodialysis. Progressive muscle relaxation is one of nonpharmacological therapies used to reduce muscle tension and anxiety. This research aimed to analyze the effect of progressive muscle relaxation on insomnia level in outpatients with CRF undergoing hemodialysis. The research used quasiexperimental research design with non-randomized control group pretest-posttest design. The sampling technique used was purposive sampling involving 10 respondents divided into 5 respondents for intervention group and 5 respondents for control group. Data were collected using the observation sheet in the form of Insomnia Rating Scale (IRS) developed by Kelompok Studi Psikiatri Biologik Jakarta (KSPBJ). Data were analyzed using Wilcoxon Matched Pairs Test and Mann-Whitney U Test with significance level of 95%. The research results showed that p-value of Wilcoxon Matched Pairs Test was 0,034 in the intervention group and 0,157 in the control group, while the p-value of Mann-Whitney U Test was 0,042 (p < α; α = 0,05). The conclusion from this research is that there is an effect of progressive muscle relaxation on insomnia level in outpatients with CRF undergoing hemodialysis in hemodialysis unit of dr. Abdoer Rahem Hospital Situbondo. It is recommended that nurse be able to provide progressive muscle relaxation in nursing care of hemodialysis patients to improve the quality of patients’ sleep.