Progressive muscle relaxation therapy to reduce anxiety in patient with hypertension

Abstract

Hypertension is a chronic condition often referred to as a "silent killer" because it frequently occurs without noticeable symptoms while requiring lifelong management. It is estimated that the global prevalence of hypertension will reach 1.5 billion people. Patients with a long-standing history of the disease often experience high levels of anxiety, primarily due to the burden of long-term treatment and concerns regarding their prognosis. To address this, Progressive Muscle Relaxation (PMR) is frequently utilized as an effective non-pharmacological and complementary therapy to alleviate psychological distress. The purpose of this case study is to describe the implementation of PMR in managing nursing-related anxiety in a hypertensive patient at PKU Muhammadiyah Hospital, Temanggung (Shofa II Ward). This research utilized a descriptive case study design focusing on one respondent who met the inclusion criteria. The assessment was conducted using the Hamilton Anxiety Rating Scale (HARS). The results demonstrated a significant improvement: the patient’s baseline score was 25 (moderate anxiety), which decreased to 13 (no anxiety) following the PMR intervention. In conclusion, the implementation of Progressive Muscle Relaxation is an effective nursing intervention for lowering anxiety levels in patients with hypertension. PMR induces a state of physical and mental calm, relaxes the musculoskeletal system, and improves peripheral circulation, which collectively assists in stabilizing or reducing blood pressure.

Keywords: Anxiety, hypertension, medical nursing, nursing care, relaxation muscle progressive