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Ana Widyastuti
RSUD Tidar Magelang, Magelang, Indonesia
Nursing

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Progressive Muscle Relaxation in Managing Anxiety in Preoperative Patients Nindya Dwi Pangestika; Erfin Firmawati; Ana Widyastuti
INDOGENIUS Vol 5 No 3 (2026): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v5i3.1095

Abstract

Background & Objective: Anxiety is commonly experienced by patients scheduled for surgery and can affect their physiological responses and readiness. This study aimed to determine the effect of progressive muscle relaxation on anxiety levels in patients scheduled for surgery. Method: This study used a case study design involving three adult patients scheduled for non-emergency surgery at a regional hospital in Magelang. The sampling technique used was purposive sampling based on inclusion and exclusion criteria. Anxiety levels were measured before and after the intervention using a structured questionnaire instrument. The intervention consisted of progressive muscle relaxation performed for 25–30 minutes in a comfortable environment. Data were presented descriptively and analyzed by comparing pre- and post-intervention anxiety scores. Result: All respondents experienced moderate to severe anxiety before the intervention. After the intervention, anxiety levels decreased in all respondents. The mean anxiety score decreased from 19.3 to 15.6, with a difference of 3.7 points. There was also a shift in anxiety categories from severe to moderate and from moderate to mild. Conclusion: Progressive muscle relaxation is effective in reducing anxiety levels in preoperative patients and can be applied as a non-pharmacological nursing intervention to improve patient readiness for surgery.
Implementation of ROM to Improve Early Mobilization in Post-Operative Patients with General Anesthesia Ana Aprilia Pradana; Erfin Firmawati; Ana Widyastuti
INDOGENIUS Vol 5 No 3 (2026): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v5i3.1110

Abstract

Background & Objectives : Prolonged immobilization following laparotomy under general anesthesia poses serious risks including muscle weakness, deep vein thrombosis, atelectasis, and extended hospital stays. To describe the implementation of ROM exercise to improve early mobilization in post-laparotomy patients under general anesthesia. Methods: A descriptive qualitative case study involving two post-laparotomy patients under general anesthesia at the surgical ward of RSUD Daerah Kota Magelang (October-November 2025). ROM exercise was implemented for two consecutive days, initiated within 24 hours postoperatively. Mobility level was assessed using the Johns Hopkins Highest Level of Mobility (JH-HLM) scale (0-8), twice daily. Results: The first patient (post exploratory laparotomy due to appendix perforation with peritonitis) showed a JH-HLM improvement from score 1 to score 5 (walking in room) within two days. The second patient (post laparotomy due to ovarian cyst with torsion) improved from score 1 to score 6 (walking in hallway) despite initial barriers of postoperative nausea and vomiting (PONV) and anxiety. Both patients demonstrated reduced pain NRS scores, and no complications were observed during implementation. Conclusions: ROM exercise initiated within the first 24 hours after laparotomy under general anesthesia is proven effective and safe in promoting early mobilization. An integrated approach encompassing pain management, PONV treatment, and psychological support is essential to optimize implementation outcomes.
Co-Authors Ana Aprilia Pradana Erfin Firmawati Nindya Dwi Pangestika