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Effect of progressive muscle relaxation on nurses’ work-related stress: A quasi-experimental study KK, Indra Frana Jaya; Apriyadi, Iman
Indonesian Journal of Health Services Vol. 3 No. 1 (2026): January - March
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v3i1.126

Abstract

Background: Nurses experience substantial work-related stress due to high workload, organizational demands, and emotional labor in hospital settings. Persistent occupational stress may contribute to burnout, reduced job performance, and compromised quality of care. Progressive Muscle Relaxation (PMR) has been recognized as a non-pharmacological technique to reduce psychological stress; however, empirical evidence focusing on hospital nurses remains limited. Objective: This study aimed to examine the effect of Progressive Muscle Relaxation on nurses’ work-related stress in a public hospital setting. Methods: A quasi-experimental study with a one-group pretest–posttest design was conducted among 35 nurses at RSUD Siti Fatimah, South Sumatra Province. Total sampling was applied to recruit eligible participants. Work-related stress was measured using the Expanded Nursing Stress Scale (ENSS), consisting of 57 Likert-scale items. The intervention consisted of Progressive Muscle Relaxation administered once daily for seven consecutive days. Data were analyzed using descriptive statistics and paired sample t-test to compare pre- and post-intervention stress scores. Results: The majority of participants were female (74.3%) and professional nurses (57.1%), with more than three years of work experience (57.1%). The mean stress score decreased from 125 before the intervention to 87.5 after the intervention. The mean difference in stress scores was 35.5 (SD = 13.06), and the paired t-test revealed a statistically significant reduction in stress levels (p = 0.001). Conclusion: Progressive Muscle Relaxation significantly reduced nurses’ work-related stress after seven consecutive sessions. The findings suggest that PMR is a feasible and practical intervention for stress management in hospital settings. Integration of structured relaxation programs into occupational health strategies may enhance nurses’ psychological well-being and support safer clinical practice
Application of hold finger therapy in patients with fracture pain: A nursing case study Kastina, Kastina; Regina, Regina; Apriyadi, Iman
Indonesian Journal of Health Services Vol. 2 No. 4 (2025): October - December
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v2i4.125

Abstract

Background: Fracture-related pain is a common clinical problem experienced by patients following surgical procedures or traumatic injuries, which may hinder recovery and early mobilization. In addition to pharmacological treatment, non-pharmacological interventions are essential as part of holistic nursing care. One relaxation technique that can be implemented by nurses is hold finger therapy, which has the potential to reduce pain perception through relaxation mechanisms and sensory stimulation. Objective: This study aimed to describe the application of hold finger therapy and evaluate its effect on pain intensity in patients with fracture pain using a nursing case study approach. Methods: This study employed a case study design involving two patients with fracture-related conditions, including a post–Open Reduction Internal Fixation (ORIF) malunion of the right humerus and a patient with suspected nasal fracture. Hold finger therapy was administered over three consecutive days with two sessions per day. Pain intensity was measured using the Numeric Rating Scale (NRS) before the intervention and after the final session. Data were analyzed descriptively by comparing pre- and post-intervention pain scores. Results: The findings demonstrated a reduction in pain intensity in both patients following the implementation of hold finger therapy. Pain scores decreased from 7 to 4 in the first patient and from 5 to 2 in the second patient. Patients also reported increased comfort, relaxation, and improved ability to perform gradual mobilization. Conclusion: Hold finger therapy is effective as a non-pharmacological nursing intervention for reducing pain in patients with fracture-related conditions. This technique supports holistic nursing care by enhancing patient comfort and pain control.