Implementasi Teknik Relaksasi Otot Progresif pada Penderita Ostepororosis di Desa Bangun Rejo Kecamatan Tanjung Morawa Provinsi Sumatera Utara Tahun 2025

Petra Diansari Zega; Ali Imran Sirait; Eko Murdianto; Sri Muliati Nendah; Nurcahaya Sihombing

doi:10.61132/pandawa.v3i3.2376

Authors

Petra Diansari Zega Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Ali Imran Sirait Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Eko Murdianto Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Sri Muliati Nendah Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Nurcahaya Sihombing Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan

DOI:

https://doi.org/10.61132/pandawa.v3i3.2376

Keywords:

Pain, Progressive Muscle Relaxation, Osteoporosis

Abstract

Osteoporosis is a metabolic bone disorder characterized by decreased bone density, resulting in brittle, porous, and easily broken bones. This condition is more common in the elderly, especially women over 60 years of age, due to hormonal changes, the aging process, and lifestyle factors. Common clinical manifestations experienced by sufferers include back pain that can interfere with daily activities and reduce quality of life. Osteoporosis treatment does not only rely on pharmacological therapy, but can also be done through non-pharmacological therapies such as progressive muscle relaxation techniques that aim to reduce muscle tension and pain perception. This study aims to determine the effect of progressive muscle relaxation techniques on pain reduction in elderly osteoporosis sufferers in Bangun Rejo Village, Tanjung Morawa District, North Sumatra Province. The research method used a quasi-experimental design with a pre-test post-test control group design. The study involved 28 elderly respondents who met the inclusion criteria, divided into two groups: an experimental group that received progressive muscle relaxation intervention and a control group that did not receive intervention. The intervention was carried out in a structured manner according to standard procedures throughout the study period. Pain levels were measured using a numeric pain scale before and after treatment. Data analysis showed a significant reduction in pain levels in the experimental group compared to the control group, with a p-value of 0.040. These results indicate that progressive muscle relaxation techniques are effective as a non-pharmacological method for reducing pain in elderly people with osteoporosis. The findings of this study are expected to provide input for healthcare professionals, particularly nurses, in developing simple, safe, and affordable interventions to improve the quality of life of elderly people with osteoporosis, as well as encourage the routine implementation of this therapy in primary and community healthcare settings.

Downloads

Download data is not yet available.

References

Badan Pusat Statistik. (2024). Statistik penduduk lanjut usia tahun 2024. Jakarta: Badan Pusat Statistik.

Barnsley, J., Buckland, G., Chan, P. E., Ong, A., Ramos, A. S., Baxter, M., Laskou, F., Dennison, E. M., Cooper, C., & Patel, H. P. (2021). Pathophysiology and treatment of osteoporosis: Challenges for clinical practice in older people. Aging Clinical and Experimental Research, 33(4), 759–773. https://doi.org/10.1007/s40520-021-01817-y

Catalano, A., Martino, G., Morabito, N., Scarlella, C., Gaudio, A., Basile, G., & Lasco, A. (2017). Pain in osteoporosis: From pathophysiology to therapeutic approach. Drugs & Aging, 34(3), 175–184. https://doi.org/10.1007/s40266-017-0492-4

Falaschi, P., Marques, A., & Giordano, S. (2020). Osteoporosis and fragility in elderly patients. In P. Falaschi, A. Marques, & S. Giordano (Eds.), Orthogeriatrics: The management of older patients with fragility fractures (2nd ed., pp. 35–52). Springer. https://doi.org/10.1007/978-3-030-48126-1_3

Hinkle, J. L., & Cheever, K. H. (2018). Textbook of medical-surgical nursing. Philadelphia: Wolters Kluwer.

Kementerian Kesehatan Republik Indonesia. (2023). Pedoman nasional pelayanan kedokteran tata laksana osteoporosis. Jakarta: Kementerian Kesehatan Republik Indonesia.

Mateu, M., Alda, O., Inda, M. D., Margarit, C., Ajo, R., Morales, D., van der Hofstadt, C. J., & Peiró, A. M. (2018). Randomized, controlled, crossover study of self-administered Jacobson relaxation in chronic, nonspecific, low-back pain. Alternative Therapies in Health and Medicine, 24(6), 22–30.

Porter, J. L., & Varacallo, M. A. (2023). Osteoporosis. In StatPearls. StatPearls Publishing.

Rawung, R., & Bagy, R. G. (n.d.). Osteoporosis: Diagnosis and management. Journal Unstrat, 9(2).

Salari, N., Darvishi, N., Bartina, Y., Larti, M., Kiaei, A., Hemmati, M., Shohaimi, S., & Mohammadi, M. (2021). Global prevalence of osteoporosis among the world older adults: A comprehensive systematic review and meta-analysis. Journal of Orthopaedic Surgery and Research, 16(1), 669. https://doi.org/10.1186/s13018-021-02821-8

Setiawan, L. B. (2023). Profil pasien yang terdiagnosis osteoporosis dengan pemeriksaan DXA scan di RS Setiabudi Medan tahun 2022–2023 (Skripsi, Universitas Sumatera Utara).

Sivakumar, S., Melwyn, S. C., Kumari, S., & Anandan, D. (2024). Understanding osteoporosis: A comprehensive review of risk factors, mechanisms, and management strategies. International Journal of Intelligent Systems and Application in Engineering, 12(21).

Vambheim, S. M., Kyllo, T. M., Hegland, S., & Bystad, M. (2021). Relaxation techniques as an intervention for chronic pain: A systematic review of randomized controlled trials. Heliyon, 7(8), e07837. https://doi.org/10.1016/j.heliyon.2021.e07837

Wijaya, E., & Nurhidayati, T. (2020). Penerapan terapi relaksasi otot progresif dalam menurunkan skala nyeri sendi lansia. Ners Muda, 1(2), 53–59.

Xiao, P. L., Cui, A. Y., Hsu, C. J., Peng, R., Jiang, N., Xu, X. H., Ma, Y. G., Liu, D., & Lu, H. D. (2022). Global, regional prevalence, and risk factors of osteoporosis according to the World Health Organization diagnostic criteria: A systematic review and meta-analysis. Osteoporosis International, 33(10), 2137–2153. https://doi.org/10.1007/s00198-022-06454-3