Effect Of Progressive Muscle Relaxation Therapy On Anxiety Reduction Among Schizophrenia Patients At Mulyorejo Primary Health Center, North Lampung

This research examines the effect of progressive muscle relaxation therapy on reducing anxiety in schizophrenia patients at the Mulyorejo Community Health Center, North Lampung.

Authors

  • Zakia Nur Rahmah Universitas Aisyah Pringsewu
  • Rika Damayanti Universitas Aisyah Pringsewu
  • Feri Agustriyani Universitas Aisyah Pringsewu

Keywords:

Schizophrenia, Anxiety, Progressive Muscle Relaxation, Schizophrenia

Abstract

Background: Schizophrenia is a chronic mental disorder often accompanied by anxiety manifested as restlessness, muscle tension, sleep disturbances, unexplained fear, and irritability. Untreated anxiety can exacerbate psychotic symptoms, reduce self-care ability, and hinder therapeutic outcomes.

Objective: to determine the effect of progressive muscle relaxation therapy on reducing anxiety levels in patients with schizophrenia.

Method: This quantitative study employed a pre-experimental one-group pretest–posttest design. The population consisted of all patients with schizophrenia who were actively receiving treatment, with a sample of 16 participants selected using purposive sampling. Anxiety was measured using the Zung Self-Rating Anxiety Scale (ZSAS). The study was conducted from September to October 2025. Univariate analysis described anxiety scores before and after the intervention, while bivariate analysis was performed using a paired sample t-test, as the data were normally distributed.

Results: The results showed that the mean anxiety score before progressive muscle relaxation therapy was 59.0 (SD: 7.3), which decreased to 44.0 after the intervention (SD: 4.9). The paired t-test indicated a significant effect of the therapy on reducing anxiety, with a t-value of 20.0 and p < 0.001.

Conclusion: Progressive muscle relaxation therapy significantly reduces anxiety in people with schizophrenia. Patients and families are encouraged to continue practicing relaxation exercises 1–2 times daily for 10–15 minutes, provide support during practice, monitor changes in anxiety, and maintain a healthy lifestyle

Author Biographies

Rika Damayanti, Universitas Aisyah Pringsewu

Program Studi Ilmu Keperawatan

Feri Agustriyani, Universitas Aisyah Pringsewu

Principal contact for editorial correspondence

References

Agustriyani, F. (2024). Terapi Non Farmakologi pada Pasien Skizofrenia. Penerbit NEM.

Burhan, S., Erika, K. A., & Said, S. (2022). The Effectiveness of Progressive Muscle Relaxation in Reducing Anxiety: A Literatur Review. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 8(1), 2022.

Chodavadia, P., Teo, I., Poremski, D., Shuen, D., Fung, S., & Finkelstein, E. A. (2023). Healthcare utilization and costs of singaporean youth with symptoms of depression and anxiety : results from a 2022 web panel. 1–9.

Dinas Kesehatan Kabupaten Lampung Utara. (2025). Profil Kesehatan Lampung Utara.

Harismayanti, & Lihu, I. (2025). Pengaruh Terapi Relaksasi Otot Progresif Terhadap Penurunan Tingkat Kecemasan Pada Pasien Pre Operasi Sectio Caesarea Di RSIA Sitti Khadijah Kota Gorontalo. Jurnal Keperawatan Muhammadiyah, 10(1).

Jeong, Y., Park, J., Kim, S., & Choi, H. (2020). Frontotemporal Dementia with Motor Neuron Disease in a Patient with Antiphospholipid Syndrome : A Case Report. 15(4), 165–169.

Kemenkes. (2018). Potret Kesehatan Indonesia dari Riskesdas 2018. 2018(Riskesdas 2013), 9–12.

Kemenkes. (2023). SKI 2023. In Sustainability (Switzerland) (Vol. 11, Issue 1). http://scioteca.caf.com/bitstream/handle/123456789/1091/RED2017-Eng-8ene.pdf?sequence=12&isAllowed=y%0Ahttp://dx.doi.org/10.1016/j.regsciurbeco.2008.06.005%0Ahttps://www.researchgate.net/publication/305320484_SISTEM_PEMBETUNGAN_TERPUSAT_STRATEGI_MELESTARI

Lisa, P., Ari, D., Lisa, P., Mahasiswa, S., Fik, K., Jln, U. M. S., Yani, A., Pos, T., & Kartasura, I. P. (2023). Pengaruh Relaksasi Progresif Terhadap Tingkat Kecemasan pada Pasien Skizofrenia di Rumah Sakit Jiwa Daerah Surakarta. 27–34.

Maulana, I., Platini, H., Hendrawati, & Amira, I. (2023). Efektifitas Progressive Muscle Relaxation Techniques Terhadap Kecemasan Pada Pasien Skizofrenia: Literature Review. 10(2), 131–140.

Noverizah, E., & Sari, S. P. (2025). Terapi Relaksasi Otot Progresif untuk Menurunkan Ansietas pada Pasien Skizofrenia dengan Risiko Perilaku Kekerasan. 5(2), 14098–14105.

Saluy, P., Tahir, P. I. A., & Purnawinadi, I. G. (2023). Pengaruh pemberian teknik relaksasi otot progresif terhadap tingkat kecemasan pasien kemoterapi. 5(October 2021). https://doi.org/10.37771/nj.Vol5.Iss2.389

Siahaan, S. A., Ansela, R. D., & Daulay, W. (2023). Efektifitas Progressive Muscle Relaxation Terapi Pada Pasien Ansietas: Literature Review. Communnity Development Journal, 4(Juni), 3542–3552.

WHO. (2023). Schizophrenia. 1–6.

Yuningsih, I., & Kusumawati, M. W. (2024). Penerapan Terapi Otot Progresif (Progressive Muscle Relaxation) Pada Pasien Skizofrenia Degan Resiko Perilaku Kekerasan Di RSJD Dr.Arif Zainudin Surakarta. 257.

Published

2026-09-27