Progressive Muscle Relaxation as an Effort in Reducing Anxiety for Patients with Asthma Attacks

Enita Dewi(1*), Nely Qomarun Nisa(2), Sayekti Desi Nurmahdianingrum(3), Triyono Triyono(4),

(1) Universitas Muhammadiyah Surakarta
(2) Universitas Muhammadiyah Surakarta
(3) Universitas Muhammadiyah Surakarta
(4) RSUD Ir Sukarno Sukoharjo
(*) Corresponding Author



Anxiety occurs in a patient with acute asthma, worsens the symptoms and the conditions and can be at risk of death if not well controlled. The Progressive Muscle Relaxation (PMR) technique reduces anxiety levels in asthmatics patients. This study aimed to analyze the effect of giving PMR on the anxiety level of asthma patients in the Emergency Room (ER). Methods: This quantitative study uses a pre-experimental design with a group pretest-posttest. Samples were obtained through the purposive sampling of 26 adult patients who experienced acute asthma attacks and came to the ER. The instrument used was a Beck Inventory Anxiety (BAI) questionnaire, and the study was analyzed with the Wilcoxon Signed Rank Test. Results: A pre-test intervention found that 46.15% of patients experienced severe anxiety, 46.15% with moderate anxiety, and 7.69% with mild anxiety. After being given the intervention, it changed to 57.69% of patients experienced mild anxiety, 42.31% with moderate anxiety, and none experienced severe anxiety. PMR reduced the anxiety level of asthma attack patients with a p-value of 0.001 (p-value <0.05) and a Z-value of -4.134. Conclusion: PMR can be given as an effort to reduce the anxiety level of patients experiencing asthma attacks. Further research with larger samples is recommended. 


Anxiety Level; Asthma Attack; Emergency; Progressive Muscle Relaxation (PMR)

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Anisah, I. N., & Maliya, A. (2021). Benson Relaxation Effectiveness Against Anxiety Patients Undergoing Hemodialysis (Efektivitas Relaksasi Benson Terhadap Kecemasan Pasien Yang Menjalani Hemodialisa). Jurnal Berita Ilmu Keperawatan, 14(1), 57-64.

Dursun, A. B., Ozcan, A., & Cicek, T. (2015). The Comparison of Anxiety and Depression Levels in Asthma and COPD Patients. Journal of Lung, Pulmonary & Respiratory Research, 2(2), 42–45.

Essa, R. M., Ismail, N. I. A. A., & Hassan, N. I. (2017). Effect of progressive muscle relaxation technique on stress, anxiety, and depression after hysterectomy. Journal of Nursing Education and Practice, 7(7), 77.

Fuseini, H., & Newcomb, D. C. (2017). Mechanisms Driving Gender Differences in Asthma. Current Allergy and Asthma Reports, 17(3), 1–15.

Georga, G., Chrousos, G., Artemiadis, A., Panagiotis, P. P., Bakakos, P., & Darviri, C. (2019). The effect of stress management incorporating progressive muscle relaxation and biofeedback-assisted relaxation breathing on patients with asthma: a randomised controlled trial. Advances in Integrative Medicine, 6(2), 73-77.

George, S. V. (2018). Effectiveness of different relaxation techniques. International Journal of Research in Social Sciences, 8(5), 222-232.

GINA (2019). The global initiative for asthma (GINA): 25 years later. EuPMRean Respiratory Journal, 54(2). DOI: 10.1183/13993003.00598-2019

Hallett, S., Toro, F., & Ashurst, J. V. (2018). Physiology, tidal volume.

Isa, M. R., Moy, F. M., Razack, A. H. A., Zainuddin, Z. M., & Zainal, N. Z. (2013). Impact of applied progressive deep muscle relaxation training on the health related quality of life among prostate cancer patients - A quasi experimental trial. Preventive Medicine, 57(SUPPL), 2237–2242.

Kirthika, S., Padmanabhan, K., Sudhakar, S., Nathan, C. S., & Ramachandran, S. (2018). Efficacy of progressive relaxation technique and yoga in patients with stress-induced asthma: A randomized controlled trial. Muller Journal of Medical Sciences and Research, 9(1), 19-19

Koper, I., Hufnagl, K., & Ehmann, R. (2017). Gender aspects and influence of hormones on bronchial asthma - Secondary publication and update. World Allergy Organization Journal, 10(1), 1–7.

Liu, K., Chen, Y., Wu , D., Lin, R., Wang , Z., & Pan, L. (2020). Effects of progressive muscle relaxation on anxiety and sleep quality in patients with COVID-19. Elsevier : Complementary Therapies in Clinical Practice , 101-132.

Manurung, N. (2016). Terapi Reminiscence. Jakarta: TIM

Mohamed, S. A. (2018). The effects of positioning and pursed-lip breathing exercise on dyspnea and anxiety status in patients with chronic obstructive pulmonary disease. Journal of Nursing Education and Practice, 9(6), 41.

Mustafa, R., & Nahdliyyah, A. I. (2019). Management of physiotherapy in bronchial asthma with infrared modalities, chest physiotherapy and progressive muscle relaxation exercises at BBKPM Surakarta (Penatalaksanaan fisioterapi pada kondisi asma bronchiale dengan modalitas infra merah, chest fisioterapi dan latihan progressive muscle relaxation di BBKPM Surakarta). Pena Jurnal Ilmu Pengetahuan dan Teknologi, 33(1), 22-28.

Platini, H., Pebrianti, S., & Nugraha, B. A. (2018). Respiratory Management in Asthma Patients: A 2014–2016 Study (Management Respiratory Pada Pasien Asma : Studi 2014–2016).

Setyohadi dan Kushriyadi. (2011). Nursing modality therapy for psychogeriatric clients (Terapi Modalitas Keperawatan Pada Klien Psikogeriatrik). Salemba Medika. Jakarta

Sulastini, S., Mediani, H. S., Fitria, N., & Nugraha, B. A. (2019). Effect of Progressive Muscle Relaxation on Anxiety in Congestive Heart Failure Patients. Jurnal Keperawatan Soedirman, 14(2).

Tsitsi, T., Charalambous, A., Papastavrou, E., & Raftopoulos, V. (2017). Effectiveness of a relaxation intervention (progressive muscle relaxation and guided imagery techniques) to reduce anxiety and improve mood of parents of hospitalized children with malignancies: A randomized controlled trial in Republic of Cyprus and Greece. EuPMRean Journal of Oncology Nursing, 26, 9-18.

WHO. World Health Statistic Report 2018. (2018). Geneva: World Health Organization Accessed on: 01 March 2020, Retrieved from

Yilmaz, C. K., & Kapucu, S. (2017). The Effect of Progressive Relaxation Exercises on Fatigue and Sleep Quality in Individuals With COPD. Holist Nurs Pract, 31(6), 369-377. doi:10.1097/hnp.0000000000000234

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