NURSING CARE IMPLEMENTATION OF PROGRESSIVE MUSCLE RELAXATION (PMR) INTERVENTION ON REDUCING ANXIETY LEVELS IN CERVICAL CANCER PATIENTS UNDERGOING CHEMOTHERAPY IN THE TULIP ROOM OF ARIFIN ACHMAD REGIONAL HOSPITAL, RIAU PROVINCE

Abstract

Cervical cancer is a major global health problem that not only affects patients physically but also psychologically, particularly during chemotherapy. Anxiety is one of the most common psychological responses experienced by cervical cancer patients due to uncertainty about prognosis and treatment procedures. This study aimed to implement an Evidence-Based Practice (EBP) approach using Progressive Muscle Relaxation (PMR) to reduce anxiety in cervical cancer patients undergoing chemotherapy. A case study design was applied to two patients treated in the Tulip Ward of Arifin Achmad Regional Hospital. The intervention was conducted over three consecutive days, approximately 30 minutes per session, before chemotherapy. Anxiety levels were measured using the Zung Self-Rating Anxiety Scale (ZSAS) developed by William W. K. Zung before (pre-test) and after (post-test) the intervention. Data were analyzed descriptively by comparing changes in anxiety scores and categories. The results showed a clinically significant reduction in anxiety levels. Mrs. E’s score decreased from 62 (severe anxiety) to 43 (mild anxiety), while Mrs. C’s score decreased from 58 (moderate anxiety) to 44 (mild anxiety). Subjectively, both patients reported feeling calmer, more comfortable, and better prepared for chemotherapy. Objectively, they appeared more relaxed, with improved breathing patterns and stable vital signs. In conclusion, Progressive Muscle Relaxation is an effective, safe, and practical non-pharmacological nursing intervention for reducing anxiety in cervical cancer patients undergoing chemotherapy. Its consistent application can enhance emotional stability and overall quality of life, supporting comprehensive oncology nursing care.