NURSING CARE FOR PATIENTS AT RISK OF VIOLENT BEHAVIOR THROUGH THE IMPLEMENTATION OF PROGRESSIVE MUSCLE RELAXATION

Abstract

Violent behavior is one of the main symptoms commonly observed in patients with mental disorders and poses a serious problem in psychiatric nursing care. While pharmacological approaches are frequently used, non-pharmacological interventions such as Progressive Muscle Relaxation (PMR) therapy are considered effective in reducing physical and emotional tension. The purpose of this study was to describe the implementation of nursing care using PMR for patients at risk of violent behavior at Tampan Psychiatric Hospital in Pekanbaru. The study employed a case study approach involving two patients diagnosed with a risk of violent behavior who exhibited signs of aggressiveness, such as sharp gazes, loud speech tones, and threatening behaviors. The PMR intervention was conducted over three consecutive days, with each session lasting 15–20 minutes. The results showed a significant reduction in symptoms of violent behavior following the intervention, with patients demonstrating improved anger control, increased calmness, and reduced aggressive expressions. PMR therapy facilitates activation of the parasympathetic nervous system, which decreases physiological stress and enhances patients’ self-control. In conclusion, PMR is effective as a non-pharmacological intervention in reducing symptoms associated with the risk of violent behavior and can serve as an alternative approach in evidence-based psychiatric nursing practice