NURSING CARE FOR CLIENTS AT RISK OF VIOLENT BEHAVIOR WITH THE APPLICATION OF PROGRESSIVE MUSCLE RELAXATION THERAPY AT THE TAMPAN MENTAL HOSPITAL IN PEKANBARU

Abstract

Mental disorders are conditions characterized by disturbances in psychological, behavioral, and biological functions that cause distress and dysfunction in individuals. One of the psychiatric disorders that often leads to a risk of violent behavior is schizophrenia. The risk of violent behavior refers to a condition in which an individual has the potential to harm themselves, others, or the environment. Interventions to address this condition can be conducted through pharmacological and non-pharmacological approaches. One effective non-pharmacological intervention is Progressive Muscle Relaxation (PMR), a technique that involves tensing and relaxing muscle groups progressively to reduce tension and negative emotions. This study employed an Evidence-Based Nursing Practice approach using an experimental design involving two patients with schizophrenia who exhibited a risk of violent behavior. The intervention was carried out over three days, preceded by a pre-test and followed by a post-test using the Indonesian Nursing Outcome Standard (SLKI) observation sheet. The results showed a significant improvement in outcome scores after the application of progressive muscle relaxation therapy. Indicators of aggressive behavior such as attacking, harsh speech, and environmental destruction decreased markedly.These findings indicate that progressive muscle relaxation therapy is effective in reducing the intensity of violent behavior risk among patients with schizophrenia. This therapy can serve as an evidence-based and practical psychiatric nursing intervention to help patients control emotions and manage aggressive behavior.