APPLICATION OF PROGRESSIVE MUSCLE RELAXATION IN BREAST CANCER PATIENTS WITH CHRONIC PAIN AT RSUD ARIFIN ACHMAD PROVINCE RIAU

Abstract

Breast cancer is an abnormal growth of cells in breast tissue and often causes symptoms such as pain, fatigue, and psychological disorders that reduce the patient's quality of life. Cancer-related pain is a major complaint with a high prevalence, especially in metastatic cancer. Pain management generally uses pharmacological therapy, but non-pharmacological therapies such as progressive muscle relaxation are also effective. The purpose of this final nursing thesis is to analyze progressive muscle relaxation intervention in addressing chronic pain nursing problems in breast cancer patients. This intervention was carried out on 2 patients who met the criteria. Progressive muscle relaxation therapy was applied for 3 consecutive days, once a day for 15 minutes. Pain was measured using the Numeric Rating Scale (NRS), and success criteria were based on the Indonesian Nursing Outcome Standards (SLKI). Evaluation of this intervention in patient 1 showed a decrease in pain from a score of 6 to 3, a reduction in complaints of pain, restlessness, protective behavior, and grimacing, as well as improved blood pressure and appetite. Patient 2 showed a decrease in pain scale from 7 to 4, with a reduction in pain complaints, protective behavior, and grimacing, as well as a decrease in restlessness and an improvement in blood pressure and pulse rate. Based on the results of the nursing care provided, it can be concluded that the application of progressive muscle relaxation therapy is effective in reducing pain in cancer patients. Progressive muscle relaxation is recommended as a non-pharmacological therapy to reduce pain experienced by breast cancer patients.