NURSING CARE FOR CERVICAL CANCER PATIENTS WITH THE APPLICATION OF PROGRESSIVE MUSCLE RELAXATION TO ADDRESS NAUSEA IN THE TULIP WARD OF ARIFIN ACHMAD REGIONAL GENERAL HOSPITAL, RIAU PROVINCE

Abstrak

Cervical cancer is one of the cancers with the highest incidence and mortality rates among women in Indonesian. One of the main side effects of chemotherapy in cervical cancer patients is nausea and vomiting, which can reduce nutritional intake, cause dehydration, and decrease patients’ quality of life. Management efforts include not only pharmacological approaches but also non-pharmacological interventions, one of which is Progressive Muscle Relaxation (PMR) therapy. The purpose of this case study was to determine the effect of progressive muscle relaxation (PMR) therapy in reducing nausea and vomiting in post-chemotherapy cervical cancer patients in the Tulip Ward of Arifin Achmad Regional General Hospital, Riau Province. The research design used was a case study with an Evidence-Based Practice Nurse (EBN) approach. Nursing care was provided to two cervical cancer patients. The intervention was conducted for three consecutive days, with each session lasting 30 minutes. Data were collected through interviews, observations, and completion of the Index of Nausea, Vomiting, and Retching (INVR) questionnaire. The results showed a decrease in nausea and vomiting scores after the implementation of Progressive Muscle Relaxation (PMR). In the first patient (Mrs. S), the nausea and vomiting score decreased from 29% to 8%, while in the second patient (Mrs. C), the score decreased from 23% to 2%, categorizing both patients as having mild nausea and vomiting. After receiving Progressive Muscle Relaxation (PMR) therapy, patients appeared more relaxed, were able to control nausea sensations, and demonstrated increased comfort. Conclusion, there was a decrease in the level of nausea and vomiting before and after the application of Progressive Muscle Relaxation (PMR) therapy. This therapy is an effective non-pharmacological intervention for reducing nausea in cervical cancer patients post chemotherapy.