PENERAPAN TERAPI RELAKSASI OTOT PROGRESIF UNTUK MENGURANGI NYERI PADA PASIEN POST OPERASI KOLOSTOMI

Latar Belakang: Colostomy is a surgical procedure to create an opening in the abdominal wall as a channel for stool disposal, which is often performed in cases of colorectal cancer or severe trauma. Although life-saving, this procedure causes physical and psychological problems, such as postoperative pain, body image disturbance, stress, and sleep disturbance. Uncontrolled pain can slow healing and reduce the patient's quality of life, while difficulty sleeping can worsen physical fatigue and emotional burden. Pharmacological therapy such as analgesics is commonly used, but has side effects. Therefore, non-pharmacological interventions such as progressive muscle relaxation are important because they have been proven effective in reducing pain, calming the mind, and improving sleep quality.
Metode: This study is a case study with a qualitative descriptive approach conducted at Dr. Saiful Anwar Malang Regional Hospital on April 14-16, 2025. The subject of the study was one patient with a medical diagnosis of Recti Tumor. The selection of subjects was carried out by non-probability sampling with a purposive sampling model. The intervention given was in the form of progressive muscle relaxation to reduce the scale of pain and sleep problems.
Hasil: The results of the study showed that the application of progressive muscle relaxation therapy in post-colostomy surgery patients at Dr. Saiful Anwar Malang Hospital was effective in reducing pain scales and improving sleep quality. The patient's pain scale, which was initially at 4 (moderate pain), gradually decreased to 1 (mild pain) after three days of intervention. Patients also reported sleeping better and rarely waking up at night. This suggests that progressive muscle relaxation techniques can be a useful non-pharmacological intervention to support the recovery of post-colostomy surgery patients.
Diskusi: The results showed a decrease in pain scale and improvement in sleep quality in patients after being given progressive muscle relaxation therapy. These findings are in line with the theory that relaxation techniques can reduce sympathetic nerve activity, reduce muscle tension, and help patients achieve a relaxed state. In addition to reducing postoperative pain, patients also reported sleeping more soundly and comfortably.