Main Article Content
Abstract
Sleep disturbances are common among menopausal women and negatively
affect quality of life, cognitive function, and emotional well-being. The decline
in estrogen and progesterone during menopause often leads to insomnia, hot
flashes, and anxiety. Non-pharmacological approaches such as Progressive
Muscle Relaxation (PMR) and Breathing Exercise (BE) are considered
effective, yet studies combining both methods remain limited, particularly in
community-based settings. This study aimed to evaluate the effect of combined
PMR and BE on sleep quality in menopausal women within an Integrated
Health Post for the Elderly (Posyandu Lansia) community. A pre
experimental one-group pretest–posttest design was used. Twenty-six
menopausal women, members of the Posyandu Lansia Dahlia II in Surakarta,
Indonesia, were recruited through total sampling. The intervention consisted
of PMR and BE, conducted five times per week for eight weeks. Sleep quality
was measured using the Pittsburgh Sleep Quality Index (PSQI) before and
after the intervention. Data were analyzed using the Wilcoxon Signed-Rank
Test with a significance threshold of p < 0.05. Before the intervention, all
participants reported poor sleep quality with an average PSQI score of 7.54.
After eight weeks, 53.8% of participants showed good sleep quality, with the
average PSQI score decreasing to 6.12. Statistical analysis revealed a
significant difference between pre- and post-intervention scores (p = 0.0001).
In conclusion, the combination of PMR and BE significantly improved sleep
quality in menopausal women and may serve as an effective, low-cost,
community-based health promotion strategy.
Keywords
Article Details
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