Motivational Interviewing with Progressive Muscle Relaxation for Anxiety Disorders in Tuberculosis
DOI:
https://doi.org/10.31674/mjn.2024.v15i03.006Abstract
Background: Individuals with Tuberculosis (TB) may experience anxiety due to the disease's uncertain treatment, prognosis, and subsequent social judgment. It may affect the patient's motivation to engage in the treatment, boosting its effectiveness and reducing tuberculosis transmission. Interventions are required to help people alleviate their anxiety about tuberculosis. Objective: The primary objective of this study is to investigate how motivational interviewing and progressive muscle relaxation impact anxiety levels among individuals with tuberculosis. Methods: The study employed a quasi-experimental pretest-posttest control group design. Participants were chosen through convenience sampling based on specific inclusion and exclusion criteria. A total of 60 clients participated, with 30 assigned to the intervention groups and 30 to the control groups. This study used the Zung Anxiety Self-Assessment instrument. An analysis of differences in anxiety used Wilcoxon and Mann-Whitney. Results: In the pre-test, the majority of participants had mild anxiety levels; 70% (49.30 ± 8.526) in the intervention groups and 63.3% (45.43± 8.423) in the control groups. In the post-test, there has been a decrease in anxiety levels in the intervention group at 93.3% (30.90 ± 7.572), but anxiety levels remained the same in the control group of 66.7% (43.97±7.346). According to the statistical analysis, the intervention group achieved a p-value of 0.000, indicating a substantial variance in anxiety levels before and after the intervention. In contrast, the control group recorded a p-value of 0.785, suggesting that there was no significant alteration in anxiety levels before and after the intervention. Conclusion: Progressive muscle relaxation can alleviate tension, and motivational interviewing can boost motivation and help clients deal with anxiety triggers. Both interventions can be considered as extra treatments for tuberculosis patients who experience anxiety.
Keywords:
Anxiety, Motivational Interviewing, Progressive Muscle Relaxation, TuberculosisDownloads
References
Ambaw, F., Mayston, R., Hanlon, C., Medhin, G., & Alem, A. (2018). Untreated depression and tuberculosis treatment outcomes, quality of life and disability, Ethiopia. Bulletin of the World Health Organization, 96(4), 243–255. https://doi.org/10.2471/BLT.17.192658
Amini, E., Goudarzi, I., Masoudi, R., Ahmadi, A., & Momeni, A. (2016). Effect of Progressive Muscle Relaxation and Aerobic Exercise on Anxiety, Sleep Quality, and Fatigue in Patients with Chronic Renal Failure Undergoing Hemodialysis. In International Journal of Pharmaceutical and Clinical Research, 8(12). https://core.ac.uk/download/pdf/143840392.pdf
Bahi, S. F., Budhy, T. I., Hidayat, A., Sari, A. V., Januarisca, B. V., Asmaningdiah, M., Moh, Z., Azis, R., Woelansari, E. D., & Suhariyadi, S. (2023). Adenosine Deaminase (ADA) Levels in Suspected Tuberculosis Patients with Results of Interferon-Gamma Results Release Assay (IGRA) Positive and Negative. In Malaysian Journal of Medicine and Health Sciences, 19 (SUPP3), 101-105. https://medic.upm.edu.my/upload/dokumen/2023030715554221-0901.pdf
Cahyawati, E., Hamid, A. Y. S., Putri, Y. S. E., Susanti, H., & Panjaitan, R. U. (2023). Lowering Psychoeducation The Burden of Families Who Experience Stigma as Tuberculosis Clients and a History of Drug Dropout. Journal of Telenursing (JOTING), 5(1), 621–631. https://doi.org/10.31539/joting.v5i1.5679
Castillo, J. M., Redula, E. H., & Tipon, L. (2019). Understanding Tuberculosis Mortality Fluctuation in The Philippines by Artificial Intelligence. The Malaysian Journal of Nursing (MJN), 10(3), 3-8. https://doi.org/31674/mjn.2019.v10i03.001
Chandra, M., Rana, P., Chandra, K., & Arora, V. K. (2019). Tuberculosis - Depression syndemic: A public health challenge. Indian Journal of Tuberculosis, 66(1), 197–202. https://doi.org/10.1016/j.ijtb.2019.02.007
Charalambous, A., Giannakopoulou, M., Bozas, E., Marcou, Y., Kitsios, P., & Paikousis, L. (2016). Guided imagery and progressive muscle relaxation as a cluster of symptoms management intervention in patients receiving chemotherapy: A randomized control trial. PLoS ONE, 11(6). https://doi.org/10.1371/journal.pone.0156911
Dauletbayev, A. D., & Abdullayev, A. O. (2022). Specific Prevention and Diagnosis of Tuberculosis. Eurasian Journal of Medical and Natural Sciences, 2(6), 270–276. https://doi.org/https://doi.org/10.5281/zenodo.6646191
Dewi, S. Y., Darmawan Susanto, T., Adisasmita, A. C., Ascobat, P., Burhan, E., Wiwie, M., & Lumbuun, N. (2020). Validity and Reliability of Indonesian Languages Version of Zung Anxiety Self-Assessment Scale Questionnaire for Pulmonary Tuberculosis Patients. In Indian Journal of Public Health Research & Development, 11(11), 337–342. https://doi.org/10.37506/ijphrd.v11i11.11398
Essa, R. M., Ismail, N. I. A. A., & Hassan, N. I. (2017). Effect of progressive muscle relaxation technique on stress, anxiety, and depression after hysterectomy. Journal of Nursing Education and Practice, 7(7), 77. https://doi.org/10.5430/jnep.v7n7p77
Gulzar, A., Khan, I., Muhammad, A., & Khan, M. N. A. (2021). Prevalence of Depression in Hospitalized Patients of Pulmonary Tuberculosis. Pakistan Armed Forces Medical Journal, 71(1), 206–210. https://doi.org/10.51253/pafmj.v71i1.2862
Herdiman Herdiman, N. N. P. C., & Lindayani, L. (2022). The Effectiveness of Motivational Interviewing on HIV Awareness and Prevention Behavior Among Adolescents in Bandung City, Indonesia: A Randomized Controlled Trial. Malaysian Journal of Medicine and Health Sciences, 18(SUPP17), 262-269. https://medic.upm.edu.my/upload/dokumen/2023010416524541_2022_0774.pdf
Holt, C., Milgrom, J., & Gemmill, A. W. (2017). Improving help-seeking for postnatal depression and anxiety: a cluster randomised controlled trial of motivational interviewing. Archives of Women’s Mental Health, 20(6), 791–801. https://doi.org/10.1007/s00737-017-0767-0
Kastien-Hilka, T., Rosenkranz, B., Schwenkglenks, M., Bennett, B. M., & Sinanovic, E. (2017). Association between health-related quality of life and medication adherence in pulmonary tuberculosis in South Africa. Frontiers in Pharmacology, 8(919). https://doi.org/10.3389/fphar.2017.00919
Loa, R. F. (2016). Effects of motivational interviewing on the treatment adherence of Tuberculosis patients. International Journal of Infectious Diseases, 45, 396–397. https://doi.org/10.1016/j.ijid.2016.02.848
Louwagie, G. M. C., Okuyemi, K. S., & Ayo-Yusuf, O. A. (2014). Efficacy of brief motivational interviewing on smoking cessation at tuberculosis clinics in Tshwane, South Africa: A randomized controlled trial. Addiction, 109(11), 1942–1952. https://doi.org/10.1111/add.12671
Mohd, Z. W., Ahmad, S. R., Yaacob, N. A., Mohd Shariff, N., Jaeb, M. Z., & Hussin, Z. (2023). Innovative Integrated Motivational Interviewing for Dual Management in Tuberculosis Patients with Diabetes (MID-DOT) in Malaysia. Healthcare (Switzerland), 11(13). https://doi.org/10.3390/healthcare11131929
Ozhanli, Y., & Akyuz, N. (2022). The Effect of Progressive Relaxation Exercise on Physiological Parameters, Pain and Anxiety Levels of Patients Undergoing Colorectal Cancer Surgery: A Randomized Controlled Study. Journal of Perianesthesia Nursing, 37(2), 238–246. https://doi.org/10.1016/j.jopan.2021.08.008
Parwati, N. M., Bakta, I. M., Januraga, P. P., & Wirawan, I. M. A. (2021). A health belief model-based motivational interviewing for medication adherence and treatment success in pulmonary tuberculosis patients. International Journal of Environmental Research and Public Health, 18(24). https://doi.org/10.3390/ijerph182413238
Ponsford, J., Lee, N. K., Wong, D., McKay, A., Haines, K., Alway, Y., Downing, M., Furtado, C., & O’Donnell, M. L. (2016). Efficacy of motivational interviewing and cognitive behavioral therapy for anxiety and depression symptoms following traumatic brain injury. Psychological Medicine, 46(5), 1079–1090. https://doi.org/10.1017/S0033291715002640
Randall, C. L., & McNeil, D. W. (2017). Motivational Interviewing as an Adjunct to Cognitive Behavior Therapy for Anxiety Disorders: A Critical Review of the Literature. Cognitive and Behavioral Practice, 24(3), 296–311. https://doi.org/10.1016/j.cbpra.2016.05.003
Rebora, P., Spedale, V., Occhino, G., Luciani, M., Alvaro, R., Vellone, E., Riegel, B., & Ausili, D. (2021). Effectiveness of motivational interviewing on anxiety, depression, sleep quality and quality of life in heart failure patients: secondary analysis of the MOTIVATE-HF randomized controlled trial. Quality of Life Research, 30(7), 1939–1949. https://doi.org/10.1007/s11136-021-02788-3
Rohmana, O., Rochayati, A. S., Hidayat, E., & Sansuwito, T. B. (2021). Comparison of The Effect Group Activity Therapy: Perception Stimulation & Deep Breath Therapy to Elderly Stress in Cirebon City. The Malaysian Journal of Nursing (MJN), 12(4), 104-110. https://doi.org/10.31674/mjn.2021.v12i04.014
Santoso, S. D. R. P., & Sasmito, N. B. (2020). Syndicate Group Discussion Combination with Brain Gym on Anxiety in Pulmonary Tuberculosis: Quasy Experiment Study. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 5(1), 97–102. https://doi.org/10.30604/jika.v5i1.385
Siahaineinia, H. E., & Sinaga, S. N. (2020). Effect of Knowledge About Tuberculosis (TB) on Levels
Anxiety in Pulmonary TB Patients at TRIA DIPA Hospital Jakarta in 2019. Excellent Midwifery Journal, 3(1), 26–34. https://doi.org/10.55541/emj.v3i1.121
Sugiyono, & Puspandhani, M. E. (2020). Health Research Methods (Y. Kumasturyani, Ed.; 1st ed., Vol. 1). ALFABETA, CV.
Wawo Bulu, M., Santoso, S. D. R. P., & Paju, W. (2023). A Combination of Semi Fowler Position, Pursed Lips Breathing, and Mint Leaf Aromatherapy against Shortness of Breath for Pulmonary TB. Journal Well Being, 8(1), 55–67. https://doi.org/https://doi.org/10.51898/wb.v8i1.196
Westra, H. A., Constantino, M. J., & Antony, M. M. (2016). Integrating motivational interviewing with cognitive-behavioral therapy for severe generalized anxiety disorder: An allegiance-controlled randomized clinical trial. Journal of Consulting and Clinical Psychology, 84(9), 768–782. https://doi.org/10.1037/ccp0000098
WHO. (2022). Strategic and Technical Advisory Group for Tuberculosis: Report of the 22nd meeting STAG-TB. http://apps.who.int/bookorders
Yilmaz, C. K., & Kapucu, S. (2017). The Effect of Progressive Relaxation Exercises on Fatigue and Sleep Quality in Individuals with COPD. Holistic Nursing Practice, 31(6), 369–377. https://doi.org/10.1097/HNP.0000000000000234
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 The Malaysian Journal of Nursing (MJN)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
