THE EFFECT OF A COMBINATION OF PROGRESSIVE MUSCLE RELAXATION AND MUSIC THERAPY ON PAIN INTENSITY AND ANXIETY LEVELS IN INPATIENT WARD PATIENTS: A CASE STUDY

Abstract

Background: Pain and anxiety are common problems experienced by patients during hospitalization and can hinder the healing process. The combination of progressive muscle relaxation and music therapy is a nonpharmacological intervention that has the potential to help reduce both of these conditions. Objective: To describe the application of a combination of progressive muscle relaxation and music therapy on pain intensity and anxiety levels in patients in an inpatient ward. Methods: This study used a descriptive design with a case study approach involving two patients selected through purposive sampling. The intervention was administered once daily for three consecutive days, lasting 20–30 minutes each session. Pain intensity was measured using the Numeric Rating Scale (NRS), and anxiety levels were measured using the Hospital Anxiety and Depression Scale (HADS). Results: After the intervention, there was a decrease in pain intensity in both subjects from a score of 6 to 4 and 2, as well as a decrease in anxiety scores from 13 to 4 in Subject I and from 12 to 3 in Subject II. Conclusion: The combination of progressive muscle relaxation and music therapy showed a tendency to be effective in reducing pain intensity and anxiety levels in patients in the ward. Recommendation: This intervention can be considered as an adjunct therapy in nursing practice and requires further evaluation through research with a larger sample size.