The Effect of Progressive Muscle Relaxation on Sleep Quality and Anxiety Level of Students Confirmed Covid-19


  • Titin Supriatin Ahmad Dahlan College of Health Science Cirebon, Indonesia
  • Yani Trihandayani Ahmad Dahlan College of Health Science Cirebon, Indonesia
  • Yani Nurhayani Ahmad Dahlan College of Health Science Cirebon, Indonesia
  • Pratuma Rithpho Naresuan University, Thailand



Anxiety, Sleep quality, Muscle Relaxation, Covid-19, Student


Coronavirus disease is a virus that causes respiratory system disorders. Based on data from the Indonesian Ministry of Health, 2022, the number of covid-19 exposures that have been confirmed positive is 6,512,913, recovered as 6,319,990 died 158,768. Progressive muscle relaxation focuses on muscle activity. The purpose of this exercise is to lower the tension. This study aims to measure the effectiveness of exercise on sleep quality and anxiety levels. This study is a quantitative research method, using purposive samples with a quasi-experimental study pretest-posttest one-group research design. This study sampled 24 students who declared confirmed Covid-19. The value of sleep quality is 2.17, with a standard deviation of 0.761. The results obtained a p-value of 0.000, then the p < α where H0 was rejected, significant influence on sleep quality before and after exercise. The value of the level of anxiety after exercise is 2.17, with a standard deviation of 0.381. The results p-value of 0.000, then the p < α where H0 was rejected, significantly influenced the level of student anxiety before and after exercise. The contribution of this research can be used for nursing information, especially for patients who are confirmed Covid-19.


Alawna, M., & Mohamed, A. A. (2022). An integrated intervention combining cognitive‐behavioural stress management and progressive muscle relaxation improves immune biomarkers and reduces COVID‐19 severity and progression in patients with COVID‐19: A randomized control trial. Stress and Health, 38(5), 978–988.

Almojali, A. I., Almalki, S. A., Alothman, A. S., Masuadi, E. M., & Alaqeel, M. K. (2017). The prevalence and association of stress with sleep quality among medical students. Journal of Epidemiology and Global Health, 7(3), 169.

Bianchi, S., Bernardi, S., Perilli, E., Cipollone, C., Di Biasi, J., & Macchiarelli, G. (2020). Evaluation of Effectiveness of Digital Technologies During Anatomy Learning in Nursing School. Applied Sciences, 10(7), 2357.

Brown, W. J., Wilkerson, A. K., Boyd, S. J., Dewey, D., Mesa, F., & Bunnell, B. E. (2018). A review of sleep disturbance in children and adolescents with anxiety. Journal of Sleep Research, 27(3), e12635.

Carisa, F., & Wahyuni, O. D. (2022). Effect of Progressive Muscle Relaxation on Anxiety Level of Medical Faculty Students in Indonesia. E-CliniC, 10(2), 250.

Chen, H., Wang, Y., & Liu, Z. (2022). The experiences of frontline nurses in Wuhan: A qualitative analysis of nurse online diaries during the COVID‐19 pandemic. Journal of Clinical Nursing, 31(17–18), 2465–2475.

Corbett, C., Egan, J., & Pilch, M. (2019). A randomised comparison of two ‘Stress Control’ programmes: Progressive Muscle Relaxation versus Mindfulness Body Scan. Mental Health & Prevention, 15, 200163.

de Jonge, E., Kloppenburg, R., & Hendriks, P. (2020). The impact of the COVID-19 pandemic on social work education and practice in the Netherlands. Social Work Education, 39(8), 1027–1036.

Galván, A. (2020). The Need for Sleep in the Adolescent Brain. Trends in Cognitive Sciences, 24(1), 79–89.

Gorini, A., Fiabane, E., Sommaruga, M., Barbieri, S., Sottotetti, F., La Rovere, M. T., Tremoli, E., & Gabanelli, P. (2020). Mental health and risk perception among Italian healthcare workers during the second month of the Covid-19 pandemic. Archives of Psychiatric Nursing, 34(6), 537–544.

Hartmann, M. E., & Prichard, J. R. (2018). Calculating the contribution of sleep problems to undergraduates’ academic success. Sleep Health, 4(5), 463–471.

İçel, S., & Başoğul, C. (2021). Effects of progressive muscle relaxation training with music therapy on sleep and anger of patients at Community Mental Health Center. Complementary Therapies in Clinical Practice, 43, 101338.

Jakobsson, M., Josefsson, K., Jutengren, G., Sandsjö, L., & Högberg, K. (2019). Sleep duration and sleeping difficulties among adolescents: exploring associations with school stress, self‐perception and technology use. Scandinavian Journal of Caring Sciences, 33(1), 197–206.

Jaspal, R., & Breakwell, G. M. (2022). Socio-economic inequalities in social network, loneliness and mental health during the COVID-19 pandemic. International Journal of Social Psychiatry, 68(1), 155–165.

Kasmad, K., Abdillah, A. J., & Karnelia, M. (2022). The Impact of Using Brisk Walking Exerrcise in Lower Blood Sugar of Patients with Type 2 Diabetes Mellitus. International Journal of Nursing Information, 1(1), 10–17.

Ke, Q., Chan, S. W., Kong, Y., Fu, J., Li, W., Shen, Q., & Zhu, J. (2021). Frontline nurses’ willingness to work during the COVID‐19 pandemic: A mixed‐methods study. Journal of Advanced Nursing, 77(9), 3880–3893.

Korkmaz, S., Kazgan, A., Çekiç, S., Tartar, A. S., Balcı, H. N., & Atmaca, M. (2020). The anxiety levels, quality of sleep and life and problem-solving skills in healthcare workers employed in COVID-19 services. Journal of Clinical Neuroscience, 80, 131–136.

Lai, C.-C., Shih, T.-P., Ko, W.-C., Tang, H.-J., & Hsueh, P.-R. (2020). Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. International Journal of Antimicrobial Agents, 55(3), 105924.

Lingkaran, L., Lestari Ramadhani Nasution, S., Girsang, E., & Novalinda Ginting, C. (2022). Factors Affecting Health Worker Anxiety in Covid-19 Prevention at Murni Teguh Memorial Hospital. International Journal of Health and Pharmaceutical (IJHP), 2(2), 290–295.

Liu, K., Chen, Y., Wu, D., Lin, R., Wang, Z., & Pan, L. (2020). Effects of progressive muscle relaxation on anxiety and sleep quality in patients with COVID-19. Complementary Therapies in Clinical Practice, 39, 101132.

Nuniek Tri Wahyuni, Lin Herlina, R. Nur Abdurakhman, Abas Hidayat, & Cecep Supriyadi. (2022). Implementation of Buerger Allen exercise in patients with diabetes mellitus type II to improve lower extremity circulation. World Journal of Advanced Research and Reviews, 14(1), 573–579.

O’Donnell, P. S., & Dunlap, L. L. (2019). Teacher acceptability of progressive muscle relaxation in the classroom for the treatment of test anxiety. Journal of Psychologists and Counsellors in Schools, 29(2), 151–165.

Özlü, İ., Öztürk, Z., Karaman Özlü, Z., Tekin, E., & Gür, A. (2021). The effects of progressive muscle relaxation exercises on the anxiety and sleep quality of patients with COVID‐19: A randomized controlled study. Perspectives in Psychiatric Care, 57(4), 1791–1797.

Putri, D. S. R., & Makiyah, S. N. N. (2021). Factors Affecting Sleep Quality of Breast Cancer Patients with Chemotherapy. Open Access Macedonian Journal of Medical Sciences, 9(T4), 130–136.

R Nur Abdurakhman, Abas Hidayat, Didi Taswidi, & Alifa Romadoni. (2022). Effect of hypertension exercise on blood pressure in the elderly. World Journal of Advanced Research and Reviews, 13(3), 491–495.

Roberts, N. J., McAloney-Kocaman, K., Lippiett, K., Ray, E., Welch, L., & Kelly, C. (2021). Levels of resilience, anxiety and depression in nurses working in respiratory clinical areas during the COVID pandemic. Respiratory Medicine, 176, 106219.

Serrano-Ripoll, M. J., Meneses-Echavez, J. F., Ricci-Cabello, I., Fraile-Navarro, D., Fiol-deRoque, M. A., Pastor-Moreno, G., Castro, A., Ruiz-Pérez, I., Zamanillo Campos, R., & Gonçalves-Bradley, D. C. (2020). Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review and meta-analysis. Journal of Affective Disorders, 277, 347–357.

Shah, S. M. A., Mohammad, D., Qureshi, M. F. H., Abbas, M. Z., & Aleem, S. (2021). Prevalence, Psychological Responses and Associated Correlates of Depression, Anxiety and Stress in a Global Population, During the Coronavirus Disease (COVID-19) Pandemic. Community Mental Health Journal, 57(1), 101–110.

Suteja, S., & Setiawan, D. (2022). Students’ Critical Thinking and Writing Skills in Project-Based Learning. International Journal of Educational Qualitative Quantitative Research, 1(1), 16–22.

Swanson, L. M., Arnedt, J. T., Rosekind, M. R., Belenky, G., Balkin, T. J., & Drake, C. (2011). Sleep disorders and work performance: findings from the 2008 National Sleep Foundation Sleep in America poll. Journal of Sleep Research, 20(3), 487–494.




How to Cite

Supriatin, T., Trihandayani, Y., Nurhayani, Y., & Rithpho, P. (2022). The Effect of Progressive Muscle Relaxation on Sleep Quality and Anxiety Level of Students Confirmed Covid-19. International Journal of Nursing Information, 1(2), 7–12.