A combination of progressive muscle relaxation and semi-fowler position to improve sleep pattern in patient with congestive heart failure

Abstract

Sleep pattern disturbance is a prevalent secondary complication in patients with Congestive Heart Failure (CHF), significantly impacting their quality of life and clinical recovery. This disorder can exacerbate cardiac dysfunction by triggering increased sympathetic nervous system activity, intermittent hypoxia, and impaired tissue perfusion. This study aims to evaluate the efficacy of Progressive Muscle Relaxation (PMR) techniques combined with a 45° semi-Fowler position as non-pharmacological interventions for sleep disturbances in CHF patients. The research utilized a case study design with a nursing care approach, focusing on a patient in the Mawar Ward of Muntilan Regional Hospital. The intervention protocol involved the consistent application of the 45° semi-Fowler position and PMR therapy for three consecutive days. The results demonstrated a significant improvement in sleep quality, evidenced by a marked decrease in sleep disturbance scores measured via the KSPBJ-IRS instrument. The 45° semi-Fowler position proved effective in enhancing lung expansion, alleviating dyspnea, and reducing cardiac workload, while the PMR technique facilitated psychological and physiological relaxation prior to sleep. In conclusion, the integration of the 45° semi-Fowler position and progressive muscle relaxation serves as a safe, cost-effective, and potent non-pharmacological strategy for improving sleep quality in CHF patients. This combined intervention represents a viable alternative for holistic nursing practices that prioritize patient comfort and long-term recovery.

Keywords: Heart failure, nursing care, prevention, progressive muscle relaxation, sleep pattern