THE APPLICATION OF PROGRESSIVE MUSCLE RELAXATION THERAPY IN SCHIZOPHRENIC PATIENTS AT RISK OF VIOLENT BEHAVIOR: A CASE STUDY

Abstract

Schizophrenia is a mental disorder that may be associated with a risk of violent behaviour a condition that has the potential to endanger oneself, others, or the environment. Currently, the risk of violent behavior remains a nursing challenge at psychiatric hospitals in East Jakarta. Data from the East Jakarta Psychiatric Hospital show an increase in cases from 224 in 2024 to 383 in 2025, with 91 cases recorded as of May 19, 2026. Progressive muscle relaxation therapy is one nonpharmacological intervention that can help reduce tension and stress responses. This study employed a descriptive method with a case study approach involving two respondents selected through purposive sampling. The objective of the study was to identify the effectiveness of nursing care for patients with schizophrenia at risk of violent behavior using progressive muscle relaxation therapy. Data were collected through interviews, observations, physical examinations, and documentation in accordance with the SDKI, SLKI, and SIKI standards. The measurement instruments used were the Overt Aggression Scale (OAS) and a therapy observation sheet. Progressive muscle relaxation therapy was administered for seven days, lasting 25-30 minutes per day; following the intervention, both participants showed a reduction in signs and symptoms of violent behavior, improved emotional control, and a more relaxed state. Both respondents’ OAS scores decreased to 0, indicating a low-risk category. Progressive muscle relaxation therapy demonstrated benefits as a nonpharmacological nursing intervention in helping to control the risk of violent behavior in patients with schizophrenia.