The Effect of Combination Of Progressive Muscle Relaxation And Nature Sound Music Therapy On Sleep Quality Of Menopaused Women


  • Alvina Cornelia Sugijantoro Program Studi S2 Magister Terapan Keperawatan Fakultas Keperawatan Dan Kebidanan Universitas Nahdlatul Ulama Surabaya, Indonesia
  • Rahayu Anggraini Fakultas Keperawatan Dan Kebidanan Universitas Nahdlatul Ulama Surabaya, Indonesia
  • R. Khairiyatul Afiyah 2Fakultas Keperawatan Dan Kebidanan Universitas Nahdlatul Ulama Surabaya, Indonesia



Progressive Muscle Relaxation, Nature Sound, Sleep quality, Diabetes, Menopause


Background: Introduction. Menopause is a critical process that every woman will experience. Decreased function of female organs occurs because they cannot produce the hormones esterogen and progesterone, causing psychological and physiological symptoms. One of the physiological symptoms is sleep quality disorders, which if not handled properly will cause decreased concentratio, anxiety and stress. Pharmacological and non pharmacological theraphy to help postmenopausal women reduce their sleep disorders. The study aimed to determine the effect of combination therapy of progressive muscle relaxation and nature sound music therapy on sleep quality in postmenopause

Methods: Quasy-Experiment research design. Population is menopause with a total of 220 people. The sample size is 102 respondents, the sampling is simple random sampling. The treatment group in combination therapy of progressive musc;e relaxation and nature sound music therapy 15-20 minutes; the control group was not given any intervention. The wariavle studied was the value of sleep quality obtained from the results of the questionaire(Pittsburgh Sleep Quality Index). The analysis used the Wilcoxon Signed Test for pre and post treatment and the Mann-Whitney test to determine the difference between the experimental group and the control group with a significant α <0,05.

Results: The results of the sleep quality analysis using the Wilcoxon Signed Rank Test, p value 0,000 in the treatment group and p value 0,215 in the control group. The results of the analysis using the Mann-Whitney test obtained a p value  of 0,000 on the value of sleep quality between the treatment group and the control group

Conclusion: Combination therapy of progressive muscle relaxation and nature sound music therapy is effective for reducing the value of sleep quality disorders in menopausa women, ang this technique is easy to do, so it Can be applied as a nursing intervention at the puskesmas for the development of nursing knowledge in services


Download data is not yet available.


Aksu, S. P., & Erenel, A. Ş. (2022). Effects of health education and progressive muscle relaxation on vasomotor symptoms and insomnia in perimenopausal women: A randomized controlled trial. Patient Education and Counseling, 105(11), 3279–3286.

Amanda, S. P. (2019). Progressive muscle relaxation in improving sleep quality. Journal of Health (JoH), 6(2), 90–94.

Anggraini, D., Marfuah, D., Puspasari, S., & Juniarni, L. (2022). MUSKAR-T for Improving Mental Health and Cancer-Related Symptoms in Women Diagnosed with Breast Cancer Undergoing Chemotherapy: A Queasy Experimental Design. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 8(Special Edition).

Bais, A., & Phansopkar, P. (2021). Impact of pilates training versus progressive muscle relaxation technique on quality of life in menopausal women-a comparative study. Indian Journal of Forensic Medicine & Toxicology, 15(1), 7–11.

Cox, C. E., Riley, I. L., Ashana, D. C., Haines, K., Olsen, M. K., Gu, J., Pratt, E. H., Al-Hegelan, M., Harrison, R. W., Naglee, C., Frear, A., Yang, H., Johnson, K. S., & Docherty, S. L. (2021). Improving racial disparities in unmet palliative care needs among intensive care unit family members with a needs-targeted app intervention: The ICUconnect randomized clinical trial. Contemporary Clinical Trials, 103, 106319.

Duman, M., & Timur Taşhan, S. (2018). The effect of sleep hygiene education and relaxation exercises on insomnia among postmenopausal women: A randomized clinical trial. International Journal of Nursing Practice, 24(4), e12650.

Elkins, G., Otte, J., Carpenter, J. S., Roberts, L., Jackson, L., Kekecs, Z., Patterson, V., & Keith, T. Z. (2021). Hypnosis intervention for sleep disturbance: Determination of optimal dose and method of delivery for postmenopausal women. International Journal of Clinical and Experimental Hypnosis, 69(3), 323–345.

Indrayani, T., Damayanti, M., & Lail, N. H. (2021). The Effect of Acupressure Therapy on Sleep Quality of Elderly in Work Area of Melintang Health Center, Pangkalpinang. STRADA Jurnal Ilmiah Kesehatan, 10(1), 964–975.

Inoue, K., Onishi, K., & Arao, H. (2021). The effectiveness of complementary therapy as mind–body practice on quality of life among cancer survivors: a quasi-experimental study. Asia-Pacific Journal of Oncology Nursing, 8(6), 687–695.

Ismail, A. M. A., Saad, A. E., Abd-Elrahman, N. A. F., & Elfahl, A. M. A. (2022). Effect of Benson’s relaxation therapy alone or combined with aerobic exercise on cortisol, sleeping quality, estrogen, and severity of dyspeptic symptoms in perimenopausal women with functional dyspepsia. Eur Rev Med Pharmacol Sci, 26(22), 8342–8350.

Kalmbach, D. A., Cheng, P., Arnedt, J. T., Cuamatzi-Castelan, A., Atkinson, R. L., Fellman-Couture, C., Roehrs, T., & Drake, C. L. (2019). Improving daytime functioning, work performance, and quality of life in postmenopausal women with insomnia: comparing cognitive behavioral therapy for insomnia, sleep restriction therapy, and sleep hygiene education. Journal of Clinical Sleep Medicine, 15(7), 999–1010.

Kang, Y., Zhang, G.-C., Zhu, J.-Q., Fang, X.-Y., Niu, J., Zhang, Y., & Wang, X.-J. (2021). Activities of daily living associated with postoperative intensive care unit survival in elderly patients following elective major abdominal surgery: An observational cohort study. Medicine, 100(22), e26056.

Koçak, D. Y., & Varişoğlu, Y. (2022). The effect of music therapy on menopausal symptoms and depression: a randomized-controlled study. Menopause, 29(5), 545–552.

Lin, M.-H., Hsiao, P.-R., & Hsu, H.-C. (2022). Comparing the Effectiveness of Multicomponent Sleep-Promoting Interventions on the Sleep Quality of Menopausal Women: A Quasi-Experimental Study. Healthcare, 10(3), 559.

Norman, A. (2020). Creating ‘calmscapes’ with classical music. Early Years Educator, 21(9), 32–34.

Santos, M. A. dos, Vilerá, A. N., Wysocki, A. D., Pereira, F. H., Oliveira, D. M. de, & Santos, V. B. (2021). Sleep quality and its association with menopausal and climacteric symptoms. Revista Brasileira de Enfermagem, 74.

Shea, A. K., Wolfman, W., Fortier, M., & Soares, C. N. (2021). Guideline No. 422c: Menopause: Mood, Sleep, and Cognition. Journal of Obstetrics and Gynaecology Canada, 43(11), 1316–1323.

Shirzadi, M., Farshchian, N., Nazarpour, A., Eskandari, S., Kahrari, F., Abdollahpour Ranjbar, H., Nazari, S., Hekmati, I., & Farhang, S. (2021). Escitalopram and progressive muscle relaxation training are both effective for the treatment of hot flashes in patients with breast cancer: a randomized controlled trial. Journal of Psychosomatic Obstetrics & Gynecology, 1–7.

Surya Direja, A. H., Juksen, L., & Sunarsih, S. (2021). The Effect Of Classical Music Therapy On The Level Of Depression Among Schizophrenia Patients In Soeprapto Mental Hospital, Bengkulu Province. Journal of Applied Nursing and Health, 3(2 SE-Articles), 104–110.

Taufiqa, I., & Apriyanib, H. (2021). Implementation of Local Music Wisdom in Progressive Muscle Relaxation Exercises and the Effect on Blood Sugar Levels in Patients with Type 2 DM.

Yang, J., Du, Y., Shen, H., Ren, S., Liu, Z., Zheng, D., Shi, Q., Li, Y., & Wei, G.-X. (2022). Mindfulness-Based Movement Intervention to Improve Sleep Quality: A Meta-Analysis and Moderator Analysis of Randomized Clinical Trials. International Journal of Environmental Research and Public Health, 19(16), 10284.

Yona, S., & Dahlia, D. (2020). Effect of progressive muscle relaxation on sleep quality among patients with chronic diseases: A literature review. Belitung Nursing Journal, 6(2), 30–34.




How to Cite

Sugijantoro, A. C., Anggraini, R., & Afiyah, R. K. . (2022). The Effect of Combination Of Progressive Muscle Relaxation And Nature Sound Music Therapy On Sleep Quality Of Menopaused Women. Journal of Applied Nursing and Health, 4(2), 340–348.