A Study to Assess the Effectiveness of Progressive Muscle Relaxation Technique among the Patient with Anxiety Disorders in the Selected Mental Health Centers

Nowadays, major impact of researchers’ toevaluate the intensity of anxiety between Anxiety Disorder with the Patient, and theirefficacy of enlightened muscle relaxation and disorder of anxiety to the patients, intensity of anxiety amongst mental health center describe the anxiety disorder patients with correlated with the social cum geographical values. Hypothesis, nominated socio demographic variables around the difference between posttest level and pretestanxiety of disorder patients. Nearby is an important association among intensity of unease. In tangible background: Inaccurate Roy’s variation classical was cast-off for this study. Methodology: A Pre-experimental and progressive muscle and decreasetherapy by used as a posttest. 40 anxiety ailment patients were confident by successive sampling process.Hypothesis formulated between. Pre and posttest was shown progressive muscle relaxation on forty minutes trainingto the anxiety patients on 5 consecutive days. In our results suggested anxiety patients output of reduced levels of anxiety disorder on the 6 th day of posttest. To evaluate the Reformist muscle slackening is non-invasive, cost effective, non – pharmacological complementary therapy to between disorder patients with anxiety and diminish anxiety. Also posttest levels varied with age, academic qualification, anxiety, social value and alcoholic addiction and its duration. Original Research Article Bharathi; JPRI, 33(47A): 158-163, 2021; Article no.JPRI.73713 159


INTRODUCTION
The time for relaxation and training is more methods, like as procedure, activity, process that all are helps a person to relax; finally it attain a status as a significantly calmness, otherwise significantly to reduces a levels of stress, anger, pain and anxiety [1]. Furthermore, wider stress supervision program and it would be a decrease muscular dissertation, and healthy heart and breath rates by the action of low levels of blood pressure, from stress relief on muscular contraction [2]. Others techniques are used as relaxation of muscular contraction. Some trained professional help to involve movements to another person by the different methods. The progressive mucle relaxation training movements based on relaxation exercise like as Yoga, walking, gardening, Qigong and tai chi and more [3][4].
Reducing of anxiety by alternatively tensing relaxing by the therapy of progressive muscle relaxation. Edmund Jacobson, in the early 1920's proposed that by doing whole body relaxation, one can reduces the anxiety by involvement of muscular tension to normal mental components. Purpose selected samples were used sampling techniques [5]. Awareness of anxious feelings for physiological significances of the anxiety on interrupting individual's attention, and progressive muscle lessening was initially established as a way of dropping anxiety The heart dynamic was reduces the muscular contraction by progressive and posttest used as a relaxation for muscular therapy. The tension usually reduces the anxiety and increases the well-being feeling on individual performance [6] The reasons related to physical state act as a tensing and peace on muscular regions like over the chest, forearms, diaphragm, face and legs. Muscular group is persistentlythrough for ten seconds on the muscular regions [7]. From this paper it will helpthepsychiatric nurses to identify, community health nurses, and countless coping strategies approved by Anxiety Illness Patient strategies and promoted to perceive the myriad stress condition and challenging. Practice of progressive muscles relaxation practice will decrease anxiety by this between post and pretexting [8].

Research Tactic
Quantitative study.

Research Plan
Based on the designing, two types such as pre and Post-test design.

Design of the Study
In Chennai, the mental health center we are collecting data from main psychiatric institution plateful the people. Other wards 744-816 patients were prepared for 150 beds and 50 beds for final census of 5800 patients.

Test Sample
Anxiety Disorder Patient its justify inclusion criteria [9-10]

Sample size
40 numbers.

Technique for sampling
Consecutive Technique

Inclusion criteria
The patients with mild and moderate anxiety, knowing Tamil for reading and writing

Exclusion criteria
The patients with musculoskeletal disorder, who had severe anxiety behavior, unavailable for the collection.

Data Collection
The data collected at the selected mental health center, Chennai and done from 01.08.2016 to 14.09.2016 (6 week). One group of people instructed to do exercise for shoulder, hand, upper back, face, neck, abdomen, calve muscles, arm muscles, low back, knees, and muscles of feet, and asked to relax for 20 seconds .each group of muscle repeated for 4 times. Sittings were conducted daily morning and dusk with 40 minute session [11][12][13]. Ethical clearances was obtained in ethical committee.

RESULTS
Presently, the lower age group people highly suffered from the anxiety disorders, nearly, 24(57.5%) belonged to 25-40 years of age and 17(42.5%) between 46-50 years (Table 1). From above data suggested the practicing falling techniques, common of subjects 44(85%) were not expert relaxation practice once and the least 6(15%) were expert earlier.

Association between The Pre-Test and Post-Test Levels of Anxiety Score among the Participants
The results showed that the pre-test mean mark was 19.27 with 4.57 (average eccentricity). The post-test means core was10.83and the standard deviance was4.66. The mean difference was 7.83.  * significant at P"0.05** highly significant at P"0.01*** very high significant atP"0.001.The results showed that the evaluationof significant variation between the mean concern score between pretestand posttest. Significantly reducing the anxiety score center from Chennai. Plateful institution of the people the center was ready with bed asset for 150 beds. In our data suggested patients are affected 40in the pretest, popular 70% were moderate anxiety (28), 40% were in mild anxiety (18),mild anxiety were 44 with receiving progressive muscle relaxation and moderate and mild anxiety 19.5% as a severe anxiety score.

DISCUSSION
Our results were concordance with the previous results [14 -15].

CONCLUSION
The present study showed that the muscle relaxation technique actively reduce the anxiety disorder among the participants. The situation is cost current flattering non-invasive therapy to decrease anxiety.

CONSENT
As per international standard or university standard, patients' written consent has been collected and preserved by the author(s).

ETHICAL APPROVAL
The study was approved by the Institutional Ethics Committee.