DOI: http://dx.doi.org/10.20473/jn.v12i1.2315

PSYCHONEUROIMMUNOLOGY APPROACH TO IMPROVE RECOVERY MOTIVATION, DECREASE CORTISOL AND BLOOD GLUCOSE OF DM TYPE 2 PATIENTS WITH DHIKR THERAPY

Rifka Pahlevi, Suhartono Taat Putra, Sriyono Sriyono

Abstract


Introduction: Blood glucose levels are controlled when the management of diabetes success. Positive perception of the strength of the spiritual aspect will improve the motivation of patients with type 2 diabetes to control it. The purpose of this study was to determine the effect of dhikr based on psychoneuroimmunology (PNI) on blood glucose levels of patients with type 2 diabetes. Methods: This study used quasi-experiment with pre-test and post-test control group design. Samples were taken from the population of patients with type 2 diabetes who were hospitalized in the Internal Medicine Rumkital Dr. Ramelan Surabaya with purposive sampling techniques. Data taken include the general characteristics of respondents, cures motivation, cortisol levels and fasting blood glucose levels. Collecting data using questionnaires and laboratory test, then analyzed using paired t-test and independent t-test, with α value <0.05. Results: Statistical test showed that the motivation to recover increased (p = 0.001), cortisol levels fall (p = 0.058) and a drop in blood glucose levels (p = 0.028) after administration of dhikr therapy in patients with diabetes mellitus type 2. There was a significant difference in increased of recovery motivation between patient conduct zikr therapy and patient cared (p = 0,000). Conclusion: Dhikr therapy increases the motivation of patients with type 2 diabetes by strengthening awareness and spirituality belief in Allah make positive stress perception. Positive stress perception will affect the stress response and improved regulation of blood glucose through the HPA axis to suppress the secretion of CRH, ACTH, and cortisol.

Keywords


dhikr, diabetes mellitus type 2, recovery motivation, cortisol, blood glucose

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References


Adam, L.O.B., 2012. Peran Motivasi Spiritual Agamis terhadap Organizational Citizenship Behavior ( OCB ) dan Kinerja Dosen ( Studi pada Dosen Universitas Haluoleo Kendari ). , 10.

Ariani, Y., 2011. HUBUNGAN ANTARA MOTIVASI DENGAN EFIKASI DIRI PASIEN DM TIPE 2 DALAM KONTEKS ASUHAN KEPERAWATAN DI RSUP. H. ADAM MALIK MEDAN.

Baldacchino, D.R., 2008. Teaching on the spiritual dimension in care: The perceived impact on undergraduate nursing students. , Volume 28(Issue 4), pp.501–512.

Black, J.M. & Hawks, J.H., 2009. Medical-surgical Nursing: Clinical Management for Positive Outcomes J. M. Black & J. H. Hawks, eds., Saunders/Elsevier.

Brown, T., 2012. Rapid Review Physiology 2nd ed., Philadelphia: Mosbay inc an affiliate of Elsevier inc.

Coffey, J.T. et al., 2002. Valuing Health-Related Quality of Life in. , 25(12), pp.38–43.

Fishier, L., Glasgow, R.E. & Strycker, L.A., 2010. Distress and Clinical Depression With Glycemic Control Among Patients With Type 2 Diabetes. , 33(5), pp.1034–1036.

Ibrahim, N., Desa, A. & TOng, N.K.C., 2011. Illness Perception and Depression in Patients with End-Stage Renal Disease on Chronic Hemodialysis.

Istiqomah, I., 2011. Penurunan Adiksi pada Penyalahgunaan Narkoba yang Melakukan Ddhikr di Ponpes Inabah XIX Surabaya Tahun 2011.

Putra, S.T., 2011. Psikoneuroimunologi Kedokteran 2nd ed., Surabaya: Airlangga University Press.

Satiti, N., 2013. Penurunan Kadar Kortisol dan Perubahan Stress Persepsi pada Pasien Kusta yang mengalami distress dengan menggunakan modifikasi Cognitive Behavioural Stress Management (CBSM)-Dhikr Asmaul Husna di Rumah Sakit Kusta Sumber Glagah Mojokerto,

Schumacher, E. & Jacksonville, S., 2005. Diabetes Self Management Education: The key to living well diabetes. Available at: http://www.dcmsonline.org/jax-medicine/2005journals/diabetes/diab05j-pt-education.pdf.

Sherwood, L., 2011. Fisiologi Manusia: Dari Sel ke Sistem 6th ed., Jakarta: EGC.

Sholeh, M., 2009. Terapi Shalat Tahajjud: Solusi Praktis Menyembuhkan Berbagai Penyakit, Jakarta: Hikmah Jakarta.

Sousa, V.D. & Jaclene, Z., 2005. Toward a Theory of Diabetes Self-Care Management. Journal of Theory Construction and Testing.

Wilcox, L., 2003. Ilmu Jiwa Berjumpa Tasawuf: Sebuah Upaya Spiritualitasi Psikologi, Jakarta: SIS.

Yanti, N., 2012. Perbandingan efektivitas terapi ddhikr dengan relaksasi benson terhadap kadar glukosa darah pasien diabetes mellitus di Sumatera Barat.

Yuana, 2013. Gambaran Motivasi Pasien DM dalam Menjalankan Program Manajemen Diabetes, Surabaya: Skripsi, Stikes Hang Tuah.


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