Pengaruh Progressive Muscle Relaxation terhadap Stres dan Penurunan Kadar Gula Darah pada Pasien Diabetes Melitus Tipe 2

Ungkas Herlambang, Kusnanto Kusnanto, Laily Hidayati, Hidayat Arifin, Rifky Octavia Pradipta

= http://dx.doi.org/10.20473/cmsnj.v8i1.13400
Abstract views = 4731 times | downloads = 23405 times

Abstract


Introduction: Diabetes Mellitus is a disease that occurs because the body is unable to produce insulin or the body cannot use insulin effectively. The purpose of this study was to find out the effect of Progressive Muscle Relaxation (PMR) on stress and blood glucose decrease in patients who have diabetes mellitus type 2 disease.

Method: The design of this study is quasi-experimental study. The population of this study were the patients who have type 2 of diabetes mellitus disease at Puskesmas Kedungdoro and Puskesmas Medokan Ayu. There would be 70 respondents chosen based on inclusion and exclusion criteria. The researcher chose the purpose sampling technique in choosing the participants in this research. The independent variable in this study was Progressive Muscle Relaxation (PMR). The dependent variable in this study were stress and blood glucose decrease. The data in this study were collected using questionnaires and measurement of pre-prandial blood glucose level. Data were analyzed using analysis of Wilcoxon and paired t-test for pre-post measurements, then for the inter groups the researcher used Mann-Whitney analysis.

Results: The results showed that there was an effect of PMR on stress (p = 0.001) and in decreasing blood glucose (p = 0.021).

Discussion: PMR is a relaxation focused on the patient’s attention in distinguishing the group of muscle when they relaxed than while in contraction condition. Thus, the patients are expected to be able to manage the body condition in managing stress and blood sugar decrease. For health officers, they are expected to use the PMR as the combination in reducing stress and blood glucose to improve the quality of life of the patients who have diabetes type 2 disease.

Keywords


Progressive Muscle Relaxation, stress, blood glucose decrease, patients who have Diabetes type 2 disease

Full Text:

PDF

References


ADA (2010) ‘Standards of Medical Care in Diabetes--2010’, Diabetes Care, 33(Supplement_1), pp. S11–S61. doi: 10.2337/dc10-S011.

Amirullah (2015) Populasi dan sampel. Malang: Bayumedia Publishing Malang.

Arikunto, S. (2010) Prosedur Penelitian : Suatu Pendekatan Praktik. Revisi. Jakarta: Rineka Cipta.

Bare and Smeltzer (2008) ‘Keperawatan Medikal Bedah’, in Keperawatan Medikal Bedah.

Betteng, R., Pangemanan, D. and Mayulu, N. (2014) ‘Analisis faktor resiko penyebab terjadinya dm tipe 2 pada wanita usia produktif di Puskesmas Wawonasa’, Jurnal e-Biomedik (eBM), 2(2).

Carver, M. L. and O’Malley, M. (2015) ‘Progressive muscle relaxation to decrease anxiety in clinical simulations’, Teaching and Learning in Nursing. Organization for Associate Degree Nursing, 10(2), pp. 57–62. doi: 10.1016/j.teln.2015.01.002.

Crawford, J., Henry, J. and Lovibond. (2003) ‘Depression , Anxiety and Stress Scales ( DASS-42 )’, British Journal of Clinical Psychology, 42(0), pp. 111–131. doi: 10.1097/HTR.0000000000000250.

Dinas Kesehatan Kota Surabaya (2016) ‘Profil Kesehatan Kota Surabaya’, p. 194.

Guyton and John (2008) ‘Buku Ajar Fisiologi Kedokteran’, in Buku Ajar Fisiologi Kedokteran. 11th edn. Jakarta: EGC.

Hall, D. (2014) ‘3 STAGES OF STRESS : GENERAL ADAPTION SYNDROME’, p. 16666. Available at: www.summermatters.net.

Hilliard, M. E., Yi Frazer, J., Hessler, D., Butler, A., Anderson, B. and Jaser, S . (2016) ‘Stress and A1c Among People with Diabetes Across the Lifespan’, Current Diabetes Reports. Current Diabetes Reports, 16(8). doi: 10.1007/s11892-016-0761-3.

International Diabetes Federation (2017) ‘IDF Diabetes Atlas 8th Edition’, 8th editio, p. 155. doi: 10.1016/j.diabres.2009.10.007.

Jiwa, P. M. dan N. S. K. (2015) ‘Program Studi Ners Spesialis I Keperawatan Jiwa Fakultas Ilmu Keperawatan Universitas Indonesia’, Mental Health Nursing.

Kaviani, M., Bahhosh, N., Azima, S., Asadi, N., Sharif, F., and Sayadi, M . (2014) ‘The Effect of Relaxation on Blood Sugar and Blood Pressure Changes of Women with Gestational Diabetes: a Randomized Control Trial’, 6(1).

Kemenkes (2017) ‘Pedoman dan Standar Etik Penelitian dan Pengembangan Kesehatan’, in Pedoman dan Standar Etik Penelitian dan Pengembangan Kesehatan. Jakarta: Kementrian Kesehatan Republik Indonesia.

Kemenkes RI (2014) ‘Situasi dan Analisis Diabetes’, Pusat Data dan

Informasi Kementerian Kesehatan RI, p. 2. doi: 24427659.

Kim, H. sil and Kim, E. J. (2018) ‘Effects of Relaxation Therapy on Anxiety Disorders: A Systematic Review and Meta-analysis’, Archives of Psychiatric Nursing. Elsevier, 32(2), pp. 278–284. doi: 10.1016/j.apnu.2017.11.015.

Kronenberg (2008) ‘Obesity In : Williams Texkbook of Endocrinology’, in Obesity In : Williams Texkbook of Endocrinology. Philadelphia: Saunders Elservier Publishing.

Nursalam (2017) Metodologi Penelitian Ilmu Keperawatan. 4th edn. Edited by Peni Puji Lestasi. Surabaya: Salemba Medika.

Maghfirah, S. (2015) ‘Relaksasi Otot Progresif Terhadap Stres Psikologis Dan Perilaku Perawatan Diri Pasien Diabetes Mellitus Tipe 2’, Kesmas UNNES, 10(10), pp. 137–146. doi: ISSN 1858-1196.

Manurung, N. (2018) ‘Keperawatan Medikal Bedah’, in Keperawatan Medikal Bedah. 1st edn. Jakarta: Trans Indo Media.

Marks, D., Marks, A. and Smith, C. (2000) ‘Biokimia Kedokteran Dasar Sebuah Pendekatan Klinis’, in U. Pendit (ed.) Biokimia Kedokteran Dasar Sebuah Pendekatan Klinis. Jakarta: EGC.

Mashudi (2011) ‘Pengaruh progressive muscle relaxation terhadap kadar glukosa darah pasien diabetes miletus tipe 2’, Ui, F I K, pp. 1–120. doi: 10.1007/978-1-61779-005-8.

Najafi Ghezeljeh, T., Kohandany, M., Oskouei, F., and Malek, M . (2017) ‘The Effect of Progressive Muscle Relaxation on Glycated Hemoglobin and Health-related Quality of Life in Patients with Type 2 Diabetes Mellitus’, Applied Nursing Research, 33, pp. 142–148. doi: 10.1016/j.apnr.2016.11.008.

Nash, J. (2014) ‘Stress and Diabetes: The use of “worry time” as a way of managing stress. Journal of Diabetes Nursing’, Journal of Diabetes Nursing, 18(8). Available at: www.thejournalofdiabetesnursing.co.uk.

Nurayati, L. and Adriani, M. (2017) ‘Hubungan Aktifitas Fisik dengan Kadar Gula Darah Puasa Penderita Diabetes Melitus Tipe 2 Association Between Physical Activity and Fasting Blood Glucose Among Type 2 Diabetes Mellitus patients’, pp. 80–87. doi: 10.20473/amnt.v1.i2.2017.80-87.

Nuwa, M. S., Kusnanto and Utami, S. (2018) ‘MODUL KOMBINASI TERAPI PROGRESSIVE MUSCLE RELAXATION DENGAN SPIRITUAL GUIDED IMAGERY AND MUSIC ( Panduan Buat Perawat )’, Fakultas Keperawatan Universitas Airlangga, (January).

Prasetyo, T. (2016) ‘Pengaruh Terapi Progressive Muscle Relaxation ( Pmr ) Dengan Musik Terhadap Tingkat Stres Pada Lansia’.

Pratiwi, E. F., Amroisa, N. and Setiawati, O. . (2014) ‘Hubungan antara Stres, Hiperglikemia dan lama menderita Diabetes dengan Nyeri Neuropati Diabetik di RSUD Dr.H.Abdul Moeloek’, Jurnal Medika Malahayati, 1(1). Available at: ejournal.malahayati.ac.id/journal=jurmm.

Program Magister dan Ners Spesialis Keperawatan JIwa (2016) ‘Modul keperawatan jiwa’, Mental Health Nursing, p. 1180.

RISKESDAS (2013) ‘Penyakit yang ditularkan melalui udara’, Jakarta: Badan Penelitian dan Pengembangan Kesehatan Departemen Kesehatan Republik Indonesia, (Penyakit Menular), p. 103. doi: 10.1007/s13398-014-0173-7.2.

Sadikin, L. and Subekti, E. (2013) ‘Coping stres pada penderita diabetes melitus pasca amputasi’, Jurnal Psikologi Klinis dan Kesehatan Mental, 2(3), pp. 17–23.

Siagian, E. (2016) ‘Pengaruh Penerapan Modifikasi Perilaku Sehat Terhadap Faktor Resiko DM Tipe II’, SKOLASTIK Keperawatan, 2(1), pp. 86–96.

Simamora, M. and Simanjuntak, G. V. (2017) ‘Ankle Brachial Index (Abi)’, Review Article International Journal of Basic and Applied Physiology INT. Int. J Basic Appl. Physiol, 5(1), p. 2016.

Smeltzer, S. C. and Bare (2015) ‘Buku Ajar Keperawatan Medical Bedah’, in Buku Ajar Keperawatan Medical Bedah. Jakarta: EGC.

Society, T. A. P. (2012) ‘Under-standing and Managing Stress’, The Australian Psychological Society. Available at: https://www.psychology.org.au.

Sofiana, L. I., Elita, V. and Utomo, W. (2012) ‘Hubungan Antara Stress Dengan Konsep Diabetes Mellitus Tipe 2’, Jurnal Ners Indonesia, 2(2 Maret 2012), pp. 167–176.

Sugiyono (2010) Metode Penelitian Pendidikan Pendekatan Kuantitatif, Kualitatif, dan R & D. Bandung: Alfabeta.

Suryani and Hendryadi (2016) Metodologi Penelitian Kuantitatif : Teori dan Aplikasi pada Penelitian Bidang Manajemen dan Ekonomi Islam. Jakarta: Prenadamedia Group.

Tandra, H. (2007) ‘Segala Sesuatu yang Harus Anda Ketahui tentang Diabetes’, in Segala Sesuatu yang Harus Anda Ketahui tentang Diabetes. Jakarta: EGC.

The OHIO State University Wexner Medical Center (2016) ‘Stress and Diabetes’, Stress and Diabetes. Available at: https://patienteducation.osumc.edu /Pages/Home.aspx.

Wijaya, I. (2015) ‘Tuberkulosis paru pada penderita diabetes melitus’, Cdk-229, 42(6), pp. 412–417. Available at: http://www.kalbemed.com/Portals/6/06_229CMETuberkulosis Paru pada Penderita Diabetes Melitus.pdf.

World Health Organization (2016) ‘Global Report on Diabetes’, Isbn, 978, p. 88. doi: ISBN 978 92 4 156525 7.


Refbacks

  • There are currently no refbacks.


Copyright (c) 2019 Critical, Medical and Surgical Nursing Journal

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This Journal is Indexed by:

      

 

This journal is Publish by the Faculty of Nursing Universitas Airlangga and in Collaboration with Indonesian Emergency and Disaster Nurses Association (IEDNA) East Java and Indonesian Critical Care Nurses Association (ICCNA) East Java


  

  

Creative Commons License

CMSNJ by Unair is licensed under a Creative Commons Attribution 4.0 International License.

 

View My Stats