Intervensi Non Farmakologis pada Pasien Diabetes Mellitus dengan Gangguan Tidur
Abstract
This study aims to investigate the effects of non-pharmacological interventions in diabetes mellitus patients with sleep disturbances. The research method used was a systematic review with a randomized controlled trial (RCT) and quasi-experimental design. Article searches used five databases, Scopus, Proquest, ScienceDirect, Pubmed, and EbscoHost, published from January 2018 to December 2022. The results showed that eight articles met the criteria. Non-pharmacological interventions given to diabetes mellitus patients with sleep disorders include Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), aromatherapy, personalized intervention, and nutritional therapy. Most studies report that non-pharmacological interventions can improve sleep quality in diabetes mellitus patients with sleep disorders. CBT therapy is the recommended therapy that is more effective. In conclusion, non-pharmacological interventions can be used as a companion or substitute therapy to improve sleep quality in patients with diabetes mellitus who experience sleep disturbances.
Keywords: Diabetes Mellitus, Non-Pharmacological Intervention, Sleep Quality
References
Abbas, Q., Latif, S., Ayaz Habib, H., Shahzad, S., Sarwar, U., Shahzadi, M., Ramzan, Z., & Washdev, W. (2023). Cognitive Behavior Therapy for Diabetes Distress, Depression, Health Anxiety, Quality of Life and Treatment Adherence among Patients with Type-II Diabetes Mellitus: A Randomized Control Trial. BMC Psychiatry, 23(1), 1–14. https://doi.org/10.1186/s12888-023-04546-w
Alshehri, M. M., Alothman, S. A., Alenazi, A. M., Rucker, J. L., Phadnis, M. A., Miles, J. M., Siengsukon, C. F., & Kluding, P. M. (2020). The Effects of Cognitive Behavioral Therapy for Insomnia in People with Type 2 Diabetes Mellitus, Pilot RCT Part II: Diabetes Health Outcomes. BMC Endocrine Disorders, 20(1), 136. https://doi.org/10.1186/s12902-020-00612-6
Arnedt, J. T., Cardoni, M. E., Conroy, D. A., Graham, M., Amin, S., Bohnert, K. M., Krystal, A. D., & Ilgen, M. A. (2022). Telemedicine-Delivered Cognitive-Behavioral Therapy for Insomnia in Alcohol Use Disorder (AUD): Study Protocol for a Randomized Controlled Trial. Trials, 23(1), 1–15. https://doi.org/10.1186/s13063-021-05898-y
Ayanampudi, V; Kumar, V; Krishnan, A; Walker, M P; Ivry, R B; Knight, R T; Gurumoorthy, R. (2023). Personalized Transcranial Alternating Current Stimulation Improves Sleep Quality: Initial Findings. Frontiers in Human Neuroscience. https://doi.org/https://doi.org/10.3389/fnhum.2022.1066453
Chen, Y., Zhou, X., Liu, J., Li, R., Jiang, Z., Wang, L., Wang, S., & Li, B. (2022). Effect of Internet-Delivered Cognitive Behavioral Therapy on Insomnia in Convalescent Patients with COVID-19: Protocol for a Systematic Review and Metaanalysis. PLoS ONE, 17(6 June), 1–11. https://doi.org/10.1371/journal.pone.0269882
Cheng, H., Lin, L., Wang, S., Zhang, Y., Liu, T., Yuan, Y., Chen, Q., & Tian, L. (2022). Aromatherapy with Single Essential Oils Can Significantly Improve the Sleep Quality of Cancer Patients: A Meta-Analysis. BMC Complementary Medicine and Therapies, 22(1), 1–13. https://doi.org/10.1186/s12906-022-03668-0
Dong, D., Lou, P., Wang, J., Zhang, P., Sun, J., Chang, G., & Xu, C. (2020). Interaction of Sleep Quality and Anxiety on Quality of Life in Individuals with Type 2 Diabetes Mellitus. Health and Quality of Life Outcomes, 18(1), 1–8. https://doi.org/10.1186/s12955-020-01406-z
Gu, H. J., & Lee, O. S. (2023). Effects of Non-Pharmacological Sleep Interventions in Older Adults: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 20(4). https://doi.org/10.3390/ijerph20043101
Her, J., & Cho, M. K. (2021). Effect of Aromatherapy on Sleep Quality of Adults and Elderly People: A Systematic Literature Review and Meta-Analysis. Complementary Therapies in Medicine, 60, 102739. https://doi.org/10.1016/j.ctim.2021.102739
Jun, J., Kapella, M. C., & Hershberger, P. E. (2021). Non-Pharmacological Sleep Interventions for Adult Patients in Intensive Care Units: A Systematic Review. Intensive and Critical Care Nursing, 67, 103124. https://doi.org/10.1016/j.iccn.2021.103124
Kalam, F., Gabel, K., Cienfuegos, S., Ezpeleta, M., Wiseman, E., & Varady, K. A. (2021). Alternate Day Fasting Combined with a Low Carbohydrate Diet: Effect on Sleep Quality, Duration, Insomnia Severity and Risk of Obstructive Sleep Apnea in Adults With Obesity. Nutrients, 13(1), 1–10. https://doi.org/10.3390/nu13010211
Karmilayanti, Goysal, Y., Basri, M. I., Aulina, S., & Bintang, A. K. (2021). The Relationship between the Severity of Peripheral Diabetic Neuropathy and Sleep Quality in Type 2 Diabetic Mellitus Patients. Medicina Clinica Practica, 4, 100210. https://doi.org/10.1016/j.mcpsp.2021.100210
Khan, M. A. B., Hashim, M. J., King, J. K., Govender, R. D., Mustafa, H., & Kaabi, J. Al. (2020). Epidemiology of Type 2 Diabetes - Global Burden of Disease and Forecasted Trends. Journal of Epidemiology and Global Health, 10(1), 107–111. https://doi.org/10.2991/JEGH.K.191028.001
Laroche, M., Biabani, N., Drakatos, P., Selsick, H., Leschziner, G., Steier, J., Young, A. H., Eriksson, S., Nesbitt, A., Kumari, V., Rosenzweig, I., & O’Regan, D. (2023). Group Cognitive Behavioural Therapy for Non-Rapid Eye Movement Parasomnias: Long-Term Outcomes and Impact of COVID-19 Lockdown. Brain Sciences, 13(2), 1–12. https://doi.org/10.3390/brainsci13020347
Liu, J., Ren, Z. H., Qiang, H., Wu, J., Shen, M., Zhang, L., & Lyu, J. (2020). Trends in the Incidence of Diabetes Mellitus: Results from the Global Burden of Disease Study 2017 and Implications for Diabetes Mellitus Prevention. BMC Public Health, 20(1), 1–13. https://doi.org/10.1186/s12889-020-09502-x
Liu, M., Ahmed, W. L., Zhuo, L., Yuan, H., Wang, S., & Zhou, F. (2023). Association of Sleep Patterns with Type 2 Diabetes Mellitus: A Cross-Sectional Study Based on Latent Class Analysis. International Journal of Environmental Research and Public Health, 20(1). https://doi.org/10.3390/ijerph20010393
Madari, S., Golebiowski, R., Mansukhani, M. P., & Kolla, B. P. (2021). Pharmacological Management of Insomnia. Neurotherapeutics : The Journal of the American Society for Experimental NeuroTherapeutics, 18(1), 44–52. https://doi.org/10.1007/s13311-021-01010-z
Nasiri Lari, Z., Hajimonfarednejad, M., Riasatian, M., Abolhassanzadeh, Z., Iraji, A., Vojoud, M., Heydari, M., & Shams, M. (2020). Efficacy of Inhaled Lavandula Angustifolia Mill. Essential Oil on Sleep Quality, Quality of Life and Metabolic Control in Patients with Diabetes Mellitus Type II and Insomnia. Journal of Ethnopharmacology, 251(July 2019), 112560. https://doi.org/10.1016/j.jep.2020.112560
Ruan, J., Chen, S., Liang, J., Mak, Y. W., Yee Ho, F. Y., Chung, K. F., Kwun Tong, A. K., Zhang, X. L., & Yeung, W. F. (2022). Acceptance and Commitment Therapy for Insomnia and Sleep Quality: A Systematic Review and Meta-Analysis. Journal of Contextual Behavioral Science, 26(March), 139–155. https://doi.org/10.1016/j.jcbs.2022.09.002
Samadi, Z., Jannati, Y., Hamidia, A., Mohammadpour, R., Hesamzadeh, A. (2021). The Effect of Aromatherapy with Lavender Essential Oil on Sleep Quality in Patients with Major Depression. Journal of Nursing and Midwifery Sciences, 8(2), 67–73. https://doi.org/https://doi.org/10.4103/JNMS.JNMS_26_20
Schipper, S. B. J., Van Veen, M. M., Elders, P. J. M., van Straten, A., Van Der Werf, Y. D., Knutson, K. L., & Rutters, F. (2021). Sleep Disorders in People with Type 2 Diabetes and Associated Health Outcomes: A Review of the Literature. Diabetologia, 64(11), 2367–2377. https://doi.org/10.1007/s00125-021-05541-0
Setyawati, A., Ngo, T., Padila, P., & Andri, J. (2020). Obesity and Heredity for Diabetes Mellitus among Elderly. JOSING: Journal of Nursing and Health, 1(1), 26-31. https://doi.org/10.31539/josing.v1i1.1149
Speed, T. J., Hanks, L., Turner, G., Gurule, E., Kearson, A., Buenaver, L., Smith, M. T., & Antoine, D. (2022). A Comparison of Cognitive Behavioral Therapy for Insomnia to Standard of Care in an Outpatient Substance Use Disorder Clinic Embedded within a Therapeutic Community: A RE-AIM Framework Evaluation. Trials, 23(1), 1–16. https://doi.org/10.1186/s13063-022-06885-7
Wirth, M. D., Jessup, A., Turner-McGrievy, G., Shivappa, N., Hurley, T. G., & Hébert, J. R. (2020). Changes in Dietary Inflammatory Potential Predict Changes in Sleep Quality Metrics, But Not Sleep Duration. Sleep, 43(11), 1–9. https://doi.org/10.1093/sleep/zsaa093
World Health Organization. (2023). Diabetes Mellitus. https://www.who.int/en/news-room/fact-sheets/detail/diabetes
Alshehri, M. M., Alothman, S. A., Alenazi, A. M., Rucker, J. L., Phadnis, M. A., Miles, J. M., Siengsukon, C. F., & Kluding, P. M. (2020). The Effects of Cognitive Behavioral Therapy for Insomnia in People with Type 2 Diabetes Mellitus, Pilot RCT Part II: Diabetes Health Outcomes. BMC Endocrine Disorders, 20(1), 136. https://doi.org/10.1186/s12902-020-00612-6
Arnedt, J. T., Cardoni, M. E., Conroy, D. A., Graham, M., Amin, S., Bohnert, K. M., Krystal, A. D., & Ilgen, M. A. (2022). Telemedicine-Delivered Cognitive-Behavioral Therapy for Insomnia in Alcohol Use Disorder (AUD): Study Protocol for a Randomized Controlled Trial. Trials, 23(1), 1–15. https://doi.org/10.1186/s13063-021-05898-y
Ayanampudi, V; Kumar, V; Krishnan, A; Walker, M P; Ivry, R B; Knight, R T; Gurumoorthy, R. (2023). Personalized Transcranial Alternating Current Stimulation Improves Sleep Quality: Initial Findings. Frontiers in Human Neuroscience. https://doi.org/https://doi.org/10.3389/fnhum.2022.1066453
Chen, Y., Zhou, X., Liu, J., Li, R., Jiang, Z., Wang, L., Wang, S., & Li, B. (2022). Effect of Internet-Delivered Cognitive Behavioral Therapy on Insomnia in Convalescent Patients with COVID-19: Protocol for a Systematic Review and Metaanalysis. PLoS ONE, 17(6 June), 1–11. https://doi.org/10.1371/journal.pone.0269882
Cheng, H., Lin, L., Wang, S., Zhang, Y., Liu, T., Yuan, Y., Chen, Q., & Tian, L. (2022). Aromatherapy with Single Essential Oils Can Significantly Improve the Sleep Quality of Cancer Patients: A Meta-Analysis. BMC Complementary Medicine and Therapies, 22(1), 1–13. https://doi.org/10.1186/s12906-022-03668-0
Dong, D., Lou, P., Wang, J., Zhang, P., Sun, J., Chang, G., & Xu, C. (2020). Interaction of Sleep Quality and Anxiety on Quality of Life in Individuals with Type 2 Diabetes Mellitus. Health and Quality of Life Outcomes, 18(1), 1–8. https://doi.org/10.1186/s12955-020-01406-z
Gu, H. J., & Lee, O. S. (2023). Effects of Non-Pharmacological Sleep Interventions in Older Adults: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 20(4). https://doi.org/10.3390/ijerph20043101
Her, J., & Cho, M. K. (2021). Effect of Aromatherapy on Sleep Quality of Adults and Elderly People: A Systematic Literature Review and Meta-Analysis. Complementary Therapies in Medicine, 60, 102739. https://doi.org/10.1016/j.ctim.2021.102739
Jun, J., Kapella, M. C., & Hershberger, P. E. (2021). Non-Pharmacological Sleep Interventions for Adult Patients in Intensive Care Units: A Systematic Review. Intensive and Critical Care Nursing, 67, 103124. https://doi.org/10.1016/j.iccn.2021.103124
Kalam, F., Gabel, K., Cienfuegos, S., Ezpeleta, M., Wiseman, E., & Varady, K. A. (2021). Alternate Day Fasting Combined with a Low Carbohydrate Diet: Effect on Sleep Quality, Duration, Insomnia Severity and Risk of Obstructive Sleep Apnea in Adults With Obesity. Nutrients, 13(1), 1–10. https://doi.org/10.3390/nu13010211
Karmilayanti, Goysal, Y., Basri, M. I., Aulina, S., & Bintang, A. K. (2021). The Relationship between the Severity of Peripheral Diabetic Neuropathy and Sleep Quality in Type 2 Diabetic Mellitus Patients. Medicina Clinica Practica, 4, 100210. https://doi.org/10.1016/j.mcpsp.2021.100210
Khan, M. A. B., Hashim, M. J., King, J. K., Govender, R. D., Mustafa, H., & Kaabi, J. Al. (2020). Epidemiology of Type 2 Diabetes - Global Burden of Disease and Forecasted Trends. Journal of Epidemiology and Global Health, 10(1), 107–111. https://doi.org/10.2991/JEGH.K.191028.001
Laroche, M., Biabani, N., Drakatos, P., Selsick, H., Leschziner, G., Steier, J., Young, A. H., Eriksson, S., Nesbitt, A., Kumari, V., Rosenzweig, I., & O’Regan, D. (2023). Group Cognitive Behavioural Therapy for Non-Rapid Eye Movement Parasomnias: Long-Term Outcomes and Impact of COVID-19 Lockdown. Brain Sciences, 13(2), 1–12. https://doi.org/10.3390/brainsci13020347
Liu, J., Ren, Z. H., Qiang, H., Wu, J., Shen, M., Zhang, L., & Lyu, J. (2020). Trends in the Incidence of Diabetes Mellitus: Results from the Global Burden of Disease Study 2017 and Implications for Diabetes Mellitus Prevention. BMC Public Health, 20(1), 1–13. https://doi.org/10.1186/s12889-020-09502-x
Liu, M., Ahmed, W. L., Zhuo, L., Yuan, H., Wang, S., & Zhou, F. (2023). Association of Sleep Patterns with Type 2 Diabetes Mellitus: A Cross-Sectional Study Based on Latent Class Analysis. International Journal of Environmental Research and Public Health, 20(1). https://doi.org/10.3390/ijerph20010393
Madari, S., Golebiowski, R., Mansukhani, M. P., & Kolla, B. P. (2021). Pharmacological Management of Insomnia. Neurotherapeutics : The Journal of the American Society for Experimental NeuroTherapeutics, 18(1), 44–52. https://doi.org/10.1007/s13311-021-01010-z
Nasiri Lari, Z., Hajimonfarednejad, M., Riasatian, M., Abolhassanzadeh, Z., Iraji, A., Vojoud, M., Heydari, M., & Shams, M. (2020). Efficacy of Inhaled Lavandula Angustifolia Mill. Essential Oil on Sleep Quality, Quality of Life and Metabolic Control in Patients with Diabetes Mellitus Type II and Insomnia. Journal of Ethnopharmacology, 251(July 2019), 112560. https://doi.org/10.1016/j.jep.2020.112560
Ruan, J., Chen, S., Liang, J., Mak, Y. W., Yee Ho, F. Y., Chung, K. F., Kwun Tong, A. K., Zhang, X. L., & Yeung, W. F. (2022). Acceptance and Commitment Therapy for Insomnia and Sleep Quality: A Systematic Review and Meta-Analysis. Journal of Contextual Behavioral Science, 26(March), 139–155. https://doi.org/10.1016/j.jcbs.2022.09.002
Samadi, Z., Jannati, Y., Hamidia, A., Mohammadpour, R., Hesamzadeh, A. (2021). The Effect of Aromatherapy with Lavender Essential Oil on Sleep Quality in Patients with Major Depression. Journal of Nursing and Midwifery Sciences, 8(2), 67–73. https://doi.org/https://doi.org/10.4103/JNMS.JNMS_26_20
Schipper, S. B. J., Van Veen, M. M., Elders, P. J. M., van Straten, A., Van Der Werf, Y. D., Knutson, K. L., & Rutters, F. (2021). Sleep Disorders in People with Type 2 Diabetes and Associated Health Outcomes: A Review of the Literature. Diabetologia, 64(11), 2367–2377. https://doi.org/10.1007/s00125-021-05541-0
Setyawati, A., Ngo, T., Padila, P., & Andri, J. (2020). Obesity and Heredity for Diabetes Mellitus among Elderly. JOSING: Journal of Nursing and Health, 1(1), 26-31. https://doi.org/10.31539/josing.v1i1.1149
Speed, T. J., Hanks, L., Turner, G., Gurule, E., Kearson, A., Buenaver, L., Smith, M. T., & Antoine, D. (2022). A Comparison of Cognitive Behavioral Therapy for Insomnia to Standard of Care in an Outpatient Substance Use Disorder Clinic Embedded within a Therapeutic Community: A RE-AIM Framework Evaluation. Trials, 23(1), 1–16. https://doi.org/10.1186/s13063-022-06885-7
Wirth, M. D., Jessup, A., Turner-McGrievy, G., Shivappa, N., Hurley, T. G., & Hébert, J. R. (2020). Changes in Dietary Inflammatory Potential Predict Changes in Sleep Quality Metrics, But Not Sleep Duration. Sleep, 43(11), 1–9. https://doi.org/10.1093/sleep/zsaa093
World Health Organization. (2023). Diabetes Mellitus. https://www.who.int/en/news-room/fact-sheets/detail/diabetes
Published
2023-06-15
Section
Articles
Copyright (c) 2023 Irmariani Irbar, Debie Dahlia, Denissa Faradita Aryani, Riri Maria
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