Penurunan Kelelahan Pasien Diabetes Mellitus Tipe 2 dengan Relaksasi Otot Progresif
Abstract
This study aims to determine the effect of progressive muscle relaxation on fatigue in T2DM. This research used a quasi-experimental design with a pretest-posttest control group and a purposive sampling technique. According to the inclusion and exclusion criteria, 78 T2DM patients in the Cempaka Putih sub-district health center area, Central Jakarta, participated in this study. The results of this study showed that the average fatigue score in the intervention group decreased significantly (7.46) compared to the control group (1.77). A significant difference was between moderate fatigue in the intervention and control groups (p-value = 0.018). At the end of the study, it was found that DM complications were the most dominant variable influencing fatigue (Exp. B = 9.20). In conclusion, Progressive Muscle Relaxation has been proven to reduce fatigue scores in Type 2 Diabetes Mellitus, where the DM complication variable is the most dominant variable influencing the fatigue score of Diabetics.
Keywords: Diabetes Mellitus Type 2, Fatigue, Progressive Muscle Relaxation
References
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Sulistyowati, R. (2021). Manfaat Relaksasi Otot Progresif bagi Klien DM Tipe II untuk Mengurangi Gejala Fatigue. Jurnal Surya Medika, 6(2), 45–52. https://doi.org/10.33084/jsm.vxix.xxx
Trisnawati, I., Fajriyah, N., & Samudera, W. S. (2020). Pengaruh Progressive Muscle Relaxation terhadap Respon Stres, Kadar Glukosa Darah, dan Kualitas Hidup pada Pasien Diabetes Melitus: A Systematic Review. Jurnal Penelitian Kesehatan “SUARA FORIKES” (Journal of Health Research “Forikes Voice”), 11(4), 357. https://doi.org/10.33846/sf11406
Yuliana, Y. (2021). Peran Relaksasi OtotProgresif untuk Penurunan Kadar Glukosa Darah. Prosiding Seminar Nasional Biologi, 7(1). https://doi.org/10.24252/psb.v7i1.24701
Zulkarnain, Z., Rayasari, F., & Kamil, A. R. (2023). Penerapan Terapi Self Hipnosis dalam Menurunkan Kadar Gula Darah Pasien Diabetes Melitus Tipe 2. Jurnal Keperawatan, 15(1), 227-236. https://doi.org/10.32583/keperawatan.v15i1.802
Arifin, B., Probandari, A., Purba, A. K. R., Perwitasari, D. A., Schuiling-Veninga, C. C. M., Atthobari, J., Krabbe, P. F. M., & Postma, M. J. (2020). ‘Diabetes Is A Gift From God’ A Qualitative Study Coping with Diabetes Distress by Indonesian Outpatients. Quality of Life Research, 29(1), 109–125. https://doi.org/10.1007/s11136-019-02299-2
Azharuddin, M., Kapur, P., Adil, M., Ghosh, P., & Sharma, M. (2020). The Impact Of Sleep Duration And Sleep Quality On Glycaemic Control In Asian Population With Type 2 Diabetes Mellitus: A Systematic Literature Review And Meta-Analysis Of Observational Studies. Clinical Epidemiology and Global Health, 8(3), 967–975. https://doi.org/10.1016/j.cegh.2020.03.006
Bi, Y., Zhang, L., Li, X., Kan, Y., Li, S., Zou, Y., Liu, L., Yuan, Y., Gong, W., & Zhang, Y. (2021). Contributing Factors Of Fatigue In Patients With Type 2 Diabetes: A Systematic Review. In Psychoneuroendocrinology, 130. Elsevier Ltd. https://doi.org/10.1016/j.psyneuen.2021.105280
Fauziah, M., Suhartono, S., Widjanarko, B., & Gasem, M. H. (2023). Phthalates Exposure As Environmental Risk Factor for Type 2 Diabetes Mellitus. International Journal of Public Health Science, 12(1), 172–180. https://doi.org/10.11591/ijphs.v12i1.22280
Febriandhika, B., Sukartini, T., & Kusumaningrum, T. (2020). Systematic Review A Systematic Review of Fatigue in Type 2 Diabetes. Jurnal Ners, (2), 2020. https://doi.org/10.20473/jn.v15i2(si).20520
Hardiyanti, R. (2022). Relationship between Spirituality and Coping Strategies in Diabetes Mellitus Patients At Tk IV Hospital Aryoko Sorong. JKPBK, 5(1). http://e-journals.unmul.ac.id/index.php/JKPBK
International Diabetes Federation. (2021). IDF Diabetes Atlas 10th edition. www.diabetesatlas.org
Izgu, N., Gok Metin, Z., Karadas, C., Ozdemir, L., Metinarikan, N., & Corapcıoglu, D. (2020). Progressive Muscle Relaxation and Mindfulness Meditation on Neuropathic Pain, Fatigue, and Quality of Life in Patients with Type 2 Diabetes: A Randomized Clinical Trial. Journal of Nursing Scholarship, 52(5), 476–487. https://doi.org/10.1111/jnu.12580
Jumaiyah, W., & Latifah, S. (2021). The Determinant of the Incident of Hypertension in Balekambang Health Center, Bendungan Village, Jonggol Sub - Distric, In The Year 2021. Jurnal Mitra Kesehatan, 4(IAHSC), 100–107. https://doi.org/10.47522/jmk.v1iiahsc.118
Kaur, P., Chugh, S. N., Singh, H., Tanwar, V. S., Sukhija, G., & Mathur, R. (2019). Fatigue and Diabetes Mellitus: A Prospective Study. International Journal of Advances in Medicine, 6(3), 800. https://doi.org/10.18203/2349-3933.ijam20192242
Kim, H., & Son, H. (2019). Fatigue-Related Factors for Community-Dwelling Older Adults with Diabetes: A Theory-Guided Multi-Dimensional Approach Using the Dynamic Biopsychosocial Model. International Journal of Environmental Research and Public Health, 16(22). https://doi.org/10.3390/ijerph16224502
Naibaho, R. A., & Kusumaningrum, N. S. D. (2020). Pengkajian Stress pada Penyandang Diabetes Mellitus. Jurnal Ilmu Keperawatan Jiwa, 3(1). https://journal.ppnijateng.org/index.php/jikj/article/view/455
Rathod, K. D., & Kang, J. K. (2020). Effects of Aerobic Exercise on Fatigue Level and Quality of Life in Type-2 Diabetes People, A Cross-Sectional Observational Study. Journal of Society of Indian Physiotherapists, 4(1), 3–5. https://doi.org/10.18231/j.jsip.2020.002
Romadlon, D. S., Hasan, F., Wiratama, B. S., & Chiu, H. Y. (2022). Prevalence and Risk Factors of Fatigue in Type 1 and Type 2 Diabetes: A Systematic Review and Meta-Analysis. Journal of Nursing Scholarship : An Official Publication of Sigma Theta Tau International Honor Society of Nursing, 54(5), 546–553. https://doi.org/10.1111/jnu.12763
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
Sitio, R., Mardhiah, A., Afdhal, A., Taufik, T., Siddiq, R., & Isneini, I. (2022). The Effectiveness Of Progressive Muscle Relaxation (PMR) On Blood Glucose Levels With Diabetics. Jurnal Mutiara Ners, 5(1), 30–37. https://doi.org/10.51544/jmn.v5i1.2424
Sulistyowati, R. (2021). Manfaat Relaksasi Otot Progresif bagi Klien DM Tipe II untuk Mengurangi Gejala Fatigue. Jurnal Surya Medika, 6(2), 45–52. https://doi.org/10.33084/jsm.vxix.xxx
Trisnawati, I., Fajriyah, N., & Samudera, W. S. (2020). Pengaruh Progressive Muscle Relaxation terhadap Respon Stres, Kadar Glukosa Darah, dan Kualitas Hidup pada Pasien Diabetes Melitus: A Systematic Review. Jurnal Penelitian Kesehatan “SUARA FORIKES” (Journal of Health Research “Forikes Voice”), 11(4), 357. https://doi.org/10.33846/sf11406
Yuliana, Y. (2021). Peran Relaksasi OtotProgresif untuk Penurunan Kadar Glukosa Darah. Prosiding Seminar Nasional Biologi, 7(1). https://doi.org/10.24252/psb.v7i1.24701
Zulkarnain, Z., Rayasari, F., & Kamil, A. R. (2023). Penerapan Terapi Self Hipnosis dalam Menurunkan Kadar Gula Darah Pasien Diabetes Melitus Tipe 2. Jurnal Keperawatan, 15(1), 227-236. https://doi.org/10.32583/keperawatan.v15i1.802
