Heliotherapy and Walking Therapy to Reduce Glukosa Levels in Type 2 Diabetes Milletus (T2DM): A Comparative Study

Mulyani Hertikawati Mahmud; Ika Yuni Widyawati; Andri Setiya Wahyudi

doi:10.37287/ijghr.v6i4.3313

Mulyani Hertikawati Mahmud Faculty of Nursing, Universitas Airlangga
Ika Yuni Widyawati Faculty of Nursing, Universitas Airlangga
Andri Setiya Wahyudi Faculty of Nursing, Universitas Airlangga

DOI: https://doi.org/10.37287/ijghr.v6i4.3313

Keywords: diabetes mellitus type 2, glucosa level, heliotherapy, walking

Abstract

Diabetes Mellitus is a chronic disease that has bad complications for the sufferer's health, so it requires non-pharmacological treatment. The aim of this study is to explain the effectiveness of non-pharmacological therapies such as heliotherapy and walking therapy in reducing random glucose levels (RBS) in patients with type 2 diabetes mellitus (DM). This study used a Pre-Post Test With Two Group Design research design. The population for this study consisted of 32 respondents, divided into two groups: the heliotherapy intervention group and the walking intervention group, each with 16 respondents. The research subjects were selected based on the criteria for diabetes mellitus patients. The independent variables were heliotherapy and walking therapy, while the dependent variable was the reduction in RBS levels. Research instruments included heliotherapy standard operating procedures (SOP), walking therapy SOP, Glucometer, and observation sheets. Data analysis was performed using paired t-tests and independent t-tests. The statistical test results showed a p-value of 0.353 (α>0.05), indicating that there is no significant difference in effectiveness between heliotherapy and walking therapy in reducing RBS levels in patients with type 2 diabetes mellitus (DM). It can be concluded that the reduction in RBS levels is higher with walking therapy compared to heliotherapy in patients with type 2 DM.

References

Abuelmagd, W. (2020). Management of Type 2 Diabetes in Non-Western Patient Groups: Results from Pakistani and Kurdish immigrant populations in Norway and from the native population in the United Arab Emirates.

Alzahrani, A. S., Greenfield, S. M., Shrestha, S., & Paudyal, V. (2024). Views of healthcare professionals on complementary and alternative medicine use by patients with diabetes: a qualitative study. BMC Complementary Medicine and Therapies, 24(1), 81.

Amelia, W., Efendi, Z., & Habibi, H. (2018). Pengaruh Pemberian Latihan Fisik Jalan Kaki Terhadap Penurunan Kadar Gula Darah Pada Penderita Dm Tipe Ii Di Kelurahan Kubu Dalam Parak Karakah Wilayah Kerja Puskesmas Andalas Padang. Jurnal Kesehatan Mercusuar, 1(1), 1–8. https://doi.org/10.36984/jkm.v1i1.9

Andini, A., Kardina, R. N., & Anita, A. (2021). Effectivity of sunbathing therapy for reducing blood glucose levels on respondents over 40 years old. AIP Conference Proceedings, 2353(May). https://doi.org/10.1063/5.0052549

Andini, A., Kardina, R. N., Studi, P., Kesehatan, D. A., Kesehatan, F., Nahdlatul, U., Surabaya, U., Kesehatan, F., Nahdlatul, U., Surabaya, U., Studi, P., Kesehatan, D. A., Kesehatan, F., Nahdlatul, U., & Surabaya, U. (2020). Pengaruh terapi berjemur terhadap penurunan kadar glukosa darah pada responden terindikasi diabetes melitus effecticity of sunbathing on blood glucose levels of respondents whose indicated diabetes mellitus. 9(2), 105–110.

Andinia, A., Kardina, R. N., Prayekti, E., Awwalia, E. S., Pramesti, W. S. A., Dibiasi, B. T., Wirayudha, S. N., & Ballihgoo, H. B. (2021). Edukasi dan Implementasi Upaya Pencegahan Diabetes Melitus.

Ardika, O. B., Larasati, T. A., Suharmanto, S., & Kurniati, I. (2024). Gangguan Sekresi dan Sensitivitas Insulin pada Remaja dengan Riwayat Keluarga Diabetes Melitus Tipe 2. Medical Profession Journal of Lampung, 14(1), 190–195.

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.

Dahliana, & Juwita, Z. (2021). Efektivitas Latihan Jalan Kaki Terhadap Penurunan Kadar Gula Darah Pada Pasien Diabetes Mellitus Di Wilayah Kerja Puskesmas Blang Mangat Kota Lhokseumawe. Jurnal Kesehatan Almuslim.

Dewi, A. P. S., Maesaroh, S., Sulasih, U., Rahmadhani, W., & Novyriana, E. (2022). The Role of Early Mobilization on Wound Healing After Sectio Caesarea. Journal of Sexual and Reproductive Health Sciences, 1(1), 7–14.

Egan, A. M., & Dinneen, S. F. (2019). What is diabetes? Medicine (United Kingdom), 47(1), 1–4. https://doi.org/10.1016/j.mpmed.2018.10.002

Ernawati, U., Wihastuti, T. A., & Utami, Y. W. (2021). Effectiveness of Diabetes Self-Management Education (DSME) in Type 2 Diabetes Mellitus (T2DM) Patients: Systematic Literature Review. Journal of Public Health Research, 10(2), jphr-2021.

Fahrunnisa, F., Setiawati, E., & Nyoman, C. (2019). Pengaruh Jalan Santai Terhadap Kadar Glukosa Darah Sewaktu Pada Penderita Diabetes Mellitus Di Puskesmas Karang Taliwang Mataram Nusa Tenggara Barat Tahun 2019. Jurnal Kedokteran, 4(2). https://doi.org/10.36679/kedokteran.v4i2.102

Faselis, C., Katsimardou, A., Imprialos, K., Deligkaris, P., Kallistratos, M., & Dimitriadis, K. (2020). Microvascular Complications of Type 2 Diabetes Mellitus. Current Vascular Pharmacology, 18(2), 117–124.

Fauzi, L. (2013). Intensitas Jalan Kaki Terhadap Penurunan Kadar Glukosa Darah. KEMAS: Jurnal Kesehatan Masyarakat, 8(2), 106–112.

IDF. (2019). International Diabetes Federation DIABETES ATLAS Ninth edition 2019. In Lancet (Vol. 266, Issue 6881).

Isrofah, I., Nurhayati, N., & Angkasa, P. (2017). Efektifitas Jalan Kaki 30 Menit Terhadap Nilai Gula Darah Pada Pasien Diabetes Mellitus Tipe II Di Desa Karangsari Kecamatan Karanganyar Kabupaten Pekalongan. Journal of Holistic Nursing Science, 4(1).

Isworo, A. (2020). Potensi Sinar Matahari Pagi Untuk Menurunkan Kadar Gula Darah Penderita Diabetes. Journal of Bionursing, 2(2). https://doi.org/10.20884/1.bion.2020.2.2.50

Jaelani, M., Larasati, M. D., Muninggar, D. L. P., & Supadi, J. (2023). Konsumsi Sayur & Buah Cegah Penyakit Tidak Menular: Diabetes Mellitus. Penerbit NEM.

Jiwintarum, Y., Fauzi, I., Diarti, M. W., & Santika, I. N. (2019). Penurunan Kadar Gula Darah Antara Yang Melakukan Senam Jantung Sehat Dan Jalan Kaki. Jurnal Kesehatan Prima, 13(1), 1. https://doi.org/10.32807/jkp.v13i1.192

Kim, J. Y., Ku, Y. S., Kim, H. J., Trinh, N. T., Kim, W., Jeong, B., Heo, T. Y., Lee, M. K., & Lee, K. E. (2019). Oral diabetes medication and risk of dementia in elderly patients with type 2 diabetes. Diabetes Research and Clinical Practice, 154(2019), 116–123. https://doi.org/10.1016/j.diabres.2019.07.004

Liberty, I. A. (2023). Prediabetes: Update and Overview. Penerbit NEM.

Martinez, L. C., Sherling, D., & Holley, A. (2019). The Screening and Prevention of Diabetes Mellitus. Primary Care - Clinics in Office Practice, 46(1), 41–52. https://doi.org/10.1016/j.pop.2018.10.006

Marzel, R. (2021). Terapi pada DM Tipe 1. Jurnal Penelitian Perawat Profesional, 3(1), 51–62.

Narulita, E., Perdana, K., Karyus, A., & Nasution, S. H. (2019). Penatalaksanaan Holistik Pasien Diabetes Melitus Tipe 2 dan Retinopati Diabetik serta Hipertensi dengan Pendekatan Dokter Keluarga. Majority, 8(2).

Nawaz, M. S., Shah, K. U., Khan, T. M., Rehman, A. U., Rfile:///C:/Users/User/Downloads/Documents/martinez2018.pdfashid, H. U., Mahmood, S., Khan, S., & Farrukh, M. J. (2017). Evaluation of current trends and recent development in insulin therapy for management of diabetes mellitus. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 11, S833–S839. https://doi.org/10.1016/j.dsx.2017.07.003

Nursa, G., Fauzi, Y., & Habibi, J. (2022). Faktor-Faktor Yang Mempengaruhi Kejadian Diabetes Melitus Di Puskesmas Bintuhan Kabupaten Kaur Tahun 2022. Journal Hygeia Public Health, 1(1), 1–6.

Permana, E., Kamillah, S., & Wisnusakti, K. (2021). Pengaruh Aktivitas Fisik Jalan Kaki terhadap Kadar Gula Darah pada Pasien Diabetes Melitus di Wilayah Kerja Puskesmas Cianjur Kota. Journal of Nursing Education and Practice, 1(2). https://doi.org/10.53801/jnep.v1i2.45

RAHANMITU, I. E. S. (2019). … Efektivitas Antara Jalan Kaki Dan Senam Kaki Terhadap Penurunan Kadar Gula Darah Penderita Diabetes Melitus Di Puskesmas ….

Rehmaitamalem, & Rahmisyah. (2021). Pengaruh Jalan Kaki Terhadap Penurunan Kadar Gula Darah Pada Pasien Diabetes Mellitus. Jurnal Keperawatan Sriwijaya, 8(1). https://doi.org/10.51898/wb.v7i2.181

Salam, T., Umer, A., Salman, S., & Tauseef, A. (2022). Risk Factors And Predictors Of Pre-Diabetes Among Health Professionals: A Tertiary Care Cross-Sectional Study. Journal of Pharmaceutical Negative Results, 2051–2058.

Sheen, Y. J., Hsu, C. C., Jiang, Y. Der, Huang, C. N., Liu, J. S., & Sheu, W. H. H. (2019). Trends in prevalence and incidence of diabetes mellitus from 2005 to 2014 in Taiwan. Journal of the Formosan Medical Association, xxx(xxxx), 1–8. https://doi.org/10.1016/j.jfma.2019.06.016

Siahaan, J. M., Batara Simangunsong, S. B., Siagian, L. O., Neu, M. K., Anto, E. J., MKT, A.-K., Fauzi, T. M., Jadeny Sinatra Sp An, M. H., Suryati Sinurat, M. K. M., & Hutasoit, E. S. P. (2022). Monograf Mengungkap Peran Infusa Daun Kelor (Moringa Oleifera) terhadap Darah dan Kolesterol pada Mencit (Mus Musculus) yang Mengalami Ulkus Diabetikum. Wiyata Bestari Samasta.

Soelistijo, S. (2021). Pedoman Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 Dewasa di Indonesia 2021. Global Initiative for Asthma, 46.

Susilowati, N. H., & Susaldi, S. (2024). Hubungan Self Management Dengan Kualitas Hidup Penderita Diabetes Melitus Tipe II Di RS PMI Kota Bogor Pada Tahun 2023. Jurnal Riset Ilmu Kesehatan Umum Dan Farmasi (JRIKUF), 2(2), 49–64.

Wang, R. H., Lin, K. C., Hsu, H. C., Lee, Y. J., & Shin, S. J. (2019). Determinants for quality of life trajectory patterns in patients with type 2 diabetes. Quality of Life Research, 28(2), 481–490. https://doi.org/10.1007/s11136-018-2013-2

Wijaya, L. N., & Makiyah, S. N. N. (2021). Application of Nightingale’s Environmental Theory: The Effect of Heliotherapy on The Clinical Improvements in Individuals with Tuberculosis. 14(03), 234–239.

Yenny, Y., Herwana, E., & Wratsangka, R. (2022). Skor Risiko Diabetes Mellitus Berkorelasi dengan Kadar Gula Darah Puasa: Skrining Diabetes Mellitus Tipe-2 Pada Masyarakat. Jurnal AKAL: Abdimas Dan Kearifan Lokal, 3(2), 193–207.