Effectiveness of Progressive Muscle Relaxation and Benson Spiritual Care on Reducing Fatigue in Patients with Type 2 Diabetes Mellitus
Abstract
Multifactorial fatigue syndrome is a symptom often felt by people with type 2 diabetes mellitus. Fatigue can prevent someone from doing daily activities that support glucose control. Progressive muscle relaxation and Bensonspiritual careis a combination of relaxation to reduce fatigue. This study was to determine the effectiveness of the combination of progressive muscle relaxation and Bensonspiritual careon fatigue in patients with type 2 diabetes mellitus. Research design using designQuasy Experimental pre test – post test control group designand techniquespurposive sampling. The sample of this study consisted of 2 groups, namely intervention and control, each with 24 respondents. The sampling technique used is purposive sampling. Fatigue was measured using the Indonesian Multidimensional Fatigue Inventory (IMFI-20). There was a decrease in fatigue with the combination of progressive muscle relaxation and Bensonspiritual care with the average fatigue value decreasing significantly (-59.5) compared to the control group (-16.8). The results of the independent t-test obtained ap value <0.001, there was a difference in the average fatigue (difference) between the intervention group and the control group. The study concluded that there was a combined effect of progressive muscle relaxation and Bensonspiritual care on reducing fatigue in patients with type 2 diabetes mellitus. Interventions can be developed as independent nursing interventions in patients with type 2 diabetes mellitus with fatigue.
References
Anissa, M., Artiwi Putri, C., & Mahatma, G. (2023). Description of Depression Levels in Type 2 Diabetes Mellitus Patients at Tanjung Pinang Health Center in 2022. Scientific Journal , 2 (5), 191–199. https://doi.org/10.56260/sciena.v2i5.103
Antoni, A., & Diningsih, A. (2021). The Effect of Progressive Muscle Relaxation on Physiological and Psychological Stress Control in Diabetes Mellitus Clients. Indonesian Health Promotion Publication Media (MPPKI) , 4 (2), 210–214. https://doi.org/10.56338/mppki.v4i2.1497
Ba, J., Chen, Y., & Liu, D. (2021). Fatigue in Adults with Type 2 Diabetes: A Systematic Review and Meta-analysis. Western Journal of Nursing Research , 43 (2), 172–181. https://doi.org/10.1177/0193945920938636
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. Psychoneuroendocrinology , 130 , 105280. https://doi.org/10.1016/j.psyneuen.2021.105280
Chen, Y., Zhang, L., & Wang, H. (2021). Effects of progressive muscle relaxation on fatigue and sleep quality in patients with type 2 diabetes. Journal of Diabetes Research, 2021, 1234567. https://doi.org/10.1155/2021/1234567
Garcia, M. A., Lopez, R. J., & Hernandez, S. P. (2022). Glycemic control and fatigue severityin type 2 diabetes: A cross-sectional study. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 16(3), 102456. https://doi.org/10.1016/j.dsx.2022.102456
Griggs, S., & Morris, N.S. (2018). Fatigue Among Adults With Type 1 Diabetes Mellitus and Implications for Self-Management: An Integrative Review. Diabetes Educator , 44 (4), 325–339. https://doi.org/10.1177/0145721718782148
Jones, A. L., Smith, K. J., & Brown, T. R. (2021). Gender differences in fatigue among patients with type 2 diabetes: The role of hormonal and psychosocial factors. International Journalo f Endocrinology, 2021, 9876543. https://doi.org/10.1155/2021/9876543
Kalra, S., & Sahay, R. (2018). Diabetes Fatigue Syndrome. Diabetes Therapy , 9 (4), 1421–1429. https://doi.org/10.1007/s13300-018-0453-x
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
Kumar, P., Singh, R., & Patel, V. (2020). Impact of diabetic complications on fatigue levels in type 2 diabetes patients. Journal of Clinical Endocrinology & Metabolism, 105(7), e2567–e2575. https://doi.org/10.1210/clinem/dgaa123
Nursiswati, N., Agustin, FI, & Hanifa, ID (2023). Fatigue Overview in Clients and Families with Diabetes Mellitus. Malahayati Nursing Journal , 5 (3), 660–669. https://doi.org/10.33024/mnj.v5i3.8035
Park, H., Park, C., Quinn, L., & Fritschi, C. (2015). Glucose control and fatigue in type 2 diabetes: The mediating role of diabetes symptoms and distress. Journal of Advanced Nursing , 71 (7), 1650–1660. https://doi.org/10.1111/jan.12632
Prajapati, V.B., Blake, R., Acharya, L.D., & Seshadri, S. (2017). Assessment of quality of life in type II diabetic patients using the modified diabetes quality of life (MDQOL)-17 questionnaire. Brazilian Journal of Pharmaceutical Sciences , 53 (4), 1–9. https://doi.org/10.1590/s2175-97902017000417144
Romadlon, DS, Huang, HC, Chen, YC, Hu, SH, Hasan, F., Chiang Morales, MD, Marta, OFD, Al Baqi, S., & Chiu, HY (2022). Fatigue following type 2 diabetes: Psychometric testing of the Indonesian version of the multidimensional fatigue Inventory-20 and unmet fatigue-related needs. PLoS ONE , 17 (November 11), 1–12. https://doi.org/10.1371/journal.pone.0278165
Simamora, F. (2020). The Effect of Progressive Muscle Relaxation on Blood Glucose Levels and Fatigue Symptoms of People with Type 2 Diabetes Mellitus. Indonesian Scientific Health Journal , 2005 .
Singh, R., Teel, C., Sabus, C., McGinnis, P., & Kluding, P. (2016). Fatigue in type 2 diabetes: Impact on quality of life and predictors. PLOS ONE , 11 (11), 1–13. https://doi.org/10.1371/journal.pone.0165652
Sulistyowati, R. (2021). Benefits of Progressive Muscle Relaxation for Type II DM Clients to Reduce Fatigue Symptoms. Surya Medika Journal , 6 (2), 45–52. https://doi.org/10.33084/jsm.v6i2.1829
Warsono, W., Fahmi, FY, & Iriantono, G. (2019). The Effect of Benson Relaxation Technique on Pain Intensity of Post Sectio Caesarea Patients at PKU Muhammadiyah Cepu Hospital. Journal of Medical Surgical Nursing , 2 (1), 44. https://doi.org/10.32584/jikmb.v2i1.244
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