The Effect of Progressive Muscle Relaxation on Stress and Blood Sugar in Diabetes Mellitus Patients

  • Ika Mustafida Universitas Muhammadiyah Jakarta
  • Fitrian Rayasari Universitas Muhammadiyah Jakarta
  • Dewi Anggraini Universitas Muhammadiyah Jakarta
  • Wati Jumaiyah Universitas Muhammadiyah Jakarta
Keywords: blood sugar, diabetes mellitus, progressive muscle relaxation, stress

Abstract

Diabetes Mellitus is a chronic condition characterized by impaired insulin production, leading to hyperglycemia. Physically and psychologically, Diabetes Mellitus can cause stress and fluctuations in blood sugar levels. This application aims to determine the effect of Progressive Muscle Relaxation (PMR) on stress and blood sugar levels in Diabetes Mellitus patients through the evidenced based nursing practice. This study used a quasi-experimental method with one group pretest posttest design. Data collection was carried out using the Diabetes Distress Scale (DDS-17) and blood sugar level measurements. Determination of the sample using purposive sampling of 25 Diabetes Mellitus patients. This study showed that there was a decrease in stress scores of 0.162 points and a decrease in blood sugar levels of 8.12 mg/dl after the implementation of Progressive Muscle Relaxation for 3 days. Progressive Muscle Relaxation has been proven to be effective in reducing stress and blood sugar levels in patients with Diabetes Mellitus and can be used as an evidence-based intervention in nursing care for patients with Diabetes Mellitus.

References

Anaabawati, M., Rumahorbo, H., Sri Endang Pujiastuti, R., & Kesehatan Kemenkes Semarang, P. (2021). Effectiveness of Cognitive Behavioral Therapy and Muscle Relaxation on Fasting Blood Sugar Levels among Type 2 Diabetes Mellitus: A Systematic Review Nursing Student, Postgraduate Program, Master of Applied Health 2. International Journal of Nursing and Health Services (IJNHS), 4(2), 153–161. https://doi.org/10.35654/ijnhs.v4i2.414

Assah Berliana, P., Asep Rustiawan, drh, Kesehatan Masyarakat, F., & Ahmad Dahlan Jalan Soepomo, U. (2023). Hubungan Aktivitas Fisik Dan Usia Dengan Kadar Gula Darah Pada Pasien Diabetes Melitus Tipe Ii Di Wilayah Kerja Puskesmas Gondokusuman 1 Kota Yogyakarta Tahun 2023.

Bhaskara, G., Budhiarta, A. A. G., Gotera, W., Saraswati, M. R., Dwipayana, I. M. P., Semadi, I. M. S., Nugraha, I. B. A., Wardani, I. A. K., & Suastika, K. (2022). Factors Associated with Diabetes-Related Distress in Type 2 Diabetes Mellitus Patients. Diabetes, Metabolic Syndrome and Obesity, 15, 2077–2085. https://doi.org/10.2147/DMSO.S363431

Dwi Putri, A., Yanti, N., Studi Prodi Sarjana Terapan, P., Ners, P., Kesehatan Kemenkes Padang, P., Barat, S., & Keperawatan, J. (2023). Teknik Relaksasi Otot Progresif Pada Pasien DM Tipe 2 Dengan Ketidakstabilan Kadar Glukosa Darah : Case Report. JHCN Journal of Health and Cardiovascular Nursing, 3(2), 109. https://doi.org/10.36082/jhcn.v3i2.1444

Giezenaar, C., Lange, K., Hausken, T., Jones, K. L., Horowitz, M., Chapman, I., & Soenen, S. (2020). Effects of age on acute appetite-related responses to whey-protein drinks, including energy intake, gastric emptying, blood glucose, and plasma gut hormone concentrations—A randomized controlled trial. Nutrients, 12(4). https://doi.org/10.3390/nu12041008

Hilda, K., Iftitah Alam, R., Keperawatan, I., Kesehatan Masyarakat, F., & Penulis Korespondensi, E. (2023). Relaksasi Otot Progresif terhadap Tingkat Stres pada Pasien Diabetes Melitus Tipe 2. In Window of Nursing Journal (Vol. 4, Issue 1).

International Diabetes Federation. (2021). IDF Diabetes Atlas 10th edition. www.diabetesatlas.org

Ismail, L., Materwala, H., & Al Kaabi, J. (2021). Association of risk factors with type 2 diabetes: A systematic review. In Computational and Structural Biotechnology Journal (Vol. 19, pp. 1759–1785). Elsevier B.V. https://doi.org/10.1016/j.csbj.2021.03.003

Jones, C., & Gwenin, C. (2021). Cortisol level dysregulation and its prevalence—Is it nature’s alarm clock? In Physiological Reports (Vol. 8, Issue 24). American Physiological Society. https://doi.org/10.14814/phy2.14644

Kalra Rakesh Sahay, S. (2018). Diabetes Fatigue Syndrome. Diabetes Ther, 9, 1421–1429. https://doi.org/10.6084/m9.figshare.6304445

Kautzky-Willer, A., Leutner, M., & Harreiter, J. (2023). Sex differences in type 2 diabetes. Diabetologia, 66, 986–1002. https://doi.org/10.1007/s00125-023-05891-x/Published

Khir, S. M., Azam, W. M., Yunus, W. M., Mahmud, N., Wang, R., Panatik, S. A., Saipol, M., Sukor, M., & Nordin, N. A. (2024). Efficacy of Progressive Muscle Relaxation in Adults for Stress, Anxiety, and Depression: A Systematic Review. https://doi.org/10.17605/OSF.IO/U2HZP

Sulistyowati, R., Kemenkes Palangka Raya, P., Raya, P., & Tengah, K. (2021). Manfaat Relaksasi Otot Progresif Bagi Klien Dm Tipe Ii Untuk Mengurangi Gejala Fatigue Benefits Of Progressive Muscle Relaxation For Type II DM Clients To Reduce Fatigue Symptoms. Jurnal Surya Medika, 6(2), 45–52. https://doi.org/10.33084/jsm.vxix.xxx

Toussaint, L., Nguyen, Q. A., Roettger, C., Dixon, K., Offenbächer, M., Kohls, N., Hirsch, J., & Sirois, F. (2021). Effectiveness of Progressive Muscle Relaxation, Deep Breathing, and Guided Imagery in Promoting Psychological and Physiological States of Relaxation. Evidence-Based Complementary and Alternative Medicine, 2021. https://doi.org/10.1155/2021/5924040

Wulandari, I., Kusnanto, K., Wibisono, S., Andriani, B., Wardani, A. R., & Huri, S. A. (2021). Factors Affecting Blood Glucose Stability in Type 2 Diabetes Mellitus Patients.

Yudha Prakasa, D. (2020). Musculoskeletal Complications in Diabetes Mellitus Patients Komplikasi Muskuloskeletal pada Pasien Diabetes Melitus Musculoskeletal Complications in Diabetes Mellitus Patients Artikel info Artikel history. Jurnal Ilmiah Kesehatan Sandi Husada, 9(2). https://doi.org/10.35816/jiskh.v10i2.454

Zhang, Y. Y., Li, W., Sheng, Y., Wang, Q., Zhao, F., & Wei, Y. (2024). Prevalence and Correlators of Diabetes Distress in Adults with Type 2 Diabetes: A Cross-Sectional Study. Patient Preference and Adherence, 18, 111–130. https://doi.org/10.2147/PPA.S442838

Published
2024-12-30
How to Cite
Mustafida, I., Rayasari, F., Anggraini, D., & Jumaiyah, W. (2024). The Effect of Progressive Muscle Relaxation on Stress and Blood Sugar in Diabetes Mellitus Patients. Indonesian Journal of Global Health Research, 6(S6), 1443-1448. https://doi.org/10.37287/ijghr.v6iS6.4428

Most read articles by the same author(s)