scholarly journals Progressive Muscle Relaxation in Reducing Blood Glucose Level among Patients with Type 2 Diabetes

2018 ◽  
Vol 13 (2) ◽  
pp. 77
Author(s):  
Muhammad Agung Akbar ◽  
Hema Malini ◽  
Esi Afriyanti

<p>Most of the treatments of patients with type 2 Diabetes Mellitus  (T2DM) who are admitted to the hospital in controlling the blood glucose still concentrated on medication and diet. On the other hand, exercise or activity management, however, gets insufficient consideration. Health professionals, especially nurses, need to be aware that some exercises or activities should be accomplished even for hospitalized patients. The effort to organize physical activity can be achieved by using Progressive Muscle Relaxation (PMR). The purpose of this study was to determine the effect of PMR on reducing the blood glucose levels in patients with T2DM. This research used the quasi-experimental design with one group pretest-posttest approach with control group design. The sampling technique was simple random sampling with 30 samples, 15 in both intervention and control groups. Data collection techniques were performed by measuring the blood glucose levels at that time. The duration of PMR as an intervention was performed for three days on a regular basis. Afterward, we remeasured the blood glucose levels. Data analysis was done by using t-test. The results of data analysis showed that there was a decrease in mean score of blood glucose levels for 63,80 mg/dl in the control group and 80,46 mg/dl in the intervention group.The results showed that PMR was effective in reducing the blood glucose levels of patients with T2DM in the public hospital (p-value = 0.015). The results of this study can be applied by nurses as an alternative intervention in the management of patients with T2DM.</p><p> </p>

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Beibei Wang ◽  
Juan Du ◽  
Zhao Zhu ◽  
Zhihong Ma ◽  
Songlin Wang ◽  
...  

Background. To investigate the relationships among blood glucose, mixed saliva glucose, and parotid glucose in type 2 diabetes patients and to evaluate the diagnostic and monitoring value of salivary gland glucose in patients with type 2 diabetes (type 2DM). Material and Methods. Thirty patients with type 2DM and 30 healthy age- and sex-matched individuals were included in this study. Glucose levels in unstimulated mixed saliva and in unstimulated parotid saliva were measured by the glucose oxidase peroxidase method. Results. The blood glucose and parotid salivary glucose levels in type 2DM patients were significantly higher than those in the controls (P<0.05). The blood glucose, parotid salivary glucose, and mixed salivary glucose were 7.46±1.44 mmol/L, 0.18±0.19 mmol/L, and 3.17×10-2±2.84×10-2 mmol/L, respectively, in the type 2DM group; the corresponding glucose levels in the control group were 5.56±0.71 mmol/L, 7.70×10-2±6.02×10-2 mmol/L, and 3.47×10-2±2.79×10-2 mmol/L. The parotid salivary and blood glucose levels in type 2DM patients were strongly correlated; the linear regression equation for blood glucose and parotid salivary glucose was Y=6.267X+6.360, with r=0.810. However, mixed salivary glucose levels were not significantly different in the type 2 diabetes group compared with the control group. Conclusion. Our results suggest that parotid salivary glucose has potential as a biomarker to monitor type 2DM and as a painless, noninvasive method for the management of type 2DM.


Author(s):  
A. Mooventhan ◽  
Reema Ningombam ◽  
L. Nivethitha

AbstractBackgroundDiabetes mellitus is one of the major current public health problems. Electro-acupuncture at ST-36 showed a significant reduction in plasma glucose levels in diabetic rats. There are lacks of studies reporting its hypoglycemic effect in humans and thus, the present study was conducted to evaluate the effect of needling at ST-36 (Zusanli) on blood glucose levels in patients with type 2 diabetes mellitus (T2DM).MethodsSixty T2DM participants were recruited and randomized into acupuncture group (n=30) and placebo control group (n=30). The participants of the acupuncture group received needling at ST-36 (one finger breadth lateral to the inferior border of the tibial tuberosity), and the participants those in the placebo control group received needling at placebo point (midpoint between the apex of the patella and tibial tuberosity). For both the groups, needles were retained for 30 min. Baseline and post-test assessments were performed prior to and after each intervention. Statistical analysis was performed using SPSS version 16.ResultsThe present study showed a significant reduction in random blood glucose levels in the acupuncture group compared to the placebo control group.ConclusionThis study suggests that 30 min of bilateral acupuncture needling at ST-36 with manual stimulation is effective in reducing blood glucose levels in T2DM patients.


2021 ◽  
Vol 3 (2) ◽  
pp. 285-295
Author(s):  
Umi Romayati Keswara ◽  
Rahma Elliya ◽  
Maya Maya

ABSTRACT: THE EFFECT OF PROGRESIVE MUSCLE RELAXATION (PMR) ON REDUCING BLOOD GLUCOSE LEVELS IN PEOPLE WITH DIABETES MELLITUS IN THE WORK AREA OF OGAN LIMA HEALTH CENTER, WEST ABUNG DISTRICT, NORTH LAMPUNG Introduction: Diabetes mellitus (DM) is a non-communicable disease that often suffers. Diabetes mellitus (DM) is a non-communicable disease that often suffers.Purpose: To determine the effect of progresive muscle relaxation (PMR) on reducing blood glucose levels in people with diabetes mellitus.Method: This type of research is quantitative, quasi-experimental design using non equivalent control groups. The population in this study were all DM patients in the Work Area of Ogan Lima Health Center, West Abung District, North Lampung, with a total sample of 34 respondents. Data analysis used T test analysis (dependent and independent sample t-test).Results: The results of univariate analysis showed that the average blood glucose level of respondents in the pretest group was 247.29 ± 28.431 mg / dL and posttest 210.29 ± 28.711 mg / dL. The average level of respondent's blood glucose at pretest was 255.94 ± 30.738 mg / dL and posttest 230.76 ± 25.69 mg / dL. T-dependent test results obtained by the treatment group p-value = 0,000, and the control group p-value = 0.006. T-independent test results obtained p-value = 0.035.Conclusion: There was a significant difference between the blood glucose levels of diabetics in the treatment group and the control group. Suggestions are expected that health workers can apply PMR training as an alternative therapy for DM patients. Keywords :progresive muscle relaxation, blood glucose level, diabetes mellitus  Latar Belakang: Diabetes Melitus (DM) merupakan penyakit tidak menular yang sering diderita. Data di dunia sebanyak 422 juta orang dewasa hidup dengan diabetes, di Indonesia tahun 2018 prevalensi  diabetes meningkat dari 1,1% menjadi 2,0%, di Provinsi Lampung meningkat dari 0,8% menjadi1,6%, di Kabupaten Lampung Utara meningkat dari 0,9menjadi 1,07 %. Terapi komplementer untuk mengontrol kadar glukosa darah salah satunya dengan relaksasi otot progresif (Progresive Muscle Relaxation (PMR).Tujuan:Diketahui Pengaruh Progresive Muscle Relaxation (PMR) terhadap penurunan kadar glukosa  darah pada penderita diabetes melitus.Metode Penelitian:Jenis penelitian ini adalah kuantitatif, rancangan quasi eksperiment menggunakan non equivalent control group. Populasi dalam penelitian ini adalah seluruh pasien DM di Wilayah Kerja Puskesmas Ogan Lima Kecamatan Abung Barat Lampung Utara, dengan jumlah sampel sebanyak 34 responden.Analisis data menggunakan analisis uji T (dependent dan independent sample t-test).Hasil Penelitian: Hasil analisis univariat bahwa rata-rata kadar glukosa darah responden kelompok perlakuan saat pretest yaitu 247,29 ± 28,431 mg/dL dan posttest 210,29 ± 28,711 mg/dL. Rata-rata kadar glukosa darah responden saat pretest yaitu 255,94 ± 30,738 mg/dL dan posttest 230,76 ± 25,69mg/dL. Hasil uji t-dependen kelompok perlakuan diperoleh p-value=0,000, dan kelompok kontrol p-value=0,006. Hasil uji t-independen diperoleh p-value=0,035.Kesimpulan: Ada perbedaan yang signifikan antara kadar glukosa darah penderita diabetes melitus pada kelompok perlakuan dan kelompok kontrol. Saran diharapkan agar tenaga kesehatan dapat menerapkan latihan PMR sebagai alternative terapi pada pasien DM. Kata Kunci     : progresive muscle relaxation, kadar glukosa darah, diabetes melitus


Author(s):  
A. Haris ◽  
Jubair Jubair ◽  
Julhana Julhana

Diabetes mellitus hyperglycemia is a chronic disease characterized by the absence of insulin or a relative decrease in cell insensitivity to insulin that requires continuous treatment and ongoing self-management to prevent acute complications and reduce the risk of chronic complications. Type 2 diabetes mellitus is particularly by physical activity. This study aims to understand the difference between two exercise regimens on blood glucose levels reduction in patients with type 2 diabetes mellitus. This was a quasi-experimental study with a pre-test post-test control group design. 60 respondents were selected via random sampling and divided evenly into two groups of 30 individuals: 1) the treatment group; and 2) the control group. A Wilcoxon test performed on the treatment group yielded P-value = 0,005 < ? = 0,05 and a Wilcoxon test performed on the control group yielded P-value = 0,046 < ? = 0,05. The conclusion that can be drawn from this study is that physical activity has an effect of reducing blood glucose levels in patients with type 2 diabetes mellitus, and, when comparing the differences in blood glucose level reduction, a combined regimen of putu sila and Tai Chi is more effective than Tai Chi alone.


2015 ◽  
Vol 1 (01) ◽  
Author(s):  
Marta Lina Limbong ◽  
Ridha Darma Jaya ◽  
Yesi Ariani

Abstract Patients with type 2 diabetes relative insulin deficiency so that blood glucose regulation becomes screwed, eventually causing hyperglycemia. When it is left untreated can lead to complications. Complications in diabetic patients undergoing indicate hospitalization for management of blood glucose levels. Such conditions often make the patient stress and anxiety experiencing great that ultimately may increase blood glucose levels. Autogenic relaxation is the relaxation that comes from yourself form of words or short sentences or thoughts that can make the mind peaceful. Autogenic relaxation response can divert our bodies consciously by the command of yourself, it can help fight the harmful effects of stress. Autogenic relaxation could be expected to control blood glucose levels. The purpose of this study was to determine the effect of autogenic relaxation on blood glucose levels in patients with Type 2 Diabetes. Research design was quasi-experimental with pre and post with control group, for each sample group consisted of 31 people with consecutive sampling technique. Data were analyzed using univariate and bivariate. The statistical test used the Wilcoxon Sign-Range Test and Mann Whitney U . Analysis showed there is effect of autogenic relaxation to decrease blood glucose levels (p = 0.001). The conclusion of study, there are significant autogenic relaxation to decrease blood glucose levels in patients with diabetes mellitus type 2. Results of this study can be input for nursing services to make the autogenic relaxation womanly one independent nursing interventions in providing nursing care to patients with DM Type 2 Keywords: Autogenic relaxation, blood glucose levels, type 2 diabetes   Abstrak Pasien diabetes melitus tipe 2 relatif mengalami kekurangan insulin sehingga pengaturan kadar glukosa darah menjadi tidak terkontrol, pada akhirnya menyebabkan hiperglikemia. Bilamana hal ini tidak ditangani dapat menyebabkan komplikasi. Komplikasi pada diabetes mengindikasikan pasien menjalani perawatan di rumah sakit untuk pengelolaan kadar glukosa darah. Kondisi seperti ini sering membuat pasien stres dan mengalami kecemasan yang hebat sehingga dapat meningkatkan kadar glukosa darah. Relaksasi autogenik merupakan relaksasi yang bersumber dari diri sendiri berupa kata-kata atau kalimat pendek atau pikiran yang dapat membuat pikiran tentram. Relaksasi autogenik dapat mengalihkan respon tubuh kita secara sadar berdasarkan perintah dari diri sendiri, maka dapat membantu melawan efek stres yang berbahaya. Relaksasi autogenik diduga dapat mengontrol kadar glukosa darah. Tujuan penelitian ini untuk mengetahui pengaruh relaksasi autogenik terhadap penurunan kadar glukosa darah pada pasien DM Tipe 2. Desain penelitian ini kuasi eksperimen dengan pre and post with control group, untuk masing-masing kelompok terdiri 31 orang sampel dengan tehnik  consecutive sampling. Data dianalisis secara univariat dan bivariat. Uji statistik yang digunakan Wilcoxon Sign Range Test dan Mann Whitney U. Hasil analisis menunjukkan ada pengaruh relaksasi autogenik terhadap penurunan kadar glukosa darah (p=0,001). Kesimpulan penelitian ini, ada pengaruh relaksasi autogenik terhadap penurunan kadar glukosa darah pada pasien diabetes melitus tipe 2. Hasil penelitian ini dapat menjadi masukan bagi pelayanan keperawatan untuk menjadikan relaksasi autogenik menjasi salah satu intervensi keperawatan mandiri dalam memberikan asuhan keperawatan pada pasien DM Tipe 2. Kata kunci : Relaksasi autogenik, Kadar glukosa darah, diabetes melitus tipe 2 Full printable version: PDF


Jurnal NERS ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 60
Author(s):  
Rifka Pahlevi ◽  
Suhartono Taat Putra ◽  
Sriyono Sriyono

Introduction: Blood glucose levels are controlled when the management of diabetes success. Positive perception of the strength of the spiritual aspect will improve the motivation of patients with type 2 diabetes to control it. The purpose of this study was to determine the effect of dhikr based on psychoneuroimmunology (PNI) on blood glucose levels of patients with type 2 diabetes. Methods: This study used quasi-experiment with pre-test and post-test control group design. Samples were taken from the population of patients with type 2 diabetes who were hospitalized in the Internal Medicine Rumkital Dr. Ramelan Surabaya with purposive sampling techniques. Data taken include the general characteristics of respondents, cures motivation, cortisol levels and fasting blood glucose levels. Collecting data using questionnaires and laboratory test, then analyzed using paired t-test and independent t-test, with α value <0.05. Results: Statistical test showed that the motivation to recover increased (p = 0.001), cortisol levels fall (p = 0.058) and a drop in blood glucose levels (p = 0.028) after administration of dhikr therapy in patients with diabetes mellitus type 2. There was a significant difference in increased of recovery motivation between patient conduct zikr therapy and patient cared (p = 0,000). Conclusion: Dhikr therapy increases the motivation of patients with type 2 diabetes by strengthening awareness and spirituality belief in Allah make positive stress perception. Positive stress perception will affect the stress response and improved regulation of blood glucose through the HPA axis to suppress the secretion of CRH, ACTH, and cortisol.


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Tobias Bomholt ◽  
Marianne Rix ◽  
Thomas Peter Almdal ◽  
Filip K Knop ◽  
Susanne Rosthøj ◽  
...  

Abstract Background and Aims The reliability of haemoglobin A1c (HbA1c) as a glycaemic marker in patients receiving haemodialysis (HD) remains unknown. To assess accuracy, we compared HbA1c and fructosamine levels with interstitial glucose levels measured by continuous glucose monitoring (CGM) in patients with type 2 diabetes receiving HD. Method The HD group (maintenance HD and type 2 diabetes) comprised 30 patients who completed the study period of 17 weeks; the control group (type 2 diabetes and an estimated glomerular filtration rate &gt;60 mL/min/1.73 m2) comprised 36 individuals. CGM (Ipro2®, Medtronic) for periods up to seven days was performed five times (with four weeks intervals) during a 16-week period. HbA1c and fructosamine were measured at week 17. The mean sensor glucose from CGM was compared with the measured HbA1c, its estimated mean blood glucose (eMBGA1c) and fructosamine levels. Results In the HD group, the mean sensor glucose from CGM was 1.4 (95% confidence interval [CI]: 1.0–1.8) mmol/L higher than the eMBGA1c, whereas the difference was 0.1 mmol/L (95% CI: -0.1–[0.4]; P&lt;0.001) in the control group. Adjusted for the mean sensor glucose, HbA1c was -7.3 (95% CI: -10.0–[-4.7]) mmol/mol lower in the HD group than in controls (P&lt;0.001), whereas no difference was detected for fructosamine (P=0.64). Conclusion HbA1c evaluated by CGM underestimates mean blood glucose levels in patients receiving maintenance HD; fructosamine appears to be more accurate. CGM-assessed blood glucose could complement or replace HbA1c in patients where HbA1c underestimates blood glucose levels.


2021 ◽  
pp. 83-92
Author(s):  
Yusran Hasymi ◽  
. Suwanto

Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia, which occurs due to abnormalities in insulin secretion, insulin action, or both. Most cases of diabetes mellitus are diabetes mellitus type-2. The purpose of this study was to determine the effect of hypnotherapy on reducing blood glucose levels in patients with diabetes mellitus type-2. The research used a quasi-experimental design with a non-equivalent control group design. Purposive sampling was used, and 30 respondents selected. The instrument in this study was a single stick tool. The intervention group was given standard therapy treatment in the form of bio-energy therapy and hypnotherapy, while the control group was only given standard therapy treatment in the form of bio-energy therapy. Univariate analysis of the results indicates that the average blood glucose level before treatment was 234.67 mg/dl and after treatment was 194.67 mg / dl. Bivariate analysis based on the results of the Wilcoxon Signed Ranks Test obtained a p-value of 0.002 (p-value <0.05). This means that hypnotherapy reduced blood glucose levels in diabetes mellitus type-2 sufferers. This study recommends the nursing profession apply hypnotherapy as an alternative or non-pharmacological complementary therapy that can be used to reduce blood glucose levels in people with diabetes mellitus type 2.   Keywords: Hypnotherapy, diabetes mellitus type 2, blood glucose levels


2021 ◽  
Vol 3 (2) ◽  
pp. 285-295
Author(s):  
Umi Romayati Keswara ◽  
Rahma Elliya ◽  
Maya Maya

ABSTRACT: THE EFFECT OF PROGRESIVE MUSCLE RELAXATION (PMR) ON REDUCING BLOOD GLUCOSE LEVELS IN PEOPLE WITH DIABETES MELLITUS IN THE WORK AREA OF OGAN LIMA HEALTH CENTER, WEST ABUNG DISTRICT, NORTH LAMPUNG Introduction: Diabetes mellitus (DM) is a non-communicable disease that often suffers. Diabetes mellitus (DM) is a non-communicable disease that often suffers.Purpose: To determine the effect of progresive muscle relaxation (PMR) on reducing blood glucose levels in people with diabetes mellitus.Method: This type of research is quantitative, quasi-experimental design using non equivalent control groups. The population in this study were all DM patients in the Work Area of Ogan Lima Health Center, West Abung District, North Lampung, with a total sample of 34 respondents. Data analysis used T test analysis (dependent and independent sample t-test).Results: The results of univariate analysis showed that the average blood glucose level of respondents in the pretest group was 247.29 ± 28.431 mg / dL and posttest 210.29 ± 28.711 mg / dL. The average level of respondent's blood glucose at pretest was 255.94 ± 30.738 mg / dL and posttest 230.76 ± 25.69 mg / dL. T-dependent test results obtained by the treatment group p-value = 0,000, and the control group p-value = 0.006. T-independent test results obtained p-value = 0.035.Conclusion: There was a significant difference between the blood glucose levels of diabetics in the treatment group and the control group. Suggestions are expected that health workers can apply PMR training as an alternative therapy for DM patients. Keywords :progresive muscle relaxation, blood glucose level, diabetes mellitus  Latar Belakang: Diabetes Melitus (DM) merupakan penyakit tidak menular yang sering diderita. Data di dunia sebanyak 422 juta orang dewasa hidup dengan diabetes, di Indonesia tahun 2018 prevalensi  diabetes meningkat dari 1,1% menjadi 2,0%, di Provinsi Lampung meningkat dari 0,8% menjadi1,6%, di Kabupaten Lampung Utara meningkat dari 0,9menjadi 1,07 %. Terapi komplementer untuk mengontrol kadar glukosa darah salah satunya dengan relaksasi otot progresif (Progresive Muscle Relaxation (PMR).Tujuan:Diketahui Pengaruh Progresive Muscle Relaxation (PMR) terhadap penurunan kadar glukosa  darah pada penderita diabetes melitus.Metode Penelitian:Jenis penelitian ini adalah kuantitatif, rancangan quasi eksperiment menggunakan non equivalent control group. Populasi dalam penelitian ini adalah seluruh pasien DM di Wilayah Kerja Puskesmas Ogan Lima Kecamatan Abung Barat Lampung Utara, dengan jumlah sampel sebanyak 34 responden.Analisis data menggunakan analisis uji T (dependent dan independent sample t-test).Hasil Penelitian: Hasil analisis univariat bahwa rata-rata kadar glukosa darah responden kelompok perlakuan saat pretest yaitu 247,29 ± 28,431 mg/dL dan posttest 210,29 ± 28,711 mg/dL. Rata-rata kadar glukosa darah responden saat pretest yaitu 255,94 ± 30,738 mg/dL dan posttest 230,76 ± 25,69mg/dL. Hasil uji t-dependen kelompok perlakuan diperoleh p-value=0,000, dan kelompok kontrol p-value=0,006. Hasil uji t-independen diperoleh p-value=0,035.Kesimpulan: Ada perbedaan yang signifikan antara kadar glukosa darah penderita diabetes melitus pada kelompok perlakuan dan kelompok kontrol. Saran diharapkan agar tenaga kesehatan dapat menerapkan latihan PMR sebagai alternative terapi pada pasien DM. Kata Kunci     : progresive muscle relaxation, kadar glukosa darah, diabetes melitus


Author(s):  
Puji Asmini

Objective: The study aims to determine the influence of education of drug information by the pharmacist on the improvement of knowledge and therapeutic target to type 2 diabetes mellitus outpatients in Dr. Moewardi Surakarta Hospital.Methods: The research used the quasi-experimental method, repeated measure experiment design, pre-posttest design with the prospective patient data retrieval. 90 patients with type 2 diabetes mellitus were used as the subjects of the research divided into three groups (two test groups and one control group). In the test1 group, patients were educated about the drug information through leaflets and through oral explanation, the test 2 group through leaflets, and a control group through leaflets once at the beginning of the study. The study lasted for three months in which in every month fasting blood glucose levels (FBG) and blood glucose levels were analyzed within two hours after a meal (BG2PP) and given questionnaires knowledge to see the socio-demographic profile, knowledge, and blood glucose level of the patient. The data analysis used the statistical package for social sciences (SPSS) version 16 in the form of analysis Kolmogorov-Smirnov test and one-way anova test.Results: The results showed that the education of the drug information by a pharmacist using leaflets and oral explanation in the test1 group was able to improve knowledge of type 2 diabetes mellitus outpatients in Dr. Moewardi Surakarta Hospital, in comparison to the leaflets giving information only to the test 2 group and control group. The education of drug information on the test 1 group was able to improve the patients' knowledge reaching 100%. Type 2 diabetes outpatients in the test 1 group could achieve a reduction in blood sugar levels, to the FBG level (136.47±36.08) mg/dl and BG2PP levels (193.43±58.21) mg/dl.Conclusion: The education of drug information from the pharmacist had the influence to improves the knowledge and therapeutic target of type 2 diabetes mellitus outpatients in Dr. Moewardi Surakarta Hospital.


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