scholarly journals Penurunan Tingkat Kecemasan dan Gula Darah pada Penderita DM Tipe 2 melalui Spiritual Mindfulness Based On Benson Relaxation

2020 ◽  
Vol 8 (2) ◽  
pp. 161
Author(s):  
Riska Rohmawati ◽  
Arif Helmi

Perubahan mendadak dalam hidup membuat penderita DM menunjukkan beberapa reaksi psikologis negatif yang menghasilkan glukosa darah. Tujuan dari penelitian ini adalah untuk menjelaskan pengaruh mindfulness spiritual berdasarkan relaksasi benson pada kecemasan, gula darah pada pasien DM tipe 2. Penelitian ini menggunakan desain penelitian eksperimental quasy dengan pre-test dan post-test dengan desain kelompok kontrol dengan sampel 30 responden dan teknik pengambilan sampel menggunakan consecutive sampling. Intervensi dilakukan selama 4 minggu (15 menit untuk setiap intervensi). Penelitian ini menggunakan instrumen kuesioner SRAS Zung untuk kecemasan dan glukometer untuk mengukur GDP dan GDPP. Tes statistik menggunakan Mann Whitney Test dan Wilcoxon Signed. Hasil tes statistik menunjukkan bahwa perhatian spiritual berdasarkan relaksasi benson mempengaruhi penurunan kecemasan pada setiap kelompok (p = 0,000 untuk kelompok perlakuan dan p = 1,00 untuk kelompok kontrol), secara signifikan mengurangi kadar glukosa darah rata-rata (p = 0,000 untuk perawatan kelompok dan p = 0,48 untuk kelompok kontrol). Perhatian spiritual berdasarkan benson relaksasi membantu pasien meningkatkan fokus mereka pada kondisi saat ini tanpa upaya untuk menyalahkan diri sendiri, orang lain, dan lingkungan sehingga pasien lebih nyaman dan merasa tenang. Intervensi ini mempengaruhi pengurangan kecemasan, rata-rata gula darah pasien DM tipe 2. Kata kunci: DM tipe 2, gula darah, kecemasan, perhatian spiritual, reaksasi benson REDUCING ANXIETY AND BLOOD SUGAR LEVELS ONDM TYPE 2 PATIENTS THROUGH SPIRITUAL MINDFULNESS BASED ON BENSON RELAXATION ABSTRACTSudden changes in life make DM sufferers show some negative psychological reactions that result in a blood glucose. The purpose of this study was to explain the influence of spiritual mindfulness based on benson relaxation on anxiety, blood sugar in DM type 2 patients. This study used a quasy experimental study design with pre-test and post-test with control group design with a sample of 30 respondents and a sampling technique using consecutive sampling . The intervention was carried out for 4 weeks (15 minutes for each intervention). This study uses the Zung SRAS questionnaire instrument for anxiety and a glucometer to measure GDP and GDPP. Statistical tests using the Mann Whitney Test and Wilcoxon Signed. Statistical test results show that spiritual mindfulness based on benson relaxation affects the decrease in anxiety in each group (p = 0.000 for the treatment group and p = 1.00 for the control group), significantly reducing average blood glucose levels (p = 0.000 for the treatment group and p = 0,48 for the control group). Spiritual mindfulness based on benson relaxation helps patients improve their focus on current conditions without any effort to blame themselves, others, and the environment so that patients are more comfortable and feel calm. This intervention affected the reduction of anxiety, average blood sugar of type 2 DM patients. Keywords: anxiety, benson relaxation, blood sugar, spiritual mindfulness, type 2 DM

2018 ◽  
Vol 6 (1) ◽  
pp. 85
Author(s):  
Gema Akbar Wakhidana ◽  
Ancah Caesarina Novi Marchianti ◽  
Ali Santosa

Diabetes mellitus is metabolic diseases characterized by hyperglycemia caused by disturbances in insulin secretion or insulin activity. Herbal Forte Rice is rice synthetic material composed of main purple sweet potato and corn flour. It contains antioksidan, fiber, resistant starch and having moderate glycemic index. This study aimed to determine the effectivity of Herbal Forte Rice on decreasing blood glucose levels of patients type 2 DM. It used a cross-over design, the role of research subjects was both as control and treatment groups. Total sample of this research consisted of 60 samples. The treatment group was given Herbal Forte Rice for 7 days in 2 consecutive meals, while the control group did not receive any intervention. The results showed the average level of Fasting Blood Glucose (FBG) beginning and end of the treatment group 179.76 mg/dL and 138.7 mg/dL; FBG beginning and end of the control 180.87 mg/dL and 187.63 mg/dL; 2 hours post prandial Blood Glucose (2hppBG) levels of beginning and end of the treatment group 284.37 mg/dL and 183.8 mg/dL; 2hppBG levels beginning and end of the control 280.57 mg/dL and 284.13 mg/dL. This study concludes that Herbal Forte Rice effective on decreasing blood glucose levels of patients type 2 DM.   Keywords: diabetes mellitus, Rice Herbal Forte, GDP and GD2PP  


2018 ◽  
Vol 6 (3) ◽  
pp. 453
Author(s):  
Anis Fitri Nurul Anggraeni ◽  
Rondhianto Rondhianto ◽  
Peni Perdani Juliningrum

Type 2 DM is a chronic disease requiring long-term care, so it needs self-management education toprevent the complication. The patient's inability to perform self-care can reduce the quality of life. DSME/Sis one of education which facilitates knowledge, skills, patient abilities, and family support in self-care.DSME/S is given in the form of discharge planning to improve knowledge and skills in self-care. Thisresearch aimed to analyze the effect of Diabetes Self-Management Education and Support (DSME/S) onquality of life of patients with type 2 diabetes mellitus in RSD dr. Soebandi. The research design wasquasi experimental with pre-test post-test with control group design. A number of samples were 30 peopledivided into two groups: 15 people in the treatment group and 15 people in the control group. DSME/Swas conducted in 6 sessions. Sessions 1-4 were performed in the hospital and sessions 5-6 wereperformed at the patient’s home. The data were analyzed by using dependent t test and independent ttest which significance level of 0.05. The result of t-dependent test indicated that there was significantdifferent quality of life between pre-test and post-test in the treatment group (p = 0.001) and control group(p = 0.002). The result of Independent t test showed a significant difference between treatment group andcontrol group (p = 0.001). The enhancement of quality of life on the treatment group was greater than thecontrol group. The conclusion showed that there was significant effect of DSME/S on the quality of life oftype 2 DM patients. DSME/S could improve patient self-care knowledge and abilities in controlling bloodsugar and prevent complications may effect of quality of life. Nurses can apply DSME/S in healthpromotion programs to type 2 DM patients in hospital. Keywords: Type 2 diabetes mellitus, quality of life, DSME/S


Jurnal NERS ◽  
2020 ◽  
Vol 14 (2) ◽  
pp. 155
Author(s):  
Eka Mishbahatul Mar'ah Has ◽  
Amira Aulia ◽  
Tiyas Kusumaningrum ◽  
Ferry Efendi

A well-balanced diet is one of the four pillars of diabetes self-management. Patient's culture strongly influences intake food. Diabetic dietary guidelines which fit with the patient's culture is expected to improve patient's self-efficacy and diet compliance. This study was aimed to analyze the effect of ethnic foods diet program in improving self-efficacy and diet compliance among Type-2 Diabetes Mellitus (T2DM) patients. This was quasy experiment research with pre and post-test control design. The population was 112 T2DM patients from Sasak Tribes, West Nusa Tenggara. Samples were 36 respondents, divided into intervention (18) and control (18) groups. The independent variable was the ethnic food diet (EFD) program, while the dependent variables were patient's self-efficacy and diet compliance. Data were collected using self-efficacy questionnaire and a 24-hour dietary recall form. Data were then analyzed using Wilcoxon Signed Rank Test and Mann Whitney U Test. The result showed differences in self-efficacy between pre and post-test in the treatment group (p=0,001), but there were no differences in the control group. There were differences in diet compliance in the treatment group (p=0,001), but there were no differences in the control group. There were differences between treatment and control groups on self-efficacy (p=0,000) and diet compliance (p=0,000). Ethnic foods diet program can improve self-efficacy and diet compliance among T2DM patients because more comfortable and easier to be applied. Nurses can apply ethnic foods diet program as an intervention to promote healthy diet for T2DM patients.


2019 ◽  
Vol 8 (2) ◽  
pp. 158-164
Author(s):  
Susanti Tria Jaya ◽  
Nurin Fauziyah ◽  
Suhariati Suhariati

Soy  milk  contains  phytoestrogens  which is  the  class  of  isoflavones  which  have  estrogen-like  activity. Phytoestrogens  have  estrogenic  activity  which  ultimately  increases  uterine sensitivity. This  study  was  to  analyze  the effectiveness of giving soy milk to the duration of first stage of labor.The results showed that respondents in the treatment group  had a  duration  of  fast  delivery  by  9  people  (90%)  in  the  normal  category,  namely  1 respondent  (10%),  the  majority  of  the  control  group  respondents  in the fast  category  were  1 respondent  (10%),  the  normal  category were 3  respondents  (30%)  and  the  slow  category were  6  respondents  (60%). The  Result  of analyzing by Mann-Whitney  test  was  found  that there  was an effect of soy milk giving on the duration of labor (Sig. (2-tailed) of 0,000 <0.05 (α value), so Ho was rejected. Pregnant  women  can  consume  soy  milk  to  increase maternal power in labor to advance the duration of labor


2014 ◽  
Vol 2 (3) ◽  
pp. 431-438
Author(s):  
Bassem M. Alsawy ◽  
Magdi A. El-Damarawi

AIM: This work was done to study the effect of both types of diabetes mellitus (DM) on myocardial contractility in rats. Also, we investigated the role of treatment of DM with insulin and rosiglitazone (used as treatment for type 1 and type 2 DM respectively) in improvement of myocardial dysfunction in diabetic rats.METHODS: The study included 50 male Wistar albino rats, divided into 5 groups: control (group I), streptozotocin induced type 1 DM (group II), fructose induced type 2 DM (group III), insulin treated type 1 diabetic rats (group IV) and rosiglitazone treated type 2 diabetic rats (group V). At the end of the study, retro-orbital blood samples were withdrawn and blood glucose, plasma triglyceride (TG), total cholesterol (TC) and thyroid hormones levels were measured. Rats were then anesthetized and their hearts were excised and connected to Langendorff apparatus to perform mechanical cardiac performance tests including heart rate (HR), left ventricular developed pressure (LVDP) and maximum rate of pressure rise (+dp/dt).RESULTS: Data of the study showed that relative to control group, there was significant increase in blood glucose, plasma TG and TC levels while, thyroid hormones and myocardial performance parameters showed significant decrease in both type 1 and type 2 diabetic rats. Treatment of type 1 diabetic rats with insulin and type 2 with rosiglitazone resulted in significant decrease in blood glucose, plasma TG and TC levels associated with significant improvement in thyroid hormones and myocardial performance parameters. The results also showed that insulin treatment of type 1 was more effective in ameliorating all parameters than treatment of type 2 by rosiglitazone.CONCLUSION: We concluded that the induction of both types of diabetes resulted in decreased myocardial performance parameters. The  treatment of type 1 and type 2 diabetes by insulin and oral rosiglitazone respectively improved to a great extent the altered metabolism and  mechanical myocardial parameters, with more improving effect of  insulin in type 1 than rosiglitazone in type 2 DM.


Molecules ◽  
2021 ◽  
Vol 26 (21) ◽  
pp. 6657
Author(s):  
Heyu Wang ◽  
Yaran Teng ◽  
Shinan Li ◽  
Ying Li ◽  
Hui Li ◽  
...  

Panax ginseng was employed in the treatment of “Xiao-Ke” symptom, which nowadays known as diabetes mellitus, in traditional Chinese medicine for more than a thousand years. Ginsenoside Re was the major pharmacologic ingredient found abundantly in ginseng. However, the anti-diabetic of Ginsenoside Re and its underlying mechanism in metabolic level are still unclear. Serum and urine metabolomic method was carried out to investigate the anti-diabetic pharmacological effects and the potential mechanism of Ginsenoside Re on high-fat diet combined streptozotocin-induced type 2 diabetes mellitus (T2DM) rats based on ultra-high-performance liquid chromatography coupled with quadrupole exactive orbitrap mass spectrometry (UHPLC-Q-Exactive Orbitrap/MS). Serum and urine samples were collected from the control group (CON), T2DM group, metformin (MET) treatment group, and ginsenoside Re treatment group after intervention. The biochemical parameters of serum were firstly analyzed. The endogenous metabolites in serum and urine were detected by UHPLC-MS. The potential metabolites were screened by multivariate statistical analysis and identified by accurate mass measurement, MS/MS, and metabolite databases. The anti-diabetic-related metabolites were analyzed by KEGG metabolic pathway, and its potential mechanism was discussed. The treatment of ginsenoside Re significantly reduced the blood glucose and serum lipid level improved the oxidative stress caused by T2DM. Biochemical parameters (urea nitrogen, uric acid) showed that ginsenoside Re could improve renal function in T2DM rats. Respective 2 and 6 differential metabolites were found and identified in serum and urine of ginsenoside Re compared with T2DM group and enriched in KEGG pathway. Metabolic pathways analysis indicated that the differential metabolites related to T2DM were mainly involved in arachidonic acid metabolism, Vitamin B6, steroid hormone biosynthesis, and bile secretion metabolic pathways. This study verified the anti-diabetic and anti-oxidation effects of ginsenoside Re, elaborated that ginsenoside Re has a good regulation of the metabolic disorder in T2DM rats, which could promote insulin secretion, stimulated cannabinoid type 1 receptor (CB1), and CaMKK β to activate AMPK signaling pathway, inhibited insulin resistance, and improved blood glucose uptake and diabetic nephropathy, so as to play the role of anti-diabetic.


2021 ◽  
Vol 8 (1) ◽  
pp. 7-14
Author(s):  
Yohana Putri Apryanti ◽  
Siti Choirul Dwi astuti

Nyeri adalah hal yang fisiologis yang akan dihadapi oleh seorang ibu bersalin. Nyeri merupakan pengalaman sensorik yang. Penelitian yang diterbitkan oleh Journal of Physiotherapy membuktikan bahwa massage yang dilakukan selama 30 menit pada saat pembukaan serviks 4-5cm selama kontraksi rahim berlangsung dapat menurunkan intensitas nyeri.  Begitu juga dengan penelitian yang diterbitkan oleh Pasific Journal of Tropical Biomedicine menjelaskan bahwa penggunan esensial oil secara inhalasi dapat merangsang pusat penciuman diotak (olfactory Bulb) dapat memberikan rasa nyaman. Tujuan penelitian ini dilakukan untuk mengidentifikasi penurunan intensitas nyeri pada ibu bersalin yang diberikan perlakuan dan tidak diberikan perlakuan metode endorphine massage dan aromaterapi lemon. Penelitian ini dilakukan dengan menggunakan desain penelitian Eksperimen semu (Quasy Eksperimen) dengan rancangan yang digunakan adalah pretest-post test control group design. Teknik pengambilan sampel yaitu puprposive sample sebanyak 30 responden di BPM wilayah kerja Puskesmas Simalingkar yang terbagi menjadi  15 responden sebagai kelompok intervensi dan 15 responden sebagai kelompok kontrol Adapun hasil penelitian dari uji Mann-Whitney Test diperoleh p value sebesar 0,000 ≤ 0,05 yang berarti Ho ditolak yaitu: intensitas nyeri pada kelompok intervensi lebih menurun dibandingkan dengan intensitas nyeri pada kelompok kontrol. Sehingga tenaga kesehatan dapat memberikan kedua terapi ini dapat membantu ibu mengurangi rasa nyeri persalinan


2021 ◽  
Vol 7 (1) ◽  
pp. 27
Author(s):  
Happy Marthalena Simanungkalit ◽  
Muliana Muliana

Diarrhea is currently still the third leading cause of under-five mortality after pneumonia. Diarrhea is one of the diseases that causes death and illness in toddlers every year. One result of diarrhea is nutritional disorders due to reduced food intake, vomiting, hypoglycemia, dehydration which causes metabolic balance disorders because fluid intake is not balanced with expenditure through vomiting and diarrhea. The purpose of this study was to determine the difference in the duration of diarrhea when giving tempeh porridge to toddlers at the Puruk Cahu Health Center. The design of this study is analytic research with this type of research is Quasi Experiment using the design of the Group Control Post Test Only Design. The population in this study were toddlers who had acute diarrhea in the working area of ​​Puruk Cahu Health Center, Murung Raya Regency and the sample size was 38 people (19 people as the control group and 19 experimental groups). The statistical test used in this study was the Mann Whitney test. The results of statistical tests using the Mann Whitney test found that p value = 0.002 means the value of p value < alpha (0.05), meaning that there is an effect of giving tempe porridge to the duration of diarrhea at Puruk Cahu Health Center. Diarrhea in the group that was not given tempeh porridge lasted longer than the group that was given tempeh porridge. The Conclusion is that there is a difference in the duration of acute diarrhea in the administration of tempe porridge for toddlers at the Puruk Cahu Health Center.


Author(s):  
Sri Wahjuni ◽  
Aaia Mayun Laksmiwati ◽  
Ida Bagus Putra Manuaba

 Objective: Increased production of reactive oxygen species is one of the causes of hyperglycemia. This study aims to determine the effectiveness of Indonesian bay leaves (Syzygium polyanthum) extracts as an antidiabetic agent in decreasing blood glucose and advanced glycation end products (AGEs) level of alloxan-induced hyperglycemic Wistar rats.Methods: This research is a real experimental study with pre- and post-test control group design. The study begins with the induction of hyperglycemia in 40 Wistar rats using alloxan. Subsequently, hyperglycemic rats were divided into 6 groups, namely, the positive control group (P0); the treatment group by not giving the intake of Indonesian bay leaf (P1); the treatment group was given the extract of Indonesian bay leaves (S. polyanthum) 0.5 mg/kg body weight/day (P2); treatment group given Indonesian bay leaves extract 2.0 mg/kg body weight/day (P3); treatment group given Indonesian bay leaves 5.0 mg/kg body weight/day (P4), and P5 was treatment group with glibenclamide (hyperglycemia-lowering medication).Results: In the treatment of P1, P2, P3, P4, and P5 groups, it can be seen that there are decreases of blood glucose and AGEs level between pre- and post-test comparison. However, the most significant drop in mean plasma glucose level was observed at the dosage 5.0 mg kg-1 (P4).Conclusion: The administration of Indonesian bay leaf extracts at a dose of 5.0 mg/kg body weight/day have an antidiabetic effect through decreasing blood glucose and AGEs level in alloxan-induced hyperglycemic Wistar rats.


2019 ◽  
Vol 2 (3) ◽  
pp. 62-71
Author(s):  
Herlina Syafrianti ◽  
Bambang Suwarno ◽  
Elfrida .

This research aimed to know the effect of using metacognitive strategy towards student’s reading comprehension. The design was quasi-experimental. The sample consists of 69 students in two classes. The instrument consists of reading test which was tried out. The treatment for the experiment group was metacognitive strategy and for the control group was the strategy that the teacher use in the class. The data were collected through pre-test and post-test. The activity in the classroom during six meetings, two meetings for pre-test and post-test and four meetings for teaching in the classroom. The data was analyzed by The Wilcoxon Test and The Mann-Whitney Test. The Wilcoxon Test for the control group showed that there was no significant difference between pre-test and post-test. The Wilcoxon test for the experiment group showed that there was significant difference between pre-test and post-test. The Mann-Whitney test for pre-test showed that there was no significant difference between experiment and control class. The Mann-Whitney test for post-test showed that there was significant difference between experiment and control class. Finding of the research showed that, there was significant difference between pre-test and post-test for the experiment class and there was significant differece between experiment and control class for post-test result. This result indicated that there was an effect of metacognitive strategy towards student’s reading comprehension


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