scholarly journals Pengaruh Terapi Progressive Muscle Relaxation Terhadap Kecemasan Dan Kualitas Hidup Pada Pasien Diabetes Mellitus Tipe 2 Di RS Muhammadiyah Lamongan

2018 ◽  
Vol 2 (1) ◽  
pp. 45
Author(s):  
Adbul Rokhman ◽  
Lilik Supriati

ABSTRAKPenyakit diabetes mellitus yang tidak bisa disembuhkan secara total sering berdampak pada terjadinya kecemasan dan penurunan kualitas hidup. Untuk menurunkan kecemasan dan meningkatkan kualitas hidup pasien dapat dilakukan terapi progressive muscle relaxation. Penelitian ini bertujuan untuk mengetahui pengaruh terapi PMR (Progressive Muscle Relaxation) terhadap kecemasan dan kualitas hidup pada pasien diabetes mellitus tipe 2 di RS Muhammadiyah Lamongan. Metode quasi eksperimental dengan pendekatan pre-post test control group design dengan simple random sampling. Jumlah sampel 50 orang dibagi menjadi 2 kelompok perlakuan dan kontrol masing-masing 25 orang. Alat ukur menggunakan kuisioner HARS untuk kecemasan dan DQOL (Diabetes Quality of Life) untuk kualitas hidup. Hasil analisis kecemasan dengan uji t pada kelompok perlakuan p 0,000, kelompok kontrol p 0,746. Analisis kualitas hidup pada kelompok perlakuan nilai p 0,000 dan kelompok kontrol p 0,098. Perbedaan kecemasan pada kelompok perlakuan dan kontrol p 0,019. Perbedaan kualitas hidup pada kelompok perlakuan dan kontrol p 0,076. Pengaruh faktor pendidikan terhadap kualitas hidup pada pasien DM tipe 2 sesudah diberikan terapi progressive muscle relaxation sebesar 4,9 % setelah dikontrol variabel lain. Terapi progressive muscle relaxation efektif untuk menurunkan kecemasan dan efektif untuk meningkatkan kualitas hidup pasien DM tipe 2. Terapi progressive muscle relaxation dapat dimasukkan kedalam intervensi keperawatan pada pelayanan rumah sakit. Kata Kunci: Diabetes Mellitus tipe 2, Kecemasan, Kualitas Hidup, Terapi Progressive Muscle Relaxation ABSTRACTDiabetes mellitus which cannot be cured completely often have an impact on the occurrence of anxiety and reduced quality of life. To reduce anxiety and improve the quality of life of patients can use progressive muscle relaxation therapy. This study aims to determine the effect of PMR therapy (Progressive Muscle Relaxation) in anxiety and quality of life in patients with type 2 diabetes mellitus in Lamongan Muhammadiyah Hospital. Quasi-experimental method with the approach of pre-posttest control group design with simple random sampling. Number of samples 50  people  were   divided  into   two   treatment   groups  and   control  each   25   people.  HARS questionnaire instrument used for measuring anxiety and DQOL (Diabetes Quality of Life) for measuring quality of life. Results of the analysis by the t-test anxiety in the experimental group p0.000, 0.746 p control group. Analysis of the quality of life in the treatment group p values of 0.000 and 0.098 p control group. Anxiety differences in the treatment group and the control p0.019. Differences in the quality of life in the treatment group and the control p 0.076. Results of the analysis by the t-test anxiety in the experimental group p 0.000, 0.746 p control group. Analysis of the quality of life in the treatment group p values of 0.000 and 0.098 p control group. Anxiety differences in the treatment group and the control p 0.019. Differences in the quality of life in the treatment group and the control p 0.076. Educational factors influence the quality of life in patients with type 2 diabetes mellitus after progressive muscle relaxation therapy by 4.9% after controlling other variables. Progressive muscle relaxation therapy is effective to reduce anxiety and effective to improve the quality of life of patients with type 2 diabetes. Progressive muscle relaxation therapy can be incorporated into nursing interventions on hospitals.Keyword : Type 2 Diabetes Mellitus, anxiety, quality of life, progressive muscle relaxation therapy

2019 ◽  
Vol 1 (2) ◽  
pp. 48-53
Author(s):  
Tati Murni Karokaro ◽  
Muhammad Riduan

The prevalence of diabetes occuring in 2015 is 9,3% and is expected to increase annualy. Type 2 diabetes mellitus occurs because insulin resistance, which glucose fails to enter the cell, usually occurs in the age above 30 years. One of the modalitas therapy that can be done is progressive muscle relaxation. The purpose of the study was to the identify the effect of progressive muscle relaxation therapy on the decrease in blood sugar levels in patients with type 2 diabetes mellitus at hospital GRANDMED Lubuk Pakam. This research method used pre-experimental design with one group pretest-posttest. A sample size of 10 respondents selected by sampling technique of non-probability sampling type consecutive sampling. The result of paired hypothesis test of t-test sample at significance level 95%obtained p Value < α, that is 0,001 indicates that there is influence of progressive muscle relaxation therapy to decrease blood glucose level in type 2 diabetes mellitus patient. Conclusion obtained there is significant difference between blood glucose levels before and after progressive muscle relaxation therapy. It is sugessted that health care institutions need to implement new policies related to the application of progressive muscle relaxation therapy.


Author(s):  
Okta Muthia Sari ◽  
Ginanjar Zukhruf Saputri ◽  
Akrom .

Background:  For chronic disease patients, pharmacist counselling with motivating reminder messages has been developed throughout time to promote the success of patient treatment. Diabetes mellitus is a long-term condition. Blood sugar control and an improved quality of life are therapeutic goals in the treatment of diabetes mellitus. The objective of this study was to determine whether changes in fasting blood sugar and quality of life occurred in individuals with diabetes mellitus who received pharmacist counselling coupled by motivating reminder messages.Methods: This quasi-experimental study used a pre-test-post-test design with control and intervention groups. Data on patients with type 2 diabetes were obtained prospectively at Jetis 1 primary health care in Bantul, Yogyakarta, Indonesia. Seventy-two respondents who met the inclusion criteria were separated into two groups: the control group (36 participants) and the intervention group (36 participants). The patients’ quality of life was assessed using the 36-item Short Form (SF-36) questionnaire.Results: Following pharmacist counselling coupled by motivating reminder messages, patients’ mean fasting blood sugar reduced significantly (∆ 34.85±63.36), while their mean quality of life score increased considerably (∆ 13.73±9.22).Conclusions: Pharmacist counselling combined with motivating reminder messages can help patients with type 2 diabetes lower their fasting blood sugar and enhance their quality of life. The provision of pharmacist counselling followed by brief reminders and motivational messages may be considered to improve type 2 diabetes patient management.


2018 ◽  
Vol 11 (1) ◽  
pp. 1
Author(s):  
Ihsan Taufiq

<p><strong><em>Background:</em></strong><em> </em><em>Diabetes Mellitus (DM) causes a decrease in quality of life in all domains. The most often overlooked cause of DM patients is not carrying out physical activity regularly. </em><strong><em>Purpose:</em></strong><em> </em><em>The purpose of this study was to determine the effect of healthy pathways on the quality of life of type 2 D</em><em>M</em><em> patients in the Health Center in Kotabumi North Lampung in 2017.</em><em> </em><strong><em>Methods:</em></strong><em> </em><em>This study used quasi-experimental pre-post test design with a control group. The number of samples consisted of treatment groups and control groups, each group of 22 respondents. The treatment group was the respondents who carried out healthy walks of intervention, then measured the quality of life of patients with type 2 diabetes mellitus, while the control group did not carry out healthy walking activities. Data analysis uses t test dependent. </em><strong><em>Results:</em></strong><em> </em><em>The results showed that there was an effect of healthy pathways on the quality of life of patients with type 2 diabetes mellitus in the health centers in Kotabumi, North Lampung (p = 0.007). <strong>Conclusions</strong></em><strong><em>:</em></strong><em> Healthy paths improve the quality of life for patients with type 2 diabetes, including aspects of physical health, psychological health, social and environmental relations. </em></p><p><strong>Latar Belakang:</strong> Penyakit Diabetes Mellitus (DM) menyebabkan penurunan kualitas hidup disemua domain. Penyebab yang paling sering diabaikan penderita DM adalah tidak melaksanakan aktivitas fisik secara teratur. <strong>Tujuan: </strong>Tujuan penelitian ini untuk mengetahui pengaruh jalan sehat terhadap kualitas hidup penderita DM tipe 2 di Puskesmas wilayah Kotabumi Lampung Utara Tahun 2017. <strong>Metode:</strong> Penelitian ini menggunakan <em>kuasi eksperimen pre post test design </em> dengan kelompok kontrol. Jumlah sampel terdiri atas kelompok perlakuan dan kelompok kontrol masing-masing kelompok 22 responden. Kelompok perlakuan adalah responden yang dilakukan intervensi jalan sehat, kemudian dilakukan pengukuran kualitas hidup penderita DM tipe 2, sedangkan kelompok kontrol tidak melakukan kegiatan jalan sehat. Analisis data menggunakan <em>t </em><em>test dependent</em>. <strong>Hasil:</strong> Hasil penelitian menunjukkan terdapat pengaruh jalan sehat terhadap kualitas hidup penderita DM tipe 2 di Puskesmas wilayah Kotabumi Lampung Utara (p=0,007). <strong>Simpulan:</strong> Jalan sehat meningkatkan kualitas hidup penderita DM tipe 2 meliputi aspek kesehatan fisik, kesehatan psikologis, hubungan sosial dan lingkungan.</p>


Author(s):  
Alimkhanov Olimkhon Omilkhonovich ◽  
◽  
Kamalov Telman Tulyaganovich ◽  

The purpose of the study is to study the correlation rate of the quality of life, electroneuromyography, doppler and neuro markers BNDF in the blood in patients with a type 2 of type with diabetic foot syndrome. Methods: The following 2 groups of patients were formed: 1 gr. - SDS patients, neuropathic form -37 patients, 2 gr. - SDS patients, neuroichmic form -35 patients, 3 gr. - Control group, these are 20 healthy persons of the appropriate age and gender. Results: In all groups of patients, the quality of life is significantly different in the FSHC questionnaire compared with the control group (p <0.05). In patients with a neuroecemic form of diabetic foot syndrome, a significant decrease was found (p <0.05). All indicators of doppler song vessels of legs compared with patients with neuropathic shape. Revealed significant correlations of FSHK and laboratory and instrumental indicators. A correlation connection with the duration of the disease, the duration of the disease, the levels of glycemia of an empty stomach, the level of the glycated haemoglobin, BNDF in the blood, the speed of blood flow in the femoral artery, in the lower leg, is discovered. The definition of neuromuscular transmission showed that the patients of the 1st and 2nd groups have a weak reduction in muscle contraction involuntarily. This confirmed the impairment of neuromuscular transmission in both groups. Conclusions: 1) A questionnaire to determine the quality indicators - FSHK is the most sensitive and informative to determine the quality of life in patients with type 2 diabetes mellitus with neuropathic and neuroecemic forms 2) FSHP questionnaire can be used for dynamic assessment of type 2 diabetes patients with neuropathic and neuroecemic forms in outpatient clinical practice. 3) Revealed significant correlations of FSHK and laboratory and instrumental indicators. A correlation connection with the duration of the disease, the duration of the disease, the levels of glycemia on an empty stomach, the level of the glycated haemoglobin, BNDF in the blood, the speed of blood flow in the femoral artery, in the shin, M-answer when stimulating a tibial nerve.


2019 ◽  
Vol 1 (1) ◽  
pp. 87-96
Author(s):  
Siti Lestari ◽  
Sri Hartini Mardi Asih ◽  
Rusmiyati Rusmiyati

The prevalence of cancer in children is now increasing and followed by an increasing number of them who undergo chemotherapy. The effect of chemotherapy can reduce the children’s quality of life, hence it requires the contribution of nurses in improving health services to children with cancer. The purpose of the study was to analyze the effect management of “Ceria” chemotherapy : (C)egah Sariawan (preventing mucositis), Cegah (E)kstravasasi (preventing extravacation), (R)elaksasi (Progressive Muscle Relaxation to reduce fatigue), Cegah (I)nfeksi (preventing infection), (A)kupresur (acupressur to reduce nausea and vomiting) on the life quality of children with cancer. The method applied was experimental research using control group design with pretest posttest. The treatment group received intervention in the form of “Ceria” chemotherapy effect management from the researchers while the control group did not receive intervention treatment. The selection of research subjects for the treatment and control groups was done randomly. The children’s quality of life was measured before and after one week of intervention using PedsQL (Children's Quality of Life Inventory). The participants were 76 children (38 in the treatment  group and 38 in the control group). The results of the paired t test showed that there were significant mean differences of life quality before and after "Ceria" chemotherapy effects management on children with cancer (p = 0,0001; sig = 0.05), the highest life quality improvement was found on children who experienced progressive muscle relaxation. This study concludes that "Ceria" chemotherapy effect management  can improve the life quality of children with cancer. Therefore, the reseachers recommend nurses to apply “Ceria” chemotherapy effect management to improve the life quality of children with cancer.   Keywords: cancer, children, quality of life,  "Ceria" chemotherapy effect management


Author(s):  
Sunil Kumar Doddaiah ◽  
G. Shwetha ◽  
Arun Gopi ◽  
M. R. Narayana Murthy ◽  
Anil S. Bilimale ◽  
...  

Background: Diabetes is a chronic disease characterized by high blood glucose with a disruption of fat and protein metabolism. Severe restrictions in diet, daily medications and other complications of diabetes can adversely affect an individual’s health related quality of life. The present study was conducted to assess the effect of educational intervention on quality of life (QOL) among the type 2 diabetes mellitus (T2DM) patients in Mysuru city.Methods: A quasi-experimental study was conducted from 1 November 2019 to 31 May 2020 among 138 diabetes patients at an urban health centre, Mysuru. Information regarding socio-demographic characteristics was collected using a pre-tested semi structured questionnaire. Assessment of QOL was done using the WHOQOL-BREF questionnaire. Data was analysed using SPSS version 23 (licensed to JSS AHER).Results: The overall mean score of pre-test QOL of the study participants was 81.72±8.57 and post-test mean score was 86.43±6.322. It was observed that 68 (49.27%) participants had good total QOL score and 70 (50.72%) had poor total QOL score. Among all the 3 groups, group A showed improvement in QOL when compared to other 2 groups with 52.2% in post-test.Conclusions: Improved QOL was seen in educational intervention using smartphone app when compared to other two groups (handouts and control group). QOL is one of the important factors among T2DM patients and it is important to take effective measures to improve it along with focusing on behavioural changes and health education.


2015 ◽  
Vol 2 (2) ◽  
pp. 154-163
Author(s):  
Nawang Wulandari ◽  
Titin Andri Wihastuti ◽  
Titin Andri Wihastuti ◽  
Lilik Supriati ◽  
Lilik Supriati

Neurosa a psychic reaction with typical anxiety where clients are in fear that unconsciously displayed in various forms of behavior. Anxiety can leads physical imbalance such as increased blood pressure, insomnia, muscle tension and palpitations. Muscle tension and sleep difficulties are often experienced anxiety response. Some psychotherapy can be given to clients of anxiety one of which is progressive muscle relaxation therapy. The  aims of this study was to determine the effect of progressive muscle relaxation therapy to decrease anxiety and improve the quality of sleep in patients neurosa in Health Center Area Kepanjen Kidul Blitar. Research design was quasy experimental Pre-Post Test With Control Group with purposive sampling. Number of samples 26 respondents were divided into control and treatment groups. Collecting data using questionnaires that have tested the validity and reliability. Results of analysis of anxiety and sleep quality was obtained p <0.05 in the treatment group and control before and after treatment, the difference in scores of anxiety and sleep quality of patients neurosa between the treatment group and the control group after a given intervention p <0.05. There is no correlation between the anxiety with the quality of sleep with p> 0.05. Therapy progressive muscle relaxation and deep breathing therapy can be used to reduce anxiety and improve sleep quality in patients neurosa.


1970 ◽  
Vol 2 (01) ◽  
pp. 96-104
Author(s):  
Peni Hardjanti ◽  
Bayu Santoso ◽  
Nuniek Nugraheni ◽  
Agung Pranoto

Objectives: To determine the effect of low impact aerobic exercise on functional balance and the quality of life in type 2 Diabetes Mellitus (DM) patientsMethods: This is an experimental study. Participants were recruited from outpatient Diabetes Clinic in Dr. Soetomo General Hospital, Surabaya, Indonesia. Subjects of this study are men and women aged 30-70 years whose diagnosed with type 2 DM, with A1c less than 10%, have been using oral anti diabetic drug or subcutaneous insulin less than 30 IU daily, blood glucose level before exercise less than 250mg%, and Berg Balance Scale between 41-56. Subjects were randomized into 2 groups with 38 subjects in the exercise group and 37 in the control group. The exercise group followed 25-30 minutes diabeticaerobic low impact exercise 3 times a week for 3months, while the control group did not. Functional balance and quality of life before and after exercise were assessed using Berg Balance Scale (BBS) andthe Sickness Impact Profile (SIP) questionnaire. Difference in BBS and quality of life improvement measured by SIP questionnaire were analyzed after 3 months of exercise.Results: Mann Whitney test showed significant difference of the total score of BBS in the exercise group (p 0.02; α < 0.05). Chi Square test revealed significant improvement in four of the twelve parameters ofthe quality of life: sleep and rest (SR) (p 0.044), body care and movement (BCM) (p 0.017), ambulation (A) (p 0.001), and work (W) (p 0.000) in the exercise group.Conclusions: Low impact aerobic exercise in type 2 Diabetes Mellitus patients may improve functional balance and the SR, BCM, A, and W parameters of the quality of life.Key words: Low impact aerobic exercise, type 2 diabetic mellitus, functional balance, quality of life.


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